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Dr. Hrishikesh Laha

Psychiatrist, Kolkata

500 at clinic
Dr. Hrishikesh Laha Psychiatrist, Kolkata
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Dr. Hrishikesh Laha is a trusted Psychiatrist in 24 Parganas, Kolkata. You can consult Dr. Hrishikesh Laha at Dr Hrishikesh laha Clinic in 24 Parganas, Kolkata. Book an appointment online with Dr. Hrishikesh Laha and consult privately on Lybrate.com.

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6, Hemendra Sen Street, Hatibagan. Landmark: Opposite to Rupabani Cinema, KolkataKolkata Get Directions
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BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pharmacological Treatments to Help Quit Smoking

Why is it so hard to quit smoking?
You have probably heard this before: "Smoking is so bad for you. Why do you do it"

People start smoking for different reasons. They might think it will help calm their nerves, make them look more mature, or maybe at the time it just seemed sort of adventurous. Looking back, it was not the best choice. Many people really want to quit, but why is quitting so hard?

It is hard to quit smoking because the nicotine in cigarettes, cigars, and other tobacco products gets you hooked and keeps you hooked. Most people try as many as three times to quit before they are able to do so. Look at smoking cessation as a process instead of a one-time event. That way, if you do slip, you can focus on what you can do differently to prevent future slips and relapse. Don?t give up?you will get there.

You have probably heard a lot about how smoking is harmful, but here are some positive things you can look forward to when you do quit.

If you quit, you will:

Prolong your life
Improve your health
Feel healthier (Smoking can cause coughing, poor athletic ability, and sore throats.)
Look better (Smoking can cause face wrinkles, stained teeth, and dull skin.)
Improve your sense of taste and smell
Save money (Most smokers spend about $90 a month on cigarettes.)
Smoking increases complications for those who have diabetes.

While smoking can increase your chances of getting diabetes, it can also make managing diabetes more difficult for those who already have it. Smoking-related complications of diabetes could include retinopathy (eye disease), heart disease, stroke, vascular disease, kidney disease, nerve damage, and/or foot problems.

What options do people have?
Some people try quitting on their own before they go to their doctor, but your doctor can be very helpful. He or she may offer tips and suggest medicines, both prescription and over-the-counter, to help you "kick the habit" It is also important to tell your doctor what types of products you might use or are using to quit smoking. The doctor can make sure that suggested products will not interact with other medicines you are already taking. Remember, there is no "magic bullet" when it comes to quitting smoking. Quitting requires persistent effort.

Over-the-Counter Medicines
Nicotine-based medicines
Over-the-counter medicines that contain nicotine can be very helpful in fighting off cravings. These products will not remove all cravings, but you can use them instead of smoking to reduce your nicotine intake gradually and ease off of its addictive effects.

When you give your body a steady dose of nicotine all the time and then stop suddenly, you will have more side effects (withdrawal symptoms) that usually make quitting a lot harder. Withdrawal symptoms include irritability, headache, and the craving to smoke. Go slow and lower the dose gradually with nicotine-based products until you feel you are able to resist the cravings on your own. You will still have cravings, but they will be weaker. It is very important to have some form of social support when you decide to quit, no matter if you use products or not. Support can come from your doctor, counselor, support group, close friend, or a family member.

When considering a nicotine-based product to help you quit, be sure to tell your doctor about any conditions you might have, especially:

Asthma or breathing problems
Heart or blood vessel disease
High blood pressure
Stomach ulcer
Diabetes mellitus
Kidney disease
Liver disease
Overactive thyroid
Pheochromocytoma (PCC)
Over-the-counter treatments are typically used for up to 12 weeks as part of a smoking cessation program.

