Book Clinic Appointment with Dr. Aarti Midha
Treatment of Headaches
Treatment of Depression
Treatment & Management of Stress
Treatment of Anxiety
Treatment of Alcohol Addiction Disorder
Treatment of Fear
Treatment of Epilepsy
Treatment of Memory Loss
Treatment of Panic Disorders
Treatment of Schizophrenia
Anger Management Therapy
Speech Therapy Treatment
Treatment of Child and Adolescent Problems
Treatment of Behaviour & Thought Problems
Treatment of Hyperactivity Disorder
Cognitive Behavioral Therapy
Treatment of Personality Disorder
Obsessive Compulsive Disorder Treatment
Treatment of Drug Abuse and Addiction
Treatment of Mental Retardation
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Patient Review Highlights
Excellent Psychiatrist with great knowledge of her subject. She tries to find out the root cause of disease with minimal long term medication. Very nice behavior with helping attitude.
Nice doctor .Expert in her field.Very helping and caring in nature ,gives you adequate time.No long term harmful psychiatric drug overdosage.
Very nice doctor.Tells you thoroughly about the problem and treatment options.Very good psychotherapy
Very good Psychiatrist and very nice person as well.Listens to you very patiently
Being away or oblivious to social media is synonymous to not following the herd. Social media probably is no more the latest fad; it is the given code to take a deeper look into the present age. The rewarding fact about social networking sites is their ability to transport us to people and places millions of miles away from us. This epoch with its dictates of overproduction and maximum utilization of labor snatches away the boon of communication.
- Social media creates peer pressure: Coming in continuous contact with occurrences in other people's life can lead to mental setback. You may feel low on comparing your achievements with that of others. Consciously or unconsciously you are struggling throughout to be at par with them who are seemingly jubilant. Virtual peer pressure is realized by many.
- It can bring us at close quarters with penitence: Persistent grief or regret can take a toll on your mental health. It can make you depressive. Depression is again not a healthy thing for personal growth and development. It usually results in lack of motivation.
- You tend to panic more through continued use of social media: If you have not been in touch with social media for a couple of days you are instilled with the fear of losing out on incidents. You panic regarding what has been happening all over the world that in reality will in most cases bear no effect on you.
- It accustoms you to the glamorous appeal of drugs: Social media tends to showcase the ills of society as glamorous contributing factors of life. It celebrates the vices of drugs and other addictive agents as virtues. Young adults are therefore easily incited to give in to addiction.
Positive effects of social media on your mental health:
- Social media will let you take a break from hovering tasks and responsibilities.
- Helps you connect with long lost friends. Social networking sites will bring you closer to new and old friends alike.
- Real society is overly judgemental. It prohibits you from coming across as your true self. Virtual media allows you to come out of your cocoon and helps you feel comfortable about yourself.
- Avoid sugar in your diet: Researchers conclude that having a diet rich in sugar and fructose could be the most damaging thing you do to your brain, among other organs.
- Omega 3 fats in diet: Our body needs a balance of Omega 3, Omega 6 and Omega 9 in the body. Good intake of Omega 3 fats helps in decreasing neuro inflammation.
- Vitamin B12 and Folate levels: Asses your Vitamin B12 plus folate levels, and take good quality multivitamins to optimize blood levels of these vitamins.
- Antioxidants rich diet: Try to take vegetables 6-8 times in a day with seed and nuts every day.
- Optimize your Vitamin D levels: Researchers believe that Optimal Vitamin D levels are neuroprotective, it protects brain cells by increasing the effectiveness of glial cells in nursing damaged neurons back to health.
- Try consuming a Gluten Free, Casein Free diet to rule out non-coelaic gluten sensitivity which Is in turn related to neuropsychiatric disorders.
- Avoid or limit Cow Dairy: I recommend yogurt and ghee made using cow milk. Try camel milk or goat milk products. Always go for organic products.
- Organic Diet: Researchers conclude that pesticides and other chemicals in food leads to intestinal damage and also believe that leaky gut is related to leaky brain. Try to implement an organic diet as much as possible and stay away from pesticides, antibiotics, hormones and GMO foods.
- Increase fiber content in diet: Add Chia seeds and Flax seeds to your diet, as it feeds the healthy microbiome present in your intestine.
- Add fermented foods to your diet: I recommend everyone to read “Second Brain” to understand the relation of Gut Microbiota and neuropsychiatric disorder. Simple dietary changes such as consuming fermented foods and probiotics, which help you to modulate your gut microbiome.
Body dysmorphic disorder is a type of psychiatric disorder. It is when you cannot think about one or more defects or flaws in your appearance. These flaws are usually very minor and sometimes even unnoticeable. This is actually a much more serious disorder than many other people may think. This is because people with body dysmorphic disease may avoid many situations and also suffer from severe anxiety or shame.
Here is everything you need to know about body dysmorphic disease:
Just like other psychiatric disorders, there is no known cause of body dysmorphic disease. However, there are a lot of factors, which increase your risk of developing it. Here are they:
1. Brain disorders: Many people with abnormal brain chemistry disorders suffer from body dysmorphic disease.
2. Genes: People whose blood relatives have this disease or have obsessive compulsive disorder are more likely to develop this disorder as well.
3. Environment: Cultural and social influences are a major cause of body dysmorphic disorder as well.
1. Having a preoccupation with a flaw in the body, which is very minor or perhaps even unnoticeable.
2. Beliefs that people are mocking you in relation to your flaw.
3. Being a perfectionist.
It is also worth noting that this obsession can affect any part of the body and can also include several parts of the body or different parts of the body at different times. Here are the possible treatments of body dysmorphic disorder:
There are a variety of treatments, which a patient can opt for and a variety of methods of curing the problem. Here are the most common.
1. Cognitive behavioral therapy: This is when a therapist tries to stop you from thinking about the flaw that you have been focusing on way too much.
2. SSRI: SSRI stands for Selective Serotonin Reuptake Inhibitors. They are given in cases, where body dysmorphic disorder is caused by problems related to the brain chemical serotonin.
3. Hospitalization: This is a severe measure, but may need to be taken if you are in danger of harming somebody or you cannot perform daily activities.
Attention Deficit Disorder or ADD is a behavioral disorder that comprises impulsive behavior, inattentiveness and hyperactivity. This disorder tends to affect children more commonly, but the symptoms tend to disappear as one ages.
- Concentration problems: People affected by this disorder have problems in staying focused on routine tasks. You may have problems in listening to conversations, get distracted easily, overlook various important things and have trouble remembering various things.
- Being disorganized and forgetting things: You may exhibit symptoms such as having an extremely cluttered desk. You may also experience difficulties in completing projects and forgetting appointments. You may also lose track of time while doing important things.
- Emotional problems: Various emotional problems such as mood swings, hypersensitivity to criticism, problems in staying motivated and having low self-esteem are common signs of ADD. The disorder may also lead you to be extremely short tempered and be constantly frustrated.
- Hyperactivity: This symptom causes you to remain constantly agitated, unable to focus due to a racing mind, fidgeting constantly and talking excessively.
- Impulsivity: You will exhibit impulsive behavior such as not being able to exercise self-control, blurting out inappropriate comments and have certain addictive tendencies.
Attention Deficit Disorder can cause various problems in your life. Most of these are related to the following domains:
- Work related problems: You may constantly feel a sense of underachievement and will unable to meet your work responsibilities. You may be unable to meet deadlines, and face problems in filing paperwork.
- Relationship problems: This disorder takes a toll on your relationships such as it can create a rift between you and your family. They may feel that you are not sensitive to their concerns.
- Mental health problems: You may face various mental health problems such as drug abuse, anxiety, self-esteem issues and chronic stress.
Ten tips for a healthy brain and nutrition
Let your food be your medicine
1. Avoid sugar in your diet: researchers conclude that having a diet rich in sugar and fructose could be the most damaging thing you do to your brain, among other organs.
2. Omega 3 fats in diet: our body needs a balance of omega 3, omega 6 and omega 9 in the body. A good intake of omega 3 fats helps in decreasing neuroinflammation.
3. Vitamin b12 and folate levels: asses your vitamin b12 plus folate levels, and take good quality multivitamins to optimize blood levels of these vitamins.
4. Antioxidants rich diet: try to take vegetables 6-8 times in a day with seed and nuts every day.
5. Optimize your vitamin d levels: researchers believe that optimal vitamin d levels are neuroprotective, it protects brain cells by increasing the effectiveness of glial cells in nursing damaged neurons back to health.
6. Try consuming gluten free, casein free diet to rule out non-coeliac gluten sensitivity which is in turn related to neuropsychiatric disorders.
7. Avoid or limit cow dairy: I recommend yogurt and ghee made using cow milk. Try camel milk or goat milk products. Always go for organic products.
8. Organic diet: researchers conclude that pesticides and other chemicals in food leads to intestinal damage and also believe that leaky gut is related to leaky brain. Try to implement an organic diet as much as possible and stay away from pesticides, antibiotics, hormones and GMO foods.
9. Increase fiber content in diet: add chia seeds and flax seeds to your diet, as it feeds the healthy microbiome present in your intestine.
10. Add fermented foods to your diet.
One of my patients asked me to change my designation as stress and wellness specialist rather than a psychiatrist. It really surprised me. She was in depression for last 3-4 months and was facing lots of stress at the workplace due to disabilities caused by depression. Three years ago her mother also tried to commit suicide because of depression. Despite knowing all facts about depression, out of shame, she was feeling awkward going to a psychiatrist. She did not take appropriate steps to solve the problem by consulting the psychologist or psychiatrist. Finally she was not able to continue her job and faced many psychosocial consequences.
We are observing these problems on a day to day basis. We observe people wasting their productive years due to repeated episodes of depression. Because of that, I want to mention some myths related to depression and other psychiatric illnesses:
1. Myths- Depression occurs because of psychological weakness of an individual.
Facts- Cause of depression is not purely psychological, it is bio-psycho-social.
A). Biological - biological changes in brain chemistry-
i) change in serotonin, non epinephrine, like neurotransmitters.
ii) genetics - family history of depression.
B) Psychological - this is related to the individual's psychic structures that is his/her personality traits and coping strategies.
C). Social - this is related to individual's circumstances and social support system.
2. Myth - depression can be treated well with physical exercise only.
Fact- physical exercise improves mood and self esteem of the individual, but can not treat brain chemistry completely. So complete remission requires pharmacotherapy, counselling as well as lifestyle modification.
3. Myth - alchohol can treat my depression.
Fact - people start taking alcohol to feel euphoric. Alcohol elevates your mood for transient duration of time, rather it precipitates alcohol induced depression. So it deteriorate depression, and it also causes alcohol induced liver disease.
4. Myth- depression is sadness only and it occurs because of circumstances.
Fact- depression and sadness are two different psychological states.
Depression (abnormal psychological state)
Duration - <2 weeks
Symptoms of depression- Sadness, loss of interest, fatigue decreased appetite, disturbed sleep and experiencing problems in routine work.
Treatment - needs consultation from a psychiatrist.
Sadness (normal psychological state)
Transient - 2 week
Sadness is emotional reactivity to external or internal stressor that resolves itself.
Treatment- stress management strategies
5. Myth - depression is uncommon.
Fact - as per world health organisation, 300 million patients are suffering from depression worldwide. The world mental healthy survey conducted in 17 countries found that an average about 1 to 20 people report having an episode of depression previous year.
6. Myth - medical tests like ct brain / mri brain should be done for depression.
Fact - changes in brain chemistry is not picked by ct brain or mri like investigations. Diagnosis of depression requires clinical assessment and psychological assessment.
7. Myth one should take medicine for depression for short duration. Anti -depressants are harmful.
Fact - treatment of depression is done in two phases. First 2-3 months of treatment is for symptom remission then maintenance phase of treatment is given for relapse prevention. If maintenance phase of treatment is not given to patient, he/she may have more episodes of depression in future.
Your gastrointestinal tract, or what you commonly call it- the ‘gut’, has a direct connection to your brain. This connection is bidirectional and it is known as the Gut-Brain axis or GBA. Your cognition, your thought processes, mental activity and your emotions are all linked directly and indirectly to your intestinal functions. The efferent and afferent neural pathways in the GBA allow the brain to control the epithelial cells, immune cells, smooth muscle cells, and enteric neurons in the enteric system.
How is your mental health linked to GBA?
Different types of microbes or bacteria called microbiome live in your gut. These bacteria may be ‘good’ (beneficial) or ‘bad’ (harmful). For overall good health, these bacteria need to be in balance favouring the ‘good’ bacteria. If it is not, it will not only harm your physical health but also your mental well-being. Research shows that a number of psychological disorders like schizophrenia, mood disorders, etc are associated with a misbalance in the microbiome in the gastrointestinal tract that upsets the Gut-Brain axis.
• Research shows that the bacterium Clostridium activates dopamine in the gut. Dopamine is a key neurotransmitter connected to schizophrenia. Possibly, the bacterium can stimulate the CNS and PNS and contribute to this psychiatric disorder.
• Clostridium also produces certain metabolites that inhibit dopamine beta-hydroxylase enzyme that converts dopamine to organic chemical norepinephrine. An increase in the dopamine levels in the brain can lead to psychotic episodes of schizophrenia.
GBA and Depression:
• ASD patients have shown a high concentration of bacteria like Clostridium and Desulfovibrio as well as a less diverse species of microbial organisms in their gut.
What can you do to improve your health?
It is important that you balance out the microbial organisms in your gut. You can do that by following the tips below.
• Eating probiotic food - Food like yoghurt, cottage cheese, fresh sauerkraut, kimchi, apple cider and vinegar contain living beneficial bacteria that grow during controlled fermentation processes. Studies have shown that they improve symptoms of depression, anxiety, obsessive-compulsive disorder and other psychological conditions. These are readily available in your local supermarket so you can easily include these in your diet!
• Eating prebiotic food - Onions, cabbage, asparagus, legumes and oats are prebiotic. These do not contain any microorganisms but they are fermented in the GI tract. Probiotic bacteria consume these and make it healthier for your body.
• Forget gluten - Research shows that a gluten-free diet is responsible for the improvement in schizophrenic symptoms.
Make sure your diet includes both probiotic and prebiotic food; it will reduce the stress hormone cortisol in your body and reduce high anxiety and depressive behaviour. The food you eat can help you to stay happy and healthy!
Depression is defined as a mental state, which is typified by a pessimistic sense of insufficiency and a hopeless lack of activity. This state could be so severe that it may require clinical intervention. 'Relapse' is the term coined for the reappearance of signs of depression within six months after the patient has been cured of depression.
The time period of depression relapse may be smaller than depression recurrence, but it is equally frightening in both the cases. It becomes very difficult for the patient to combat all the signs of depression and cope up with gloom, fatigue, bad temper, etc. The person starts alienating himself from the rest of the world. So, it becomes necessary for him to follow an apt strategy to survive a depression relapse.
First of all, the patient suffering from depression relapse should immediately consult his or her therapist or psychiatrist and get adequate treatment for the same. The treatment procedure may include intake of antidepressants and psychotherapy. While the treatment is carried on, you may require some tips to survive that time interval. Below are some guidelines for the same:
- Accept the Truth: Though it is never easy to acknowledge the state of mental illness, it is the key to cope up with depression relapse. Accepting that depression would strike again and again would help you to deal with it.
- Identify the Symptoms of Depression Relapse: Instead of neglecting the initial signs of depression relapse, it is necessary to accept that depression has hit you again. It is better to leave your shame or guilt aside and consider it as a normal event. Immediately go and make your therapist aware of the symptoms you identified, so that remedial action could be taken accordingly. The first sign of depression relapse may differ from person to person. It may be lack of sensation or any sudden surge of energy. Although these changes may appear subtle but should be noted down and conveyed to your therapist.
- Seek help from others: Depression relapse gets easier to survive with the help of friends, family and loved ones. Open up about your mental state and talk freely to others. You will find that you are not alone. Constant support from your nearby people will prove very beneficial. They will keep reminding you of the fact that, 'this too shall pass away'. Do not alienate yourself, instead try to socialize. Hang out with your friends and indulge in activities which bring you pleasure. Primarily it will be hard to seek joy by socializing but it will prove fruitful in the long run. Pursue your hobbies and try to relax.
Depression relapse occurs again and again, no matter how hard one tries to run away from it. So, it is better to accept this harsh truth and start following the above measures to survive Depression Relapse.
Nicotine addiction or tobacco addiction refers to an acute dependence upon tobacco products primarily due to the presence of the nicotine drug. In other words, nicotine addiction refers to an inability to stop using tobacco products despite the knowledge and awareness that it is harmful to you. While nicotine only induces addiction, it is the presence of other substances in tobacco which makes it damaging and injurious to health.
Nicotine has the tendency to produce effects in the brain, both physical as well as mind-altering, that give temporary satisfaction. This is precisely why people get hooked into the habit of tobacco consumption, which eventually leads to addiction. Unfortunately, stopping tobacco use immediately can also lead to several withdrawal symptoms, like agitation and restlessness.
The main reason why tobacco is so addictive is due to the fact that nicotine releases neurotransmitters such as dopamine in the reward centre of the brain, which in turn improves your mood and gives you temporary pleasure.
- Specific times during the day, say after every meal or during breaks at work
- While defecating
- While drinking alcohol
- Stressful or depressive situations
- At the sight or smell of a burning cigarette
- Peer pressure
- While driving
Symptoms of nicotine addiction include:
- You are unable to quit smoking despite frequent attempts.
- You experience withdrawal symptoms after attempting to quit.
- You continue to smoke despite the awareness that it is injurious to your health.
- You forego social as well as recreational activities because of your need to smoke.