Doctor in Iyers polyclinic
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Electroconvulsive Therapy (Ect) Treatment
Management of Emergency Conditions
Manual Therapy Treatment
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Patient Review Highlights
Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers.
Psychological Barrier in Teenage Pregnancy: As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.
However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.
Signs and Symptoms of Stress and Trauma:
- Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.
- Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.
- There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.
- Excessive fatigue resulting into a brittle mood.
- Sudden attacks of panic are also quite common.
- Difficulties in bonding with baby or having patience with baby's demands.
This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.
The number of children suffering from eating disorders are on the rise. Change in eating habits, stress, depression, low self-esteem, lack of control in life, anger and loneliness are some of the causes of eating disorders. Some genetic disorders could also be a reason for eating disorders.
Eating disorders may lead to several health conditions which may arise in case of abnormal eating patterns. The common modes of eating disorders in children are as follows:
Anorexia: Children who are affected with anorexia think they are very overweight in spite of actually being very thin. Anorexia affected children consume less than a thousand calories per day.
The treatment for anorexia nervosa generally includes a mix of mental treatment and regulated weight gain program. The best ways to deal with anorexia are:
- Psychological Treatment: Different psychological treatments can be used to cure anorexia of different stages in children. They include cognitive analytic therapy, Cognitive behavioral therapy, interpersonal therapy and focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be provided.
- Weight gain program: A weight gain program will guide an anorexic child to improve his diet habits and slowly gain weight. A patient is monitored carefully; the traits are recognized and a diet pattern is given, which is ideal for him.
Bulimia: Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimia affected child is constantly trapped in the cycle of overeating and then thinks about losing weight.
In spite of not liking the idea of binge eating for the fear of getting obese, a child affected by bulimia cannot follow this and continues binge eating. Later, they take extreme measures to lose weight. The primary methods to deal with bulimia are:
- Psychotherapy: Psychotherapy or talk therapy includes examining the bulimia and related issues with an expert. It has been proven that psychotherapy restricts the symptoms of bulimia. The three modes of psychotherapy include, Cognitive behavioral therapy, Family-based therapy and Interpersonal psychotherapy
- Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is one medicine that can be taken.
- Proper diet plan: For bulimia affected children, having a proper balanced diet is very important. A diet expert should be consulted, who will make the most essential food pattern for the child. Undertaking a weight-loss program is also vital.
Binge eating: Similar to bulimia, binge eating includes out of control eating in huge quantities in a short period of time. The food is not vomited out, and binge eating causes obesity. Intense emotions are experienced in binge eaters. Binge eating in children can be treated with behavioral therapy, medications and psychotherapy.
Eating disorders are quite common in children who are yet to gain maturity.
These disorders may lead to severe health consequences, which may affect a child physically and psychologically. A proper treatment is also essential to deal with these disorders. If you wish to discuss any specific problem, you can consult a doctor.
Alcoholism is a severe problem, which can make a person's life miserable and also make the society detest him. The aim of treatment for alcoholism is abstinence or staying away from alcohol use. The treatment of alcoholism can only begin when an alcoholic accepts the problem and realizes that he must get rid of the habit for his own good and the good of his loved ones.
There are three main stages in the treatment of alcoholism:
- Detoxification: Detoxification is the first step required after a person stops using alcohol. The detox phase may include seizures, hallucinations and delirium tremens. The patient must be kept under proper observation.
- Rehabilitation: This step includes proper counseling and medications to provide the person with skills and motivation to remain sober. This can be done by making him an inpatient or outpatient, depending on the condition of the patient.
- Maintaining sobriety: This is the most important step where a person's self-will is tested. He needs to stay away from alcohol after getting out of rehabilitation for which he requires support. Meetings conducted by the Alcoholic Anonymous should be attended regularly by a recovering alcoholic.
For people in the early stage of alcoholism, discontinuing alcohol may cause several withdrawal symptoms such as poor sleep and anxiety. For long term alcoholics, severe withdrawal symptoms are experienced, which include shaking of the body, spasms, hallucinations and panic.
Several medicines may be required in the recovery period of an alcoholic.
Anti-anxiety medicines such as benzodiazepines are used for treating withdrawal symptoms like poor sleep. The medicines are usually used in the detoxification period. After this phase, they are discontinued.
For maintaining sobriety and to abstain from alcohol, several medicines are given to recovering alcoholics. A drug known as disulfiram is used after the completion of the detox period. This medicine reacts with alcohol metabolism and causes a person to vomit, become confused, have blurry vision and experience difficulties in breathing after consuming alcohol.
