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Dr. Ashish Sakpal - Psychiatrist, Mumbai

Dr. Ashish Sakpal

91 (677 ratings)
DNB (Psychiatry), DPM, MBBS

Psychiatrist, Mumbai

9 Years Experience  ·  500 at clinic  ·  ₹200 online
Dr. Ashish Sakpal 91% (677 ratings) DNB (Psychiatry), DPM, MBBS Psychiatrist, Mumbai
9 Years Experience  ·  500 at clinic  ·  ₹200 online
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Hello and thank you for visiting my Lybrate profile! I want to let you know that I strongly believe in positive mental health and as a mental health provider my focus would be not only to......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that I strongly believe in positive mental health and as a mental health provider my focus would be not only to deal with psychological issues but also building up resilience.
More about Dr. Ashish Sakpal
If you are suffering from Anxiety Attacks, Depression, Anxiety and Depression, Emotional Outbursts or require help for de-addiction from nicotine, drugs or alcohol, then you can visit Psychiatrist - Dr. Ashish Sakpal. Dr. Sakpal practices in Dr. Kiran’s Mind Centre and Navicare Clinic in Mumbai. Almost all patients who had interacted with Dr. Ashish Sakpal have good words for him. He is a doctor who listens to his patient’s problems and offers them sound advice and prescribes the right medicine. Psychiatry is an often misunderstood branch of medicine yet Dr. Sakpal has been popular and has been carving a name in the field. He also offers discounts to students who come to him for treatment. Dr. Ashish Sakpal has completed his MBBS from Terna Medical College, after which he continued to do his DNB in Psychiatry from Masina Hospital. He has also secured a Diploma in Psychiatry from Grant Medical College, Mumbai. Dr. Sakpal has also written an information booklet called ‘Fight Depression defeat Suicide’ for Federation of West India Cine Employees. He is a member of Maharastra Medical Council and Indian Psychiatric Society. Dr. Sakpal’s popularity in de-addiction is also well-known in Mumbai, he has helped many alcoholics and drug addicts to come of the deadly addiction.

Info

Education
DNB (Psychiatry) - Masina Hospital - 2015
DPM - Grant Medical College - 2012
MBBS - Terna Medical College - 2008
Past Experience
Senior Registrar at HBT Medical College; Dr. R. N. Cooper Municipal General Hospital, Juhu
Languages spoken
English
Hindi
Professional Memberships
Bombay Psychiatric Society

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Dr. Kiran's Mind Center

Lalji Pada, Link RoadMumbai Get Directions
  4.6  (677 ratings)
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Bhayandar Criticare

Goddev Naka, Oppo Kajari SweetsBhayandar East Get Directions
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500 at clinic
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Neev Child Development Centre

Sonam Sarovar, Near Ramdwar, Opposite Roxy Gym New Golden NestMira Bhayandar Get Directions
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"Very helpful" 22 reviews "knowledgeable" 22 reviews "Sensible" 3 reviews "Well-reasoned" 3 reviews "Inspiring" 3 reviews "Caring" 4 reviews "Practical" 3 reviews "Professional" 3 reviews "Helped me impr..." 1 review "Prompt" 1 review "Saved my life" 1 review "Thorough" 1 review

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Stereotypic Movement Disorder - How To Deal With It?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Stereotypic Movement Disorder - How To Deal With It?

We all tend to engage in some repetitive activities at various points in our lives. However, when a person continues to engage in the same activities which are rhythmic but purposeless, resulting in self-injury or injury to others, it is known as stereotypic movement disorder (SMD). In order to qualify as an SMD, the routine movements should continue for at least four weeks and should interfere with the daily functioning.

This disorder is more common in adolescent boys than in girls, and is associated with other mental conditions like autism, intellectual disability (ID), and neurological disorders. The repeated actions tend to aggravate with frustration, boredom, stress, and anger. Some of the common movements include head banging, self-biting, nail biting, rocking, handshaking, waving into the air, putting objects in the mouth, and picking one’s own skin.
There is no known cause for this disease, though head injury and cocaine are said to cause SMD.

Treatment: Suspected children are diagnosed with SMD after a thorough clinical examination and interview with the parents is done. The treatment then includes a two-pronged approach—improving function and preventing injury.

  1. The environment is usually made safer so that even if the repetitive actions are being carried out, the damage done to the child is minimised. For instance, for a child who might be banging his/her head repeatedly, a helmet may be used.
  2. Antidepressants, in mild doses, may prove to be useful for some children to control their sadness, which is a trigger for the repetitive behaviour. Atypical antipsychotics such as risperidone or aripiprazole are also used for patients who might have associated autism symptoms.
  3. Another trigger is stress, which should be reduced for the child. This prevents the onset of repetitive action, which in turn prevents injury. The child is also trained on how to control his/her own emotions. For instance, children with this condition are taught to put their hands in their pocket if they get a strong urge to pick their own skin. This, when done over a period of time, can help control the habit.
  4. The child is also taught relaxation techniques, which can help in controlling the urge.
  5. Behavioural therapy approach known as differential reinforcement of other behaviours (DRO) is used where socially appropriate behaviours of the child are suitably rewarded. Over a period of time, this becomes a habit, and good behaviours are reinforced.
  6. Another behavioural approach called functional communication training (FTC) is used where the child uses alternative actions or verbal responses in place of the repetitive, harmful actions. This again is reinforced to form a habit with time.

All affected people can have significant reduction in symptoms with a combination of medications and counselling and supportive therapy. Early detection and intervention can help in curtailing the progression of the symptoms.
 

Can Dementia Be Treated?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Can Dementia Be Treated?

