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Dr. D. S. Poonia - Psychiatrist, Jaipur

Dr. D. S. Poonia

93 (151 ratings)
MD - Psychiatry

Psychiatrist, Jaipur

6 Years Experience  ·  500 at clinic  ·  ₹500 online
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Dr. D. S. Poonia 93% (151 ratings) MD - Psychiatry Psychiatrist, Jaipur
6 Years Experience  ·  500 at clinic  ·  ₹500 online
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We provide evidence based treatment, expert professional advice and personalized treatment and care....more
We provide evidence based treatment, expert professional advice and personalized treatment and care.
More about Dr. D. S. Poonia
Dr. D. S. Poonia is an experienced Psychiatrist in Mahaveer Nagar, Jaipur. He has had many happy patients in his 4 years of journey as a Psychiatrist. He is a qualified MD - Psychiatry. You can consult Dr. D. S. Poonia at MINDROOT Neuropsych Clinic in Mahaveer Nagar, Jaipur. He has received 35 delightful feedbacks from satisfied patients. Don?t wait in a queue, book an instant appointment online with Dr. D. S. Poonia on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 38 years of experience on Lybrate.com. Find the best Psychiatrists online in Jaipur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - Psychiatry - AIIMS Delhi - 2012
Languages spoken
English
Hindi

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MINDROOT Neuropsych Clinic

798, Near Ram MandirJaipur Get Directions
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Stress - It's Consequence And Management!

MD - Psychiatry
Psychiatrist, Jaipur
Stress - It's Consequence And Management!

Management of stress

Pharmacological

Short-term use of benzodiazepine in low dose is useful in helping the person struggling with a stressor.

 Cognitive-behavioural approaches

"The greatest weapon against stress is one's ability to choose one thought over another":- William James

Nowadays, CBT is increasingly used to manage stress response. It is based primarily upon the understanding that cognitive appraisal about the stressful event and the coping mechanism used to these appraisals determine the stress response. These cognitive appraisals are of two type

  • First, Primary Appraisal: This refers to the way in which individual evaluate the importance or meaning of the stressor or event, e.g. a person diagnosed with a chronic illness and he appraises it as a harmful, a loss or threatening one and start thinking that I will never able to do anything, and I really will care about it. Which, in turn, leads him anxious, depressed and withdrawn.  Consider a different scenario; if he takes it as a challenging and starts thinking that although he is not able to do some activities, still there are many others that he can do and enjoy. In this, there are more chances of a positive outcome. 
  • Second, Secondary Appraisal: This refers to the process of evaluating the event and thinking about what next can be done and whether it will work or not. Here many factors influence this like their learning history, mastery of coping skill etc.

There are three main aims of CBT:

  • First, to make the person more aware of his/her cognitive appraisal
  • Second, to make them understand their appraisal and how it affects their negative emotions and behavioural responses and help them to reconceptualise their cognitive appraisal.
  • Third, to train them to use and develops other cognitive and behavioural techniques. 

CBT is efficacious in the management of stress. There is ample research showing its effectiveness.  Most of the time it combined with stress management skills like self-observation, cognitive restructuring, relaxation training, time management and problem-solving.

Stress - It's Consequence And Management!

MD - Psychiatry
Psychiatrist, Jaipur
Stress - It's Consequence And Management!

 

Stress defined as "an internal state which can be caused by physical, social and environmental situations which are an appraisal by the body as potentially harmful and threatening. Here physical, social and environment situations are known as stressors. 

Till 1930, stress was primarily used in the context of engineers and defined merely as a strain on a material object. There is still a  confusion between stress as a "cause" versus "trigger" or stress as a trigger or a response. It has seen that same stressor produce different reactions in the different individual.  This response depends on the coping behaviour of the individual which include defensive behaviour, information seeking behaviour, affiliative behaviour and problem-solving behaviour. The genetic and environmental factor also plays a vital role in determining the stress responses.

Other factors determining the effect of stressor are

1. Nature of stressor: acute or chronic one

2. The frequency of stressor: exposed to a single occasion or multiple times

Body response to the stress

Many systems, including neurotransmitters, (noradrenaline, dopamine and serotonin), hormones (CRH, ACTH,  Cortisol),  and the immune system involved in the manifestation of the stress response of the body. The overall impact of all these systems can be summarised as follows: 

1.  All these effects lead to the development of stress-related disorders, including major depression.

2. They decrease the cellular and innate immunity.

3. They increase the risk of cardiovascular disease like coronary artery disease, myocardial infarction, congestive heart failure.