A medicine called naltrexone may be used for reducing alcohol craving. It can be prescribed even when a person drinks. It is given in the form of an injection. Antidepressants are also given to patients to reduce anxiety and depression.
Other ways to deal with alcoholism:
Several other instructions must be strictly followed by a recovering alcoholic to avoid relapse. They are as follows:
- People and places related to drinking should be avoided, and a person should make new nonalcoholic friends.
- Support groups and AA meeting must be attended regularly for motivation.
- Dependence on alcohol should be eliminated by starting different activities and getting involved in things.
Alcoholism is a severe problem, which may lead to death in case of extremities. Alcoholism can ruin a person's life, and proper measures must be taken to eliminate alcoholism.
Having a mental problem can be very frightening and distressing. Person suffering from any kind of mental disorder may have a feeling that they are losing their mind, causing fear and sense of isolation. It is important to know that having a mental issue doesn't mean that you are going mad. There are various disorders and problems, which may arise relating to mental health. These problems can change the way you think and behave. Therefore, it is important to know what kind of disorder you are suffering from and what could be the reason behind it. The disorders are of different types and have different effects and symptoms.
Here are the different types of mental health problems:
- Anxiety disorders: People suffering from anxiety disorders are fearful while responding to certain objects and scenarios. Physical signs of panic and anxiety are present as well, which may include rapid sweating and rapid heartbeat. Treatment is required when a person cannot control his response and when his response is inappropriate. Anxiety disorder involves a general anxiety disorder, social anxiety disorder and phobia.
- Mood disorders: These kinds of disorders are also known as affective disorders and the patients feel persistent feelings of depression and several periods of intense joy in a fluctuating manner. Depression, bipolar disorder and cyclothymic disorder are some common types of mood disorders.
- Psychotic disorders: In this kind of disorder, a patient experiences distorted awareness and thinking. Hallucinations or perceptions of unreal images or sounds and delusions are common symptoms of psychotic disorders. The most common psychotic disorder is schizophrenia.
- Eating disorders: Eating disorder incorporates extreme emotions, attitudes and abnormal behavior regarding food and weight. Common eating disorders include bulimia, anorexia nervosa and binge eating.
- Impulse control disorders: People with this kind of disorder usually work upon their impulse in an extreme way and cannot resist their impulse to carry out tasks, which may cause harm to them or to others. They include pyromania, kleptomania and compulsive gambling. Such people are likely to get addicted to drugs and alcohol and become deeply engrossed in these practices.
- Personality disorders: People affected by personality disorders possess extreme, inflexible traits in their personality, which cause distress to them and may cause problems in work, school and in social relationships. A person's thinking patterns and behavior change significantly from what is accepted by the society. Examples of personality disorders are antisocial personality disorder, paranoia and obsessive compulsive personality disorder.
- Obsessive compulsive disorder: People suffering from obsessive compulsive disorder or OCD suffer from constant fearful thoughts, which may affect the smooth functioning of everyday life. The patient gets obsessed with thoughts and performs some rituals, which are called compulsions.
- Post-traumatic stress disorder: Post-traumatic stress disorder or PTSD is a condition, which develops after a person has experienced or witnessed a traumatic event and cannot get over the thoughts of that event. Long lasting fearful thoughts are experienced in the event and the patient may become numb emotionally.
There are many forms of mental health problems and mental illnesses. They all have different effects on the mind and some are quite serious. Effective treatment should be taken in case of mental-health problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Post-traumatic stress disorder or PTSD is a mental health condition, which is usually triggered by an unfortunate event experienced or witnessed by the affected patient in the past. The symptoms of this condition are flashbacks, nightmares and extreme anxiety. The patient also thinks about the event in an uncontrolled manner.
PTSD is a serious mental health condition that can damage the affected person's personality to a great extent. Therefore, the person should be given proper treatment at the earliest. There are various treatment methods for PTSD that can help you in changing how you think about a traumatic event. The treatment options that can be used have been mentioned below:
There are different forms of counselling for treating PTSD which include:
- Cognitive therapy: It is a therapy where you learn how to change your thought patterns regarding the trauma and allow you to eliminate unnecessary fears.
- Exposure therapy: It involves talking about the trauma over and over again until the fear departs.
- Eye movement desensitization and reprocessing: It is a process where you are made to focus on several forms of distractions like sounds and hand movements while you think about the trauma. A good therapist is very important to bring positive changes in your life by means of counseling therapy. You require a therapist who will listen to whatever you have to say and guide you through everything to make you feel better.
SSRI or Selective Serotonin Reuptake Inhibitor is a form of antidepressant medicine, which helps you with your sadness and tension. There are certain medicines that are really effective and can be prescribed by your doctor depending on the condition.
Other forms of treatment:
There are several other types of medicines and procedures that can be used for treating PTSD. They include the following:
- There are other counselling forms, which include group therapy, brief psychodynamic psychotherapy and family therapy.
- There are other medicines as well for the treatment of PTSD. They include tricyclic antidepressants and atypical antidepressants.
- Monoamine oxidase inhibitors like isocarboxazid can also be used for curing PTSD.
- Certain mood stabilizers can be taken along with the medicines such as carbamazepine and lithium.
- Several antipsychotics, which include risperidone can be used to tackle symptoms such as flashbacks and sleeplessness.
- Another medicine known as prazosin is also used for dealing with nightmares and sleep disorders caused by PTSD. All kinds of medicines for the treatment of PTSD should be taken only after being prescribed by a doctor.
Post-traumatic stress disorder is a serious mental health condition in which a patient suffers from continuous negative thoughts regarding a traumatic event which has happened in the past. This condition may give rise to other health problems, and immediate treatment is recommended. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.
Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.
Here are the various ways to treat insomnia:
Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly.
- Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.
- Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.
- Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.
- Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.
Medical Treatment: There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.
The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same. If you wish to discuss about any specific problem, you can consult a psychiatrist.
As per medical studies, bipolar disorder is a personality disorder that is said to affect millions of people around the world, as per medical studies. Extreme mood swings that take a person from a state of euphoria to depression can be called bipolar disorder. While we all go through phases of the same, the patients who suffer from this disorder will usually show a persistent swing or shift between varying moods. The severe shifts will lead to difficulties when it comes to managing one's everyday affairs in a normal manner. The symptoms and signs are also characterised by the phases and mood swings that the patient may be going through.
Read on to know more about the signs and symptoms of bipolar disorder:
- Mania: One of the extremes in mood swings experienced by the patient includes extreme euphoria or mania for no apparent, or life altering reason. Feeling overly happy and enthusiastic are the basic symptoms of this phase.
- Impulsive: The patient can end up feeling elated for a prolonged period of time, with extreme restlessness and impulsive behaviour. They may also end up getting agitated and edgy. This is usually characterised by fidgety behaviour and when the patient speaks too fast. The patient may speak too fast due to racing thoughts which overtake his or her speech and actions.
- Confidence: In this stage, the patient may also display extraordinary confidence, which may not necessarily be backed by reality. In reality, things may be very different in terms of opportunities, skills, people and other such factors. During this mania phase, the patient may also indulge in risky behaviour that gives an adrenaline rush like gambling and having sexual intercourse with multiple partners. This usually happens when the patient is bolstered by a sudden surge of unfounded confidence.
- Depression: This is the other end of the spectrum for these patients. When the mania abates, it gives to way to extreme depression and even anxiety.
- Withdrawal: The patient usually tends to isolate himself or herself from the rest of the family and social circle for a prolonged period, refusing to meet anyone on a normal basis. They also avoid contact with people whom they meet every day, which can have an adverse effect on their work and the rest of the aspects of their lives.
- Memory and Concentration: In this phase, the patient can also experience difficulty in remembering important things and concentrating on tasks. The patient may also be preoccupied with a number of things which can prevent him or her from making proper decisions. Slow speech and lack of energy may follow as a result of such preoccupation. Preoccupation with death is a common symptom of this phase. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
The most commonly encountered two facts about the drug or alcohol use by our addicted kids are drugs/ alcohol are something which they really like those are something which they find really hard to give up. They know that the drug can kill them in a long run, but still they go with the immediate rewards by consuming the drug. The whole addiction thing is about being in the moment and choosing what your brain craves for right now at the expense of other rewards and possibilities. So what we observe is that drug hijacks a person's rational thinking for the long term consequences.
Addiction has to do with changes in the brain that come about gradually, become more and more central, more and more powerful as the time passes by. The drug use becomes the axis of the person, around which the other activities in life takes turn. It takes on the central meaning and role in the person's life in such a way that the most irrational idea about taking the drug or alcohol may seem to the person the most rational in that particular situation, as the drug compromises the person's clear thinking. So yes an addict can make choices for his drug cravings but the way they make choices is the thing we must think about. In an addict the brain does what it needs to do, but in a very non-adaptive way. In simple words addiction hijacks the very parts of the brain that are supposed to fix it.