Ageing is a natural process, and as much as we don’t like it, it is inevitable. The effect of ageing is different from different organs, and with regard to the brain, dementia is one of the main effects. Dementia is not an isolated condition, but a set of symptoms that includes decreased memory and reduced thinking ability, making it difficult for the person to perform daily activities efficiently. Ageing is one of the main causes of dementia. Dementia is usually progressive, with a person beginning to forget his/her purse, taking pills, etc., and then progressing to forget more important things like close family members’ names or finding one’s way back home.

Though dementia is not reversible, it is possible to control the rate of progression and arrest symptoms if detected in the early stages. There are various reasons for dementia, with senility or ageing being one of the main reasons. Alzheimer’s, vascular dementia, hypothyroidism, depression, etc., are some of the other reasons and treating these can help control the symptoms of dementia. Treatment for dementia would include a combination of medications aimed at treating the underlying reason for dementia and supportive palliative care, which forms a huge component of the treatment, which includes the following:

  1. Vitamin B12 replacement in people with vitamin deficiency
  2. Treat hypothyroidism with thyroid replacement
  3. Manage depression with antidepressants
  4. Change or substitute medications leading to memory loss
  5. Mild to moderate Alzheimer’s disease can be controlled with acetylcholine esterase inhibitors like rivastigmine and galantamine; more severe forms with memantine hydrochloride.
  6. Manage behavioural changes with antipsychotics
  7. Recommend surgical removal if there are brain tumours that cause increased pressure
  8. Treat brain infections like encephalitis, if present.
  9. Manage risk factors by managing high blood pressure, cholesterol, diabetes, and quitting smoking

In addition to the above, supportive palliative care is also very essential. The intention is not to cure, but to improve patient care by including the following:

  1. Help the affected person become independent and manage daily activities on their own.
  2. Include cognitive stimulation with activities and games to improve memory and cognitive functioning.
  3. Validation therapy and behaviour therapy are also used, depending on the symptoms.
  4. The affected person would usually feel mixed feelings of anger, fear, anxiety, and sadness. To address this, use medications that improve the mood, control the behaviour, and improve cognitive functions. Support and counselling from friends and family are very helpful.
  5. As much as it might be uncomfortable, decisions such as caretaker, type of care, financial planning, etc., should be discussed and decided.

As dementia is irreversible, the key is to detect the symptoms in their early stages. This will help in effective management by arresting the symptoms from progressing, thereby improving the quality of life. If you wish to discuss any specific problem, you can consult a psychiatrist.

2880 people found this helpful

Armodafinil vs modafinil - which is better? Recently my doctor mentioned modafinil ; however prescribed armodafinil in wakalert 150 mg. Did she forget the modafinil brand or is it same in action. I did not get the same effects as modafinil though. Hence asking.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Armodafinil benefits are similar in a lot of respects to those associated with Modafinil. The wakefulness effect is very noticeable, similar to a powerful dose of caffeine. The exception is that unlike caffeine there are no jitters or nervousness and it does not increase (nor decrease) blood pressure or pulse rate. Armodafinil is considered to be more safe and has almost zero addictive potential (Modafinil does have a slightly higher potential for side effects and tolerance). Unlike Modafinil, Armodafinil will not actually disturb your existing sleep patterns. This means that even after using the supplement you will not experience a sudden drop off in effects and will be quite able to go to sleep and at the same time as normal. You will also wake up at your regular hour. While Modafinil users often say that it is impossible to sleep within 5-10 hours of taking a dosage of this drug, Armodafinil does not cause the same result. It is interesting that some regard this as a positive while other may see it as a negative if they are looking for a prescription drug that helps them stay awake for long hours.
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Dissociative Amnesia - Symptoms and Treatment!

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Dissociative Amnesia - Symptoms and Treatment!

It is a common belief that newer memories are retained and older memories are lost gradually over time. However, when someone tends to forget things in a particular pattern, it is important to take note of it.
Dissociative amnesia is a condition when a person cannot recall important personal information from a specific period of his/her life. This is usually associated with a bad memory, including war or abuse, and the person wants to “dissociate” himself/herself from that particular episode, and so tends to forget events from that phase of life. The impact could affect their awareness, identity, perception, and memory. There could be adverse effects on work life, social life, and even relationships.

Causes: It is usually seen in people who have had traumatic experiences, such as war, sexual abuse, natural disasters, severe road accidents, etc. Given the severe effect on the patients’ emotional well-being, this part of their life is dissociated and so events associated with that event are forgotten.

Symptoms: The affected person usually has sudden memory loss with inability to recall specific events from a certain period. On further probing, there could be associated symptoms like depression and anxiety. The amnesia could be localised, selective, or generalised.

  1. Localised amnesia: This is very closely linked to stress or trauma associated with a specific event in life, which has had an unpleasant effect on the person. For instance, the person cannot recall the year or month of a war or natural disaster. Memory loss around the period happens long after the actual event during routine conversations.
  2. Selective amnesia: The person forgets not the entire event, but only specific incidents related to the event. It is likely that the portion which was most impactful emotionally is forgotten.
  3. Generalised amnesia: Strangely, some people just forget the complete life history, including identity, location, close family and friends, routine activities, etc. The onset is sudden and can leave the immediate family members impacted badly. They may even not recollect or remember close family people.

Treatment: In addition to relieving symptoms (if any), the treatment is aimed at helping the person get rid of the memory by mourning it, process the pain, develop life skills, and improve relationships. There is no one-size-fits-all treatment, and the various components include the following:

  1. Encourage communication and help them understand problems
  2. Cognitive therapy to change feelings and behaviour and thinking patterns
  3. Medications like antidepressants and anti-anxiety drugs
  4. Family therapy where symptoms are taught, especially to identify an attack
  5. Creative therapy like art and music therapies to create happy memories

As a preventive measure, