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Dr. Amith Kulkarni

Psychiatrist, Mumbai

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Dr. Amith Kulkarni Psychiatrist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Amith Kulkarni
Dr. Amith Kulkarni is one of the best Psychiatrists in Paramount General Hospital, Mumbai. You can visit him at Para Mount Hospital in Paramount General Hospital, Mumbai. Book an appointment online with Dr. Amith Kulkarni and consult privately on

Find numerous Psychiatrists in India from the comfort of your home on You will find Psychiatrists with more than 39 years of experience on You can find Psychiatrists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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I am 25 years old, I am getting lot of tensions due to that I am facing lot of headache frequently is there any solution.

General Physician
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I am 25 years old, I am getting lot of tensions due to that I am facing lot of headache frequently  is there any solu...
Check for eye sight. Blood pressure. Headache could be due to stress or tension too, too much tv, computer watching can lead to such headache. Advice to not use tv and computers for long time,

hi i got Marriage on April-2014, still we have no childrens, In Oct-2014 my wife got abortion with some problem. I have some skin problem,with doctor consultation i use A&D (Morning), Dapsone(Evening) Tablets, Halnova-S ointment. From two days My wife angry with me some issue. Without telling me she was Crushed & swalloed 20-25 Dapsone Tablets. In One hour after i observe there is no tablets in my box. And ask my wife she tells me after one hour. Then lots of salty water drinked for my wife. Some white solution comes out. Is there any problem for in future.

Advanced Skills in Counselling, BSIC, Advanced Trainee of Transactional Analysis, DCS, Hypnotherapist
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This seems to be a suicide attempt by your wife. Take her to a psychologist at the earliest for emotional support. Please go for couple therapy to resolve your marital issues. There could be chances that she will try to attempt suicide again. Please take care and take suitable steps.

I am 22 my brother 29 , he always insults me ,hurt me, think I am his enemy. Everyday we are fighting. I am tired for all of this. I wanna relief, trying suicide. But I am not enough strong to do it. My marriage is fixed in 2017. My father is dead. My mom , me n my brother stay in our house. When i'm sad , do not know why I am trying to committed suicide. I love my family but why my brother think that I am his enemy. Trying to rule over him. please help me.

Reparenting Technique, BA, BEd
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Nobody should have the power to make you commit suicide. Your life is extremely precious and if your brother likes to bully, only you can allow him to bully you. In other words, you can be disturbed about it or just laugh it off. However, since your marriage is coming up soon why let him have any power over you. Be patient and get married peacefully and then you will be far away from your brother. He may be jealous of you for some reason or maybe he is missing his father and is expressing his anger towards you. Since the father is not there to control him, he may be losing control over himself for various reasons. Tell him about that and see what his reaction is. Talk to mom to intervene too. But do not​ take your life, it is precious to you.

Respected doctors. Please give me the best solution. I am 20 years old male. Till tenth class I was very intelligent student. I got 90 prcent in 10. But as I moved to +1 I started losing my concentration on studies. Inspite I had set a goal in life but I was not able to focus on it even after lot of hard work. Now my memory which was very sharp is also deteriorating. One thing I will also tell that I started masterbating after tenth. Please doctors. Save my life. I am really worried about my future. Please give me best solutions.

MD - Homeopathy
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Respected doctors. Please give me the best solution. I am 20 years old male. Till tenth class I was very intelligent ...
Hello, the phase you are going through in your life and the problems you are facing are very common problem in this age group. Firstly discard worry, it's just a temporary thing and definitely will go. Do not compare yourself, just do your best. It will be best if you consult homoeopath personally for better guidance, for now take 1. Homoeopathic medicine acid phos 1m 3 pills 3 times a day for one day only. 2. Read motivational books/autobiographies 3. Travel in nature, listen music give feedback after a month.

I feel pain in legs,hend fingers,high hunger,thirst and there are some white thing in my urine.i also feel weakness and low stamina. Plese dr. Tell me that what can i do for my treatment ?

MD - Psychiatry
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If you are suspecting that you are passing 'dhat'. Let me know.this is not an illness unless you believe so.if you think you are suffering from some ' gupt' or secret illness do write again, because it is not.

I have lost more than 10 kg weight due to stress and anxiety and lost my appetite also because of it. Need a medicine which can help me reduce stress and gain weight quickly with less or no side effects. And pls don't want natural treatment bcauz m unable to control naturally.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
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I have lost more than 10 kg weight due to stress and anxiety and lost my appetite also because of it. Need a medicine...
Suggesting you easy method of weight gain just follow it for year you will gain weigh defiantly 1. Start exercise regularly for 3 month and then after 3 month leave it for 3 month at the time of exercise your diet will increase but same diet continue after 3 month when you stop exercise so thats why your weight will increase automatically now we discus about diet 2. Take dates with milk in the morning breakfast 3. Triphala kadha 4 tsp beore lunch and dinner 4. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach this take for 1.5 month only your weight gain will take definitely note=avoid over eating. When you are trying to gain weight, you should eat food the rich in vitamins and minerals. 1. Healthy food includes meat, egg, milk, fruit vegetables, fruits, and nuts. Cashews, almonds, dates, walnuts, dry grapes, apricots, peaches are some of the dried fruits and nuts that can be added to breakfast, salads, cereal and desserts. Sesame seeds, ground nuts, and peanuts also contain fats in them and can help in adding that extra pounds you desire. 2. Sometimes loss of appetite may also cause weight loss.

I loose concentration very soon while reading and I get drive d away with some other thoughts in mind. What should I do to increase my concentration? I have a problem in meditation also.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
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Dear lybrate-user, try this method many people are success first and most sleep early wake up early at 4.0 am and study with fresh mind, of course subjects which you are not interested you must spend more time and repeat it many times" practice makes perfect" not only human including pets. Parrots are talking and dogs are dancing. Switch off mobile phone when you go to bed and switch it on at 6am. Example some people they don't like mathematics but it is essential for life everyday and every time we are depended on mathematics, right from doctor to business man, including vegetable seller, we can understand many other distraction disturbed minds it is like love issues. Still not able to concentrate go for counselling help. Please give us feedback after trying for weekdays.

From last year I am not able to concentrate on my study? please advise.

Reparenting Technique, BA, BEd
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Your age is not mentioned correctly so I am assuming that you are young and I suspect that you are going through a spurt in the production of the male sex hormone, which affects you in three ways quite unknown to you. First, there will be a sexual agenda that it will kick off, secondly, there will be aggressiveness and rebelliousness, and thirdly, you will suffer from acne and pimple problems. This is the effect of the hormone that has a duration of almost two years and you will have no control over it. The hormonal imbalances may not only impact your memory because of the chemical but also bring along some distractions that come with it. 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. You should 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, consume less of fat and use olive oil instead, 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 youcombine 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. You should sit comfortably but 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 the 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 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.

I am a 17 year old male and I want my ex girlfriend back so what can I do?

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Oh my dear focus on your study and future. There is no medicine for such problems. The persons and things which wil be urs wil come back to u. Those who left you does not deserve u.

How to Cope with Anxiety and Depression Disorder

MD - Psychiatry, Diploma in Psychological Medicine, MBBS
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Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life.
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression.
The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder
Constant fear and worry
Loss of interest in normal life, hobbies and activities
Insomnia and fatigue with inability to relax
Panic attacks
Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.
How to Cope with Anxiety and Depression Disorder

How can I have stress free mind? Please help me.

PhD (Psychology), MSc Psychology, MS
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How can I have stress free mind? Please help me.
Dear, Stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger the “fight-or-flight” response, causing hormones such as adrenaline and cortisol to surge through the body. A little bit of stress, known as “acute stress,” can be exciting—it keeps us active and alert. But long-term, or “chronic stress,” can have detrimental effects on health. You may not be able to control the stressors in your world, but you can alter your reaction to them. I need to know, what are the causes with which you are stressed? Once you know the reason, you will be able to adjust with it with some psycho therapy methods. Please let me know the details. Take care.

Im in relationship. I love my girlfriend very much. I feel like that she is my mother to me. She is also like that only. She loves me equally like me. We are living like husband and wife but not yet married. That much love affection care that we have on each other. But whats my problem is that in her past she loved someone .and break up with him. Im the second to her. I can not accept her past things. Its really paining for me. For this I suffered a lot and bad thoughts are coming to my mind. So im getting sad and make my lover also sad. She consoles me. But still can not accept this. I can not live without her. She ia my soul. But for these bad thoughts what shall I do for that ? Pls help me.

M.Sc - Applied Psychology, Guidance &Counselling, B.A., Psychology, Pharmacy
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Your love is immature and possessive which is more dangerous than cancer. True love is beyond doubts. You can not change the past. But, you can change your thought about the past. Since you are 21, your lover must also be around 20 who may not make right decisions regarding love (past one). She loves you in the present. You are digging out the past which nobody can change. Practicing forgiveness and unconditional love will lead you to a divine love-life. Hell? (past) or heaven? (present)= the choice is yours.

Having Stomach ache after smoking, I need instant cure for now, as I quit smoking today, any instant tip to b out of this pain.

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
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Having Stomach ache after smoking, I need instant cure for now, as I quit smoking today, any instant tip to b out of ...
Dear Sameer. Welcome to lybrate. Drink two glasses of cold water. Your stomach ache will be helped. Please quit smoking. Take care.

Is drinking rum injurious to health, Actually in before I never tried rum, but now am in cold region, so should I prefer rum in occasionally.

General Physician
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Any alcoholic drink in injurious. To keep warm, try cow's milk warmed in a a mug at night, before sleep.

I am 21 year old. And I been hurted in my head a year ago when I was travelling in a car so a big jerk came and the car jerk on that so my head was hurted from the car roofs and that time it was just the pain for hours. But after a week it started creating problems like I feel that my concentration and memory level is been decreased. It has been year passed what should I do. It could be a blood clot or what.

M.Sc - Applied Psychology
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Hi. It's unlikely that the impact would have created memory loss for you. If you are worried about there being blood clot then it's better to get checked/scanned than to live in speculation. Visit a neurologist and discuss your concerns.

मेरे पप्पा की उम्र 52 साल है.उन्हे शराब की लत है.वो महिनेमे 10-12 दिन लगातार शराब पिते है.फिर उन्हे बोहत तकलीफ होती है,blood omity है.कोई घरघुती उपाय बताईऐ.

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मेरे पप्पा की उम्र 52 साल है.उन्हे शराब की लत है.वो महिनेमे 10-12 दिन लगातार शराब पिते है.फिर उन्हे बोहत तकलीफ होती ह...
To quit drinking he needs to take medicine. However it is very evident that he won't agree to take the medicine if he comes to know about it. You have to administer the medicine for alcohol de-addiction without letting him know. So the medicine should be colourless, odourless, tasteless. For this purpose Homeopathy has an excellent remedy. The remedy not only fulfills the criteria of being colourless, odourless & tasteless but at the same time it is fully soluble in water. You just have to add 20 drops of the medicine to every litre of water. Just keep a separate bottle for the patient. Add 20 drops of the medicine to each litre of water. For example if the bottle contains 2 liters of water then add 40 drops of the medicine. Now whenever the patient asks for water give him that particular medicine mixed water. He will easily drink 2 litres of water in 24 hours. Thus you will be able to administer the medicine for de-addiction of alcohol without even letting him know. You can even give him this medicine mixed water to prepare his peg if he drinks alcohol at home. A quick response is noted in patients who have taken 60 drops of the medicine daily. Now note down the name of the medicine. The medicine is Homeopathic Mother Tincture ACID SULPH Q. You can find it at any Homeopathic Medicine retail shop. Just buy a 100 ml pack for one month. You will able to notice a difference within 10 days of starting of the medicine if you can administer the medicine as 60 drops daily. This medicine will reduce his craving for alcohol without producing any type of side-effects.

I'm a quite smoker. I mean on regular basic I smoke 2 cigrate. So what does effect on my health?

C.S.C, D.C.H, M.B.B.S
General Physician
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Best age to stop smoking is before 40 ,In fact do not start all Only by using strong will power and avoiding all situations where you feel like smoking, chewing tobacco or drinking or using drugs avoiding friends who smoke and diverting mind by reading or chewing a gum, like NICORETTE and taking a walk when you crave for a smoke can all help. You can chew Nicorette gum which is nicotine replacement. There are medicines available. Which can be prescribed if asked personally Cigarette smoking is a leading preventable cause of mortality. It kills more than 60 lakh people worldwide every year. More than 50% of regular smokers would invariably die from tobacco-related illnesses which includes heart attack, Best age to stop smoking is before 40 Cigarette smoking is a leading preventable cause of mortality. It kills more than 60 lakh people worldwide every year. More than 50% of regular smokers would invariably die from tobacco-related illnesses which includes heart attack, cancer or asthmatic lung diseases.

Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.

Im addicted to smoke weed? And now I wanna quite with smoking immediately. So what should I do?

Reparenting Technique, BA, BEd
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Stopping weed is like any other habit like smoking and has to be done immediately, promptly, and abruptly. When quitting, you must take one day at a time. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning and the high you get from the weed. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking weed to have a reason that alarms you about continuing in the habit. The information is really scary but true and you must remind yourself about this every day. Though there are contravening information percolating from researchers of various kinds expounding about its benefits. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation, even though you are into weed. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers of weed and cigarettes for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here?s a piece of very good advice: even if you accidentally/willfully take a refill, it is not the end of the world ? you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest.

I recently went through a breakup because I am meant to get married soon. I don't have any interest in going to work anymore or do anything. I don't get sleep easily and I don't even eat. I am only drinking and smoking. Please help because I am going mad.

Master Of Science In Counseling & Psychotherapy
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Dear Ankit, I can understand you are undergoing emotional turmoil at this situation. To deal this situation you need to vent your feelings with a counselor. Smoking, drinking and sleeplessness can only worsen your situation. There are lot of positive ways to deal the ups and downs of life. Like involving in hobbies, improving your physical fitness, sharing your feelings with counselor etc. Take care.
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