Craving is the fundamental psychological experience of an addict because of which addiction occurs. Dopamine serves as the fuel for craving and is the common pathway for all kinds of addictions. Natural goodies like the food and sex certainly release dopamine in brain and follow the progression from liking to wanting i. E. Wanting more of those. As per studies, among the natural rewards sex can provide a person with the maximum natural high of upto 200% dopamine levels in brain. But the drugs cause a higher than 200% dopamine levels, which thus is the magic mark for addictive processes to occur. Also with repeated drug use there are changes in the arrangement of the inner landscape of synaptic architecture in brain, such that the thoughts, the images, the memories about the drug use behavior takes over many parts of the cortex of brain and thus the person see the drug cues wherever he gets a dopamine rush, be it with sex or food or social gatherings. Thus dopamine drives the person with a feeling of craving for the drug. Also with repeated dopamine increments of higher than natural amounts, there is maladaptive learning in brain in form of the shrinkage of dopamine cells, decrease in dopamine receptors and depletion of the dopamine stores. Thus the real natural goodies like sex or food are than not able to give a dopamine high and the only way left is to have more drugs. The person becomes impulsive and compulsive in his drug taking behavior. Repetition compulsion feedback loop keeps the person going after the drug use, narrowing the sense of meaningful world for the person. This causes a vicious cycle of incremental drug intake and thus addiction. Dopamine pathways are subdued by chronic drug use and thus the drug addicts are never able to keep up with their promises of staying away from the drug.
But then our brains have enormous reparative capacity and so a lot of the things that drugs do to damage the brain are probably reversible. One of the things that last the longest are the memories associated with drug use and the learning/ operant conditioning that occurs with it. The acute memory of brain over stimulation with drug is captured in amygdale which designates an important part of the instinctual brain i. E. The brain part which can't be controlled. So if a drug related cue is presented to a recovering addict, all that they can remember is the greatest high which they ever had with the drug. Thus the person remains preoccupied and thinks about the drug even when not using it. When this occurs, it is for the lifetime and we can't undo it. Their amygdale are going to light up seeing the drug cues for rest of their lives. This is why we say recovery from drug is a lifelong experience. Studies show a much faster depletion of our brain neurotransmitters by drug use (less than 12 months), than their replenishment in recovery from addiction (5 to 7 years). Thus during recovery an ongoing treatment for the imbalanced brain neurotransmitters and the visible symptoms due to the same is always essential.
Asperger's Syndrome or Asperger's Disorder is a neurotypical condition that affects the development of the child the effects of which continue into adulthood. This condition typically shows up as difficulties faced by the patient when it comes to social interactions as well as other nonverbal means of communication. It should not be confused with autism as the patient has no speech and cognitive development delay.
Asperger's syndrome can show up as restricted and repetitive patterns in the behaviour of the patient. It lies at the higher end of the autism spectrum and the signs are usually less obvious.
Here are a few ways with which you can effectively deal with someone who is suffering from this disorder:
- Routine: The patient suffering from this condition will need a certain kind of stability as it is very difficult to predict what will happen in the near future or to even plan for it. The best way to tackle this scenario is with the help of a proper routine that can help the patient achieve some kind of control over the situation surrounding him or her so that he or she is better equipped and more capable of handling normal functioning and social situations as well.
- Information: It is also a good idea to help these patients in looking at and in processing information. While normal people may easily be able to discard insignificant or unimportant information, the brain of the patient suffering from asperger's syndrome does not allow him or her to do so. In many cases, the patient is not able to filter the important and the unimportant information. This can debilitate many functions. So, it is important to be present to help the patient in making decisions and processing information that is actually relevant to his or her functioning.
- Learning: One of the most crucial things to remember with the Asperger's patient is that they tend to understand and process things when they have a visual presentation rather than being told verbally. So showing them things practically in the proper manner is the right way to help them learn and process situations in a correct way. This will prevent them from doing things in the same old way even when their brains tell them that it will lead to wrong results.
- Physical Abilities: Poor motor skills as well as lack of proper organisation skills are traits that usually characterise these patients. It is important to make them aware of this during games and activities that require management as well as use of social skills. For example, football and other such activities can be introduced in the routine. This will promote interaction with the team in order to play and enjoy the game.
Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.
Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.
How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.
When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.
The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.
All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.
For making the most out of the medicines to control seizures, you should follow certain steps:
- You must take medications exactly as your doctor has prescribed.
- Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
- You should never stop taking the medicines.
- In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
- In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.