Additional things to consider when taking nicotine-based medicines

Do not smoke while you are using the nicotine-based medicines. You could risk overdosing on nicotine.
Tell your doctor about any medicines you are taking or any allergies you have.
Do not use the nicotine-based medicines if you are breastfeeding, are pregnant, or think you might be pregnant.
Keep this and all medicines out of the reach of children and pets.
Common brand names of the nicotine patch, gum, and lozenge include:

Nicorelief� (gum)
Nicorette� (gum)
NicoDerm� CQ� (patch)
Commit� (lozenge)
Transdermal nicotine patch
The patch is worn directly on the skin. Nicotine passes through the skin into your bloodstream. Some brands have patches with different strengths so you can gradually reduce your dosage. Nicotine patches are available without a prescription. If you are not sure what kind of patch to use, ask your doctor.

Always follow the instructions on the box, but here are some things to remember when using the nicotine patch:

Patches are supplied in child-resistant pouches; save the pouch for disposal of the patch.
Find a clean, dry part of the skin to apply it. Somewhere on your upper arm or torso usually works best. Try to find an area that has little hair and is without scars, cuts, burns, or rashes.
Right before applying the patch, wash your hands and the skin area with plain soap and water and dry completely. Avoid using any soap, lotion, hand cream, tanning lotion or oil, bath oil or insect repellent that contains aloe, lanolin or glycerin as a moisturizer since these agents can leave a moisturizing film on your skin, which can potentially interfere with the adherence of the patch.
When you have finished applying or removing the patch, wash your hands with water only.
Do not try to adjust the dosage by cutting the patch into sections.
Leave the patch on, even while bathing or swimming. If it falls off, do not try to re-apply it. Use a new one
Remove the patch according to the instructions on the box (usually after 16 to 24 hours).
Dispose by folding sticky ends of the patch together and putting in pouch.
When applying a new patch, choose a different place than before. Do not use the patch in the same place for at least a week.
Do not leave the patch on for longer than directed.
Remove the patch if you are going to do rigorous exercise. This might cause more nicotine to pass into your bloodstream.
If you are unsure how to use the product, be sure to ask your doctor or pharmacist to explain.
Remove the patch if you are having a magnetic resonance imaging (MRI) scan. Nicotine patches contain aluminum.
If you have vivid dreams or other sleep disturbances, try removing the patch at bedtime and applying a new one in the morning.
Common side effects of the nicotine patch:

Increased appetite
Mild headache
Irritation at the site of the patch, including itching, burning, or redness
There are other common or more serious side effects. Please read the information that comes with the product carefully, and be sure to contact your doctor if you have any questions.

Nicotine gum
Nicotine gum, like the patch, is a systemic way to receive nicotine. This means that the nicotine in the gum passes from the lining of your mouth right into your bloodstream. Like the patch, you will decrease the dosage during the recommended time (usually 12 weeks or sooner) if you are able to resist cravings on your own. Nicotine gum is sold without a prescription.

Always follow the instructions on the box, but here are some things to remember when using nicotine gum:

Use nicotine gum only when you feel the urge to smoke.
Slowly chew the gum until you begin to taste it or feel a tingling sensation in your mouth. Then stop chewing and park it between your cheek and gum. This helps release the nicotine. When the taste or tingling is almost gone, repeat these two steps for 30 minutes.
Use only one piece at a time.
Do not drink beverages (e.G, soft drinks, tea, coffee, and fruit juices) or eat food 15 minutes before or while chewing the gum.
Gradually decrease the number of pieces of gum you chew per day, until you reach three to six pieces per day. Some people can do this in less than 12 weeks. Do not chew more than twenty-four pieces in 1 day.
Try to have the nicotine gum handy at all times. You might try hard candy or using regular gum, if the nicotine gum is not available.
Nicotine gum can be difficult to use if you have dentures.
Common side effects of nicotine gum:

Belching (burping), gas, or heartburn
Increased appetite
Mild headache
Watery mouth
Jaw or muscle pain or fatigue
Sore mouth or throat
Nausea
Hiccups
There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Nicotine lozenge
A nicotine lozenge, like the patch and gum, is a systemic way to receive nicotine. This means that the nicotine in the lozenge passes from the lining of your mouth right into your bloodstream.

Always follow the instructions on the box, but here are a few things to remember when using the nicotine lozenges:

Place the lozenge in your mouth; wait until it dissolves completely; and move it around from time to time without chewing. It takes around 20 to 30 minutes to dissolve.
Do not take more than one lozenge at a time or continuously use one lozenge after the other, this can cause hiccups, heartburn, or nausea.
Do not eat or drink 15 minutes prior to, during, or after use.
Do not use more than five lozenges in 6 hours or more than twenty lozenges in 24 hours.
Prescription Medicines
Nicotine nasal spray
Nicotine that can help you stop smoking also comes in the form of a nasal spray, available only by prescription. Like the patch and the gum, the amount taken is gradually decreased during a period of 12 weeks. It is to be used, like the gum and the patch, as part of a program that also includes support, education, and counseling.

Nicotrol NS� is one brand of nicotine nasal spray.

Always follow the instructions on the prescription label. Here are some other things to remember when using nicotine nasal spray:

Blow your nose prior to use.
You may gradually reduce your dose of nasal spray by skipping doses or using only half the usual amount.
Writing down the time you take the nasal spray and how much you take might be very useful when reducing your dose.
Common side effects of nicotine nasal spray:

Back pain
Constipation
Coughing
Indigestion or nausea
Runny nose
Sneezing
Watery eyes
Headache
A burning feeling in the back of the throat or nose
The nicotine nasal spray is not recommended for people with reactive airway disorders such as asthma. In addition, caution is urged in patients with chronic nasal disorders.

There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Nicotine inhalant
A nicotine inhalant?available only by prescription?used for up to 6 months (initial treatment period up to 12 weeks followed by gradual reduction period of up to 12 weeks) can be part of a smoking cessation program. When the inhaler is used, nicotine passes from the lining of the mouth and throat (not the lungs) into the bloodstream. Like other nicotine products, you will decrease the dosage during the recommended time (usually several weeks) or until you are able to resist cravings on your own.

Nicotrol Inhaler� is one brand name of nicotine inhalant.

Always follow the instructions on the box, but here are some things to remember when using a nicotine inhalant:

Store the inhaler in a dry area at room temperature not to exceed 77� F or 25� C.
Write down the time you take the inhalant and how much you take. This might be very useful when reducing your dose.
The normal first dose is between six and sixteen cartridges per day.
Common side effects of nicotine inhalants:

Coughing
Indigestion
Mouth and throat irritation
Stuffy nose or runny nose
There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Bupropion
Bupropion is more commonly seen under the brand names of Zyban� or Wellbutrin�. Zyban is specifically indicated for smoking cessation. It is not a nicotine-based medicine; it is an antidepressant that is only available by prescription. It is prescribed along with counseling and support to aid in smoking cessation. Bupropion might also be used to treat major depressive disorders. It usually takes 2 weeks for bupropion to take effect, so plan to quit smoking 2 weeks after beginning the treatment.

Before considering bupropion, be sure to inform your physician if you have a history of seizure disorder, bulimia, or anorexia nervosa.

Bupropion comes in tablets that are to be swallowed whole, not crushed, divided, or altered in any other way. Individual prescription strengths might vary, so if you are taking bupropion, be sure to follow the directions on the label. Ask your doctor or pharmacist any questions you have about how to take it, when to take it, any potential side effects, and the duration of treatment.

Common side effects of bupropion:

Dry mouth
Sweating
Insomnia
Rash
Headache
Dizziness
Anxiety
Restlessness
Irritability
Indigestion
Decreased appetite
There are other common or more serious side effects. Please read the Medication Guide that comes with the product carefully and be sure to contact your doctor if you have any questions.

Do not take bupropion if you have taken a monoamine oxidase inhibitor (MAOI) within the last 14 days. Monoamine oxidase inhibitors are used to treat depression. Some examples include: tranylcypromine (Parnate�), phenelzine (Nardil�), and isocarboxazid (Marplan�). There are several products that might interact with bupropion, so be sure to tell your doctor about any over-the-counter and/or prescription medicines, as well as any herbal supplements you are taking.

While taking bupropion, immediately report any psychological changes (e.G, new onset depression) to your doctor.

Varenicline (Chantix�)
Varenicline, also known by the brand name Chantix, is a prescription medication that does not contain nicotine. This medicine helps to reduce the reinforcing effects of nicotine and can minimize the withdrawal effects from nicotine. It is recommended to set a quit date 1 week after initiation of varenicline therapy. Typically, this medication is taken for a minimum of 12 weeks accompanied by smoking cessation counseling. If you have stopped smoking, another 12 weeks of varenicline might be prescribed. If you have not stopped smoking after the first 12 weeks, stop taking this medication and return to your doctor for advice. Varenicline should be taken with food and a full glass (8 ounces) of water.

Varenicline can interact with over-the-counter and prescription medicines especially insulin, blood thinners, and asthma medications as well as with certain herbal supplements; therefore, it would be important to inform your physician of your entire medication regimen.

Contact your doctor immediately if you experience any psychological changes (e.G, new onset depression) while taking varenicline.

Common side effects of varenicline:

Nausea, which may dissipate over time
Headache
Insomnia
There are other common or more serious side effects. Please read the Medication Guide that comes with the product carefully and be sure to contact your doctor if you have any questions.

How could research benefit smokers who want to quit?
Researchers are testing a vaccine that could make quitting a lot less difficult. This type of treatment could potentially be used in a program, along with bupropion (Zyban) and counseling, to significantly reduce withdrawal symptoms.

2 people found this helpful

I am feeling very depressed and tensed. I always think of hospitals. I do not why I am feeling so tensed. There is always something going in my mind. My mind is not stable anytime. Pls help me to be stress and tensed.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am feeling very depressed and tensed. I always think of hospitals. I do not why I am feeling so tensed. There is al...
At your age this claim is serious. If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue, related to anger, that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. 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 calisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. As regards the concentration you are sure to have hormonal imbalances which may impact your memory because of the chemical but also the distractions that come with it; together with depression I can imagine your problems. But you may work on the following even if the hormones kick in: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: 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. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling.
2 people found this helpful
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Mujhe sardi, khasi, sir dard, badan dard, aankho me itching, gale me kharash hai aur jhukaam bhi he.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Mujhe sardi, khasi, sir dard, badan dard, aankho me itching, gale me kharash hai aur jhukaam bhi he.
For relief take over the counter medicines i.e. take tab. Sinarest sos after meal. Gargle with warm water, Use nasal spray otrivin for sneezing or running nose. drink warm water, juice,green veg., veg. Soups, lquid diets, dalia, protein diets, tulsi leaf in tea or warm water, geloy juice, A avoid cold area, dust area, cold things .i.e. ice creams, take bed rest , feel high cold then cover body with warm cloths, avoid dust area, clean body, change cloths daily, change bed sheet daily, Cold sponging in high fever . If symptoms occurs again go for tests..cbc, blood c/s. X-ray PNS, X-ray chest. After tests give me all details I give you best advise. Get well soon .
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19 years old male. Having one of the most severe brain fogs I have ever experienced. I seem to have lost my thinking abilities. It is quite scary too. I had an anxiety attack a couple of days earlier ,if this helps.

C.S.C, D.C.H, M.B.B.S
General Physician,
19 years old male. Having one of the most severe brain fogs I have ever experienced. I seem to have lost my thinking ...
For anxiety and depression you need to take antidepressants or try natural depression control methods like . 5 Ways to Fight Depression If you feel depressed, it's best to do something about it — depression doesn't just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better. 1. Exercise. Take a 15- to 30-minute brisk walk every day — or dance, jog, or bike if you prefer. People who are depressed may not feel much like being active. In addition to getting aerobic exercise, some yoga poses can help relieve feelings of depression. Two other aspects of yoga — breathing exercises and meditation — can also help people with depression feel better. 2. Nurture yourself with good nutrition. Depression can affect appetite. One person may not feel like eating at all, but another might overeat.. Proper nutrition can influence a person's mood and energy. So eat plenty of fruits and vegetables and get regular meals (even if you don't feel hungry, try to eat something light, like a piece of fruit, to keep you going). 3. Identify troubles, but don't dwell on them. Try to identify any situations that have contributed to your depression. When you know what's got you feeling blue and why, talk about it with a caring friend. Talking is a way to release the feelings and to receive some understanding. 4. Express yourself. With depression, a person's creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about — a funny movie, perhaps. Laughter helps lighten your mood. 5.Try to notice good things. Depression affects a person's thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal. If you are happy with these answers please click on "useful” link so that I can know my efforts are not wasted. If you want more clarifications please ask me directly and not in open questions session
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Doctor I have problem in two foots unbelievable pain continually and foot finger also pain any body suggest good medicine to free from pain.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Doctor I have problem in two foots unbelievable pain continually and foot finger also pain any body suggest good medi...
Dear lybrate user...Kindly elaborate on your problem as for treatment the root cause for the pain needs to be explored. Get in touch
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Sir, Pichhle 4 month's se mein treatment le rha hu par koi fayda nhi dikh rha hai! Main kuch bhi negative sochta rehta hu aur bohot zyada bechain aur ghabrata rehta hu! Jaise vomiting hui to main kuch bhi negative sochne lgta hu! please suggest me the proper treatment! I feel worried about me!

Masters in Clinical Psychology
Psychologist, Lucknow
Sir, Pichhle 4 month's se mein treatment le rha hu par koi fayda nhi dikh rha hai! Main kuch bhi negative sochta reht...
Hi lybrate-user, it seems you have anxiety and negative thoughts which are irrational. Practice Mindful Breathing The primary goal of mindful breathing is simply a calm, nonjudging awareness, allowing thoughts and feelings to come and go without getting caught up in them. Sit comfortably, with your eyes closed and your spine reasonably straight. Bring your attention to your breathing. Imagine that you have a balloon in your tummy. Every time you breathe in, the balloon inflates. Each time you breathe out, the balloon deflates. Notice the sensations in your abdomen as the balloon inflates and deflates. Your abdomen rising with the in-breath, and falling with the out-breath. Thoughts will come into your mind, and that’s okay, because that’s just what the human mind does. Simply notice those thoughts, then bring your attention back to your breathing. Likewise, you can notice sounds, physical feelings, and emotions, and again, just bring your attention back to your breathing. You don’t have to follow those thoughts or feelings, don’t judge yourself for having them, or analyse them in any way. It’s okay for the thoughts to be there. Just notice those thoughts, and let them drift on by, bringing your attention back to your breathing. Whenever you notice that your attention has drifted off and is becoming caught up in thoughts or feelings, simply note that the attention has drifted, and then gently bring the attention back to your breathing. It's okay and natural for thoughts to enter into your awareness, and for your attention to follow them. No matter how many times this happens, just keep bringing your attention back to your breathing. Also, we need to do cognitive behavior therapy to help you with negative irrational thoughts. Don't worry at all you can overcome this with right treatment. All the best.
1 person found this helpful
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Vocal Hygiene Program

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Chennai
Vocal Hygiene Program
1. Speak in your normal voice with appropriate loudness
2. Limit vocal use when ill.
3. Take frequent breaks during voice use for extended periods.
4. Maintain good posture and breathe through your nose while not speaking.
5. Do not smoke & avoid alcohol intake.
6. Do not sing or mimic natural sounds or animal cries to train your voice
9 people found this helpful

I am a 21 year old male and I have problem of over masturbating these days. I addicted to it during my holidays and even now I can not get out of it. Whenever I masturbate I do not satisfy with it and so go on for 2 more times and also I feel like I have to masturbate when I'm alone. I tried meditation and physical exercise from almost a week. But I do not see any result. Please solve my problem as i'm not able to concentrate on my career. Thank you.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am a 21 year old male and I have problem of over masturbating these days. I addicted to it during my holidays and e...
Yes, you are addictive to it and there is also the obsession and compulsive use. As you may be aware that masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it are to be considered for its ill-effects. At your age, you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also, you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives.
137 people found this helpful
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How to loose weight and I have bad breath what to use how will my husband quiet drinking and smoking.

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, Palakkad
So many questions within one question. There are no short cuts to reduce weight. Exercise, diet are tried and tested. To control bad breath, do not eat junk foods, eat timely, evacuate timely and clean your mouth twice, use salt water gargling. You should consult a psychologist to help your husband.
1 person found this helpful
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I am very sensitive I love my husband and I'm showing it sooo much to him he is also love's me but he is not showing that's why I'm feeling very lonely what will I do now.

C.S.C, D.C.H, M.B.B.S
General Physician,
The level of expression is different in all people and you have frank open talk with him and share your concerns . It will solve all issues
1 person found this helpful
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Please suggest me some medicines or anything so that I can quit my smoking habit.

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, Palakkad
Dear, Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you?re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse abuse?no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn?t easy. But it?s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Take care.
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I am using trika 0.25 and chlorodiapoxide 10mg before going to bed since the last 7 years as per doctors advice due to anxiety and tension. Is there any serious side/after effects for using this. I am a hypertension patient also using amlodipin 5 mg also daily. Please advise.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I think the sedatives are not good for long terms as after some times you might need higher doses of it and it will be endless and you will have to keep on increasing doses. Pl start homoeopathy for it for permanent relief.
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Hey I was having depression since last 6 months now I feel my head so heavy can concentrate with any thing I feel scared to sit alone also.

MBBS
General Physician, Jalgaon
Hey I was having depression since last 6 months now I feel my head so heavy can concentrate with any thing I feel sca...
Please Do meditation regularly Do pranayam and yoga daily Wake up early go for morning walk in greenery daily with relaxed mind Take Tab prothiaden 30 1 at nt Cap stresscom by dabur 60 1 1 Reconsult after 15 days.
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I am 30 year male and have some problem of memory loss for some time and also not able to do consideration for a long time. Is this due to my bad habit in childhood ?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi there ~ A Guide to Finding Treatments That Work Try to exercise on most days. You don’t have to go to the gym. A 30-minute walk four times a week is enough to provide benefits. Thirty minutes of activity every day is even better. Pick something enjoyable, so you’ll stick with it. Choose activities that play to your physical strengths or that you find challenging yet fun. Team sports can be a good choice because the social element keeps them interesting.
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Three Ways Depression Is Connected With Food

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
Three Ways Depression Is Connected With Food

Depression is a clinical, mental, and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per WHO, and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments. Depression is also connected with food and nutrition. Do you want to know how? 

Read on to see the three ways in which food and depression are connected. 

  1. Severity and Duration: Depression is a mental illness that signifies an imbalance in the hormones and the emotional faculties in the brain. Nutrition is the fuel that keeps the brain and body in prime working condition. When a depressive state sets in or becomes emotionally rooted, then nutritious eating and a proper diet take a back seat as the patient succumbs to a state where he or she is not concerned about the food intake. As a result, the brain and hormonal balance get further affected. This can have an adverse effect on the severity and the duration of the depressive mode, which makes it all a vicious cycle of sorts. Poor appetite, not having proper meals, skipping meals, eating junk, avoiding social settings where food will be served, and even emotional eating are all outcomes of depression too.
  2. Eating Disorders: Many patients who have eating disorders often experience deep rooted and chronic depression. Since despondency and hopelessness are the main characteristics of depressive behaviour, the outcome is that the patient tries to behave in a way that seeks approval. And in all this, the patient usually thinks that he or she is not 'good enough'. In such a scenario, the patient may start trying out fad diets and eventually fall prey to eating disorders like Bulimia that make the patient overeat and then vomit. These eating disorders usually come with phases of binge eating, throwing up, starving and then repeating the cycle again. Eating in secrecy is also a symptom of this condition.
  3. Nutrition to Fight Depression: Nutrition and proper food intake can build a sense of resilience by first of all improving the overall physical condition of the patient. This can take care of a lot of angst even as the minerals and vitamins travel to the brain for better functioning in the long run.

Ensure that you eat right as a part of your therapy for depression. This is as good as taking your medication on time.

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Is ED and PE curable. How i M 35 n suffering from both .m do a lot of work out.But somehow I have fear for sex whether I ll be able to perform. What is the best medicine sildenafil or tadalafil. I have performance phobia. As m patient of IBS I don't drink milk and use ssrl drugs peiscibed by doc. What are it's effects on my sex life and how to counter it's side effects. please suggest me the remedy as it's spoiling my self esteem and I am getting dependent on sildenafil and tadalafil. Will I get addicted to them. please help.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Is ED and PE curable. How  i M 35 n suffering from both .m do a lot of work out.But somehow I have fear for sex wheth...
Dear lybrate user, as far as sex is concerned body and mind act like hardware and software. Ed and pe are mostly software issues. Which means it is more about your mind and your performance anxiety than any actual physical problem. I see two main issues here - first is you are underconfident and second is, probably you are a perfectionist. Have faith in yourself. While having sex don't think about how you will do it, whether your partner will be satisfied or not etc. If you allow yourself to make mistakes then only you will be able to more forward. So instead of thinking about your performance, just enjoy sex. Don't try to give yourself any marks for the performance. Continuous use of any medication is harmful. You can consult a counsellor/sexologist. You need to know more about enjoyable and good enough sex. This will help you to get rid of ed and pe.
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Hi sir I'm 26 years old boy From last 2 years I became full negative minded in all cases so pls tell me how to over come from negative mind. I'm doing meditation daily morning. Is there any tablets to overcome from negative mind.

MSc Psychotherapy -King's College- London, Pg diploma in counselling
Psychologist, Gurgaon
Hi sir
 I'm 26 years old boy
From last 2 years I became full negative minded in all cases so pls tell me how to over ...
Dear lybrate-user, even if there were tables I will not advise you to take them, meds should always be your last option. Try to spot the positive things happening to you everyday and write them down. We are programmed to pay more attention to negative things thn to the positive ones. You must work on developing positive lenses. Life is more fun that way! all the best.
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Im suffering from acute stress, i had a break up and now im in depression!! I just want to come out from this stution and want to live a normal life but im feeling helpless, i have done everything to come out from this but in no use!!! Pls help me

MS - Counselling and Psychotherapy, MA - Psychology
Psychologist, Delhi
Breakups are always very painful and often lead to a negative state of being. one feel rejected and self esteem suffers. This point of time you need to try certain activities. 1. try to accept that this has happened nd gone, pen out feelings nd realease it completely or talk it out with one you trust. 2. try not to sit alone for long. 3. visit new places and try making new memories for yourself. 4. join some health club, this will help you to connect with your own body. 5. join some sports of your interest or a hobby you forgot long back..this bring the self esteem back. 6. get in touch with your friends, this helps you give a broader view of situation. 7. go out with or spend some time with family...it is a shock absorber. 8. lndulge in new learning, a course of your choice. 9. Try to be a little help at home. 10. if still you feel stuck, seek professional help. psychotherapy can help miraculously. take care and stay blessed.
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I have very hard pain in my lungs when I breath. I smoke since last 2 year and finally decided to quite smoking. I just wanted some medicine that helps me to clean my lungs and make my lungs as good when it was before smoking.

C.S.C, D.C.H, M.B.B.S
General Physician,
BY taking breathing exercises your lungs will be clean in 3 months time and no medicines are needed or is available. Jut stop and you will be fine
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