4. Increases the risk of infections secondary to decrease in immunity.

5. Other illnesses which are influenced by the stress are Atopic dermatitis, Rheumatoid Arthritis, and many Cancer prognoses.

Stress and psychiatric illness

Schizophrenia and other psychotic illness

Stress plays a significant role in the course of schizophrenia. The person with schizophrenia who resides with families with high expressed emotion has doubled relapse rate in comparison with family having low expressed emotions.  Here expressed emotion refers to the attitude of the family member towards the person who has a mental disorder. 

Depression

Stress and depression have a complicated interaction. There is a complex interaction between stress, environment factor and gene which determine the outcome. 

Anxiety Disorder 

Childhood adverse event like abuse, Interpersonal conflicts or serious illness in a close relative may trigger the onset of Panic Disorder and other Anxiety Disorder.

Posttraumatic stress disorder (PTSD) and Acute Stress Disorder (ASD)

PTSD develops after either experiencing or witnessing a life-threatening event or life-altering event.  Its symptoms are flashback, nightmares and severe anxiety and intrusing thought about the event-mostly uncontrollable one.

 

Reducing Stigma Towards Mental Health Disorders!

MD - Psychiatry
Psychiatrist, Jaipur
Reducing Stigma Towards Mental Health Disorders!

People with mental health issues claim that the social stigma associated with mental health disorders and the discrimination that they face every day make their difficulties even worse and make it tougher to recover.

Mental disorder is common. These days, it impacts millions of people across the globe, and their families, friends, colleagues, and society. One in 10 Indians lives with severe mental disorders including bipolar disorder, schizophrenia or depression. When we concentrate on the mental health of a person, we look at the means in which it affects their moods, emotions, thoughts, the capability of relating to others, effectiveness at school and work, and their social choices. In a nutshell, when their mental health is negotiated, it affects all aspects of their lives and the lives of their dear ones.

The World Health Organization or WHO has crystallized a few troubling facts about mental illness and they draw our attention:

  • Suicide is the leading reason for death in 15-29 years old.
  • Eight lac  people every year commit suicide.
  • For every accomplished suicide, there are at least 20 others which are attempted.
  • The leading reason for disability is the combination of mental disorders and substance abuse.
  • Mental illness doubles after a trauma like being victimized by a natural disaster or participating in or being a victim of a war.
  • There is a higher connection between mental illness and an augmented risk of getting ill from many other diseases including diabetes, self-harm, unintentional injury, and HIV.

Regardless of the fact that we are capable of talking openly about mental illness, unfortunately, people continue to escape seeking treatment because of discrimination and stigma. Our culture still spreads the belief that those who suffer from mental disorders are extremely violent, unintelligent, or unable to make decisions which impact their lives profoundly.

Whether we approach all these complications as the loved ones of family members, friends who struggle or somebody who has been spotted with a mental illness, we all have to speak up to challenge the prejudices and stigma related to mental disorders. We have an ethical and social duty to advocate for their right to get suitable treatment and to be provided with equal rights in the society. Living with a mental disorder can be really challenging, and we have to acknowledge the resiliency and courage that exists in individuals who are working harder to lead meaningful and productive lives.

Let’s challenge ourselves to make a change and transform the world’s observation of mental disorder.

1 person found this helpful

HI, I take rivotril half 0.25 for anxiety. Can I drink glass of milk after taking rivotril. Is it good or bad. Any side effects.

MD - Psychiatry
Psychiatrist, Jaipur
HI, I take rivotril half 0.25 for anxiety. Can I drink glass of milk after taking rivotril. Is it good or bad. Any si...
Hi, Yes you can. It will be more appropriate if you will take medicine after milk or breakfast. Don't worry about side effects and follow your treating doctor advise. Don't do self medication.
1 person found this helpful
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Reality Testing Of Stigma Towards Mental Health Disorders

MD - Psychiatry
Psychiatrist, Jaipur
Reality Testing Of Stigma Towards Mental Health Disorders

Is This Stigma or Something Else?

Few day's back we have done an experiment to reality testing of stigma towards mental health disorders. 

In this doctor has updated his facebook status as having a diagnosis (Bipolar affective disorder) of one of many mental health disorders.

The responses he had got was very interesting. These were following:

1. Usually he got near about 4 hundred likes and around 60-80 comments on his new status, but here we were expecting few one. Same was happens. After a week, there was only 69 like and 4 comments . Now think what will happens if he updated his status with some other physical illness instead of mental one. Definitely picture will be different. Interestingly, he even not got a single comment of get well soon too. So, it seems that people either won’t consider it as an illness or something else other than a illness.

2. One of his friend made a call to him that people are calling him about his updated status. It’s around 10 in number . Some of these friends create a what’s up group to discuss about same.

3. His relatives start calling to his parents and in-laws about same and ask about what happens to him.

4. His very close friend too whom he met on same day too start calling to him about updated status.

5. One of his professional colleague called up him that please remove the updated status otherwise your profession will be affected by it very severely.

6. One of them comments get well soon, but it was past after revealing the purpose of update. Even after that people won't comment same.

 

In reality, same happens with patient suffering from mental health disorders. People label them as PSYCHO. PAGAL, MENTAL, SANKI etc. Not even patient, Stigma is also presents towards mental health professionals as well as psychiatric medicine too.

In India, near about 17 crores (14%) of Indian population needs mental health intervention. Still, one out of ten people utilizes the professional help for mental health problems. Lack of awareness, STIGMA, and discrimination are the biggest hurdle against patients and their families for seeking mental health care.

 

To address STIGMA towards mental health disorder and raise awareness, The Mindroot Foundation is consistently involved in such activities to address the above mentioned problems since it's establishment.

Stigma towards mentally ill person is a big problem to help them. Please come together and help them to build a mentally healthy nation.

#SAY NO TO STIGMA#

2 people found this helpful

Insomnia: Common Medical Conditions That Contributes It

MD - Psychiatry
Psychiatrist, Jaipur
Insomnia: Common Medical Conditions That Contributes It

What is Insomnia?

Insomnia is defined as “difficulty in falling or maintain the sleep or non-refreshing sleep”. 

Insomnia is a most common disorder in general population and old age. The causes of insomnia are diverse. It includes psychiatric or neurological disorders,medical disorders, substance use disorder, change in environment, side effects of medication etc. 

Here is list of common medical disorders that causes insomnia and there relevant symptoms which impairs sleep.

Congestive heart failure 

Symptoms that impairs the sleep:

  • sudden shortness of breath awakening a person from sleep        
  • difficulty in getting to lie down

Gastro - Esophageal Reflex Diseases:

Symptoms that impairs the sleep: ·        

  • heart burn worse while lying down or eating too close to bed time       
  • nocturnal cough

Chronic lung diseases like COPD, pulmonary hypertension and asthma 

Symptoms that impairs the sleep:

  • coughing
  • oxygen-desaturation
  • shortness of breath

Coronary artery diseases:

  • Symptoms that impairs the sleep:  ·        
  • chest pain at night 

Anaemia

Symptoms that impairs the sleep: ·        

  • fatigue       
  • poor sleep quality        
  • restless legs

Dementia (Alzeihmers and parkisons diseases)

 

Symptoms that impairs the sleep: ·        

  • sleep disturbances with dementia-related sleep behaviors        
  • cognitive decline        
  • psychiatric symptoms like hallucination

Delireum

Symptoms that impairs the sleep: 

  • waxing and waning mental status
  • disrupted sleep-wake cycles
  • fluctuating psychotic symptoms

Post stroke

Symptoms that impairs the sleep: 

Obstructive sleep apnea

Symptoms that impairs the sleep: 

  • awakenings or arousals with apneic episodes
  • daytime fatigue despite adequate time asleep

Pain due to arthritis, cancer, gout, neuropathy, fibromyalgia, musculo-skeletal injury

 

Symptoms that impairs the sleep: 

  • delay in falling asleep
  • frequent awakenings
  • difficulty finding a comfortable position

Benign prostatic hyperplasia 

Symptoms that impairs the sleep: 

Renal diseases 

Symptoms that impairs the sleep:

  • excessive daytime sleepiness
  • restless legs

Hormonal imbalance like thyroid or menopause

Symptoms that impairs the sleep: 

  • hot flashes, night sweats
  • night timeawakenings
  • daytime fatigue

Diabetes

Symptoms that impairs the sleep: 

  • increased frequency of urination
  • increased thirst and increased appetite
  • fluctuating blood sugars episodes (Hyper and hypoglycemia)

Brainiacs or Cognitive Enhancers (Part II)

MD - Psychiatry
Psychiatrist, Jaipur
Brainiacs or Cognitive Enhancers (Part II)

 

Cognitive Enhancement is often defined as the effort to increase the performance of cognitive function like attention & concentration, memory, problem-solving in healthy individuals. While every species including humans have consistently and continuously evolved day by day to improve themselves. However, using medications and technological advances in increasing cognitive functions is a relatively new aspect and is a matter of debate on the ground of ethical, philosophical and sociopolitical.

Pharmacological

Here it's very important to understand that use of medications is off-label and there is a little evidence of efficacy.

Psychostimulants include Methylphenidate and dextroamphetamine. These are commonly used to treat ADHD, Narcolepsy, fatigue associated with cancer, and in depression as an augmentation strategy. However, they have side effects like decreased appetite and weight, insomnia, headache, irritability, and mood changes, palpitations, tachycardia, and potential of abuse. Analysis of current literature suggests no or little evidence except slight positive effect on memory. So, use of psychostimulant to enhance cognitive function should be used cautiously keeping in mind the potential side effects caused by them.

 

Modafinil a wake-promoting agent that has been mainly used by the healthy individual like students, academics and physician. It is also used to treat ADHD and narcolepsy however it has life-threatening side effects in children, that's why FDA did not approve it for ADHD. Reseach has shown a moderate effect of Modafinil on attention in well-rested individual and more pronounced in sleep-deprived individuals which might be due to "overconfidence" effect.

Other medications like Cholinesterase inhibitors and the NMDA antagonist memantine have shows no consistent effect even they are well tolerated.

Ethical issues

Individuals suffering from ADHD or Narcolepsy are compelled to take the stimulant to maintain pace with their peers. However, use in the healthy individual has complicated issues. As cognitive enhancer increased productivity in some profession in which sustained concentration is required, the risk of abuse or potential side effects like weight losses, the cardiac risk may outweigh the potential benefits. Finally, they predispose the individuals to the risk of substance use.

2 people found this helpful

Brainiacs or Cognitive Enhancers

MD - Psychiatry
Psychiatrist, Jaipur
Brainiacs or Cognitive Enhancers

Cognitive Enhancement is often defined as the effort to increase the performance of cognitive function like attention & concentration, memory, problem-solving in healthy individuals.

While every species including humans have consistently and continuously evolved day by day to improve themselves. However, using medications and technological advances in increasing cognitive functions is a relatively new aspect and is a matter of debate on the ground of ethical, philosophical and sociopolitical.

Nonpharmacological cognitive enhancers

1. Physical exercise

Both aerobic and anaerobic exercise has been reported to improve cognitive functions. The proposed mechanism involves increased volume, connectivity and blood flow in the hippocampus and increased efficiency of brain area concerned with cognitive function.

2. Sleep

A good sleep especially REM (Rapid Eye Movement) part enhances cognitive function as compared to sleep-deprived persons.  

They may enhance cognitive functions like attention, executive function and general cognition. 

3. Caffeine

It is a well known and most used cognitive enhancer. However, it commonly associated with side effects like irritability, palpitation, headache and insomnia. More severe one are chest pain, tachycardia and arrhythmias. The excessive use of caffeine results irritability in children. That why its use in children is restricted. 

4. Brain training or cognitive training  

Brain training or cognitive training is a process that uses intense mental exercises to enhance cognitive skills like attention, short term and long term memory, logic and reasoning, decision making etc.It can be helpful in slowing the cognitive decline in elderly. its benefits are also seen in children suffering from ADHD and dyslexia.

5. Transcranial Magnetic Stimulation (TMS)

A non-invasive technique used to stimulate brain areas. Benefits depend on which area is stimulated.  It has been shown that TMS improves cognitive functions like verbal fluency, visual-spatial attention, and analogic reasoning speed.

Panic Disorder: Symptoms, Cause, Treatment and Medication

MD - Psychiatry
Psychiatrist, Jaipur
Panic Disorder: Symptoms, Cause, Treatment and Medication

What Is Panic disorder?

Panic disorder is diagnosed in people that experience spontaneous apparently out-of-the-blue panic attacksand square measure-terribly preoccupied with the worry of a continual attack. Panic attacks occur unexpectedly at any time and any where, typically even once arousing from sleep.

Many of people experience panic disorder and it is twice as common in women than in men. Panic disorder can interfere a lot with daily life, causing people to miss work, go to many doctors, and avoid fearful situations.

Signs And Symptoms

Panic disorder sufferers typically have a series of abrupt and intense episodes of fear or maximum anxiety, also known as panic attacks. These attacks usually last up to  10 minutes, and might be as transient as 1–5 minutes, however, will last twenty minutes to quite an hour.In some cases, the attack could continue at intense high intensity, or appear to be increasing in severity. 

Common symptoms of an attack embrace speedy heartbeat, perspiration, dizziness, dyspnea, trembling, uncontrollable concern such as: the concern of losing management and going crazy, the concern of dying and hyperventilation.  Other symptoms are sweating, a sensation of choking, paralysis, chest pain, nausea, numbness or tingling, chills or hot flashes, faintness, crying and some sense of altered reality. In addition, the person usually has thoughts of impending doom.

Causes of Panic Disorder

Panic disorder typically runs in families, however nobody is aware of obviously why some relations have it whereas others don’t. Researchers have found that many components of the brain, in addition to biological processes, play a key role in concern and anxiety. Some researchers suppose that individuals with anxiety disorder misinterpret harmless bodily sensations as threats.

Diagnosis

There isn’t a lab test specifically for panic disorder. Your doctor probably will examine you and rule out other health issues. If you’ve had two or more random panic attacks and live in fear of a future attack, you likely to have panic disorder.

  • Self-Help Tips for Panic Attacks
  • Learn about panic and anxiety
  • Avoid smoking, alcohol, and caffeine
  • Learn how to control your breathing
  • Practice relaxation techniques
  • Connect face-to-face with family and friends
  • Exercise regularly

Treatments

Medication

Appropriate medications effectively control or cure panic disorder. SSRI are the 1st line of treatment, instead of benzodiazepines because of issues like tolerance, dependence and abuse with later. You can take SSRI for years if necessary. Anti-anxiety medication can help in the short term.

Your doctor may refer you to a psychotherapist. He or she may recommend a type of effective talk therapy called cognitive behavioral therapy. With it, you can learn how to change unhealthy thoughts and behaviors that bring on panic attacks. Lifestyle changes – such as cutting back on caffeine, exercising, and deep breathing exercises — also may help.

2 people found this helpful

Deep Relaxation and Breathing Exercises for Good Health

MD - Psychiatry
Psychiatrist, Jaipur
Deep Relaxation and Breathing Exercises for Good Health

Deep  Breathing

For many people, relaxation means that partition get in front of the TV at the top of a nerve-racking day. However this will very little to scale back the damaging effects of stress. To effectively combat stress, we'd like to activate the body's natural relaxation response. You’ll try this by active relaxation techniques like deep respiration.

Deep Breath Technique

Most people take short breaths into their chest. It can make you feel anxious and zap your energy.  Here, you'll learn how to take Deep Relaxation & Breathing Exercises, all the way into your belly.

  • Get comfortable. You can lie on your back in bed or on the floor with a pillow under your head and knees Or you can sit in a chair with your shoulders, head, and neck supported against the back of the chair.
  • Breathe in through your nose. Let your belly fill with air.
  • Breathe out through your nose.
  • Place one hand on your belly. 
  • Place the other hand on your chest.
  • As you breathe in, feel your belly rise. 
  • As you breathe out, feel your belly lower. 
  • The hand on your belly should move more than the one that's on your chest.

How to Focus in Breath

  • Close your eyes if they're open.
  • Take a few big, deep breaths.
  • Breathe in. As you do that, imagine that the air is filled with a sense of peace and calm. Try to feel it throughout your body.
  • Breathe out. While you're doing it, imagine that the air leaves with your stress and tension.
  • Help in Deep Relaxation & Breathing Exercises

     

Deep Breathing Exercises Benefits

  • heart rate slows down
  • breathing becomes slower and deeper
  • blood pressure drops or stabilizes
  • muscles relax
  • blood flow to the brain increases

Good Health & Beating Stress

  • Using breathing, breathing Exercises can ease the symptoms of stress, anxiety, sleep problems, blood pressure and COPD.
  • Breathing exercises help us more effectively inhale and exhale, using our diaphragm. 
  • By changing the way we breathe, we can better control our emotions.
  • What makes breathing exercises extra useful is that you can do them anywhere, at any time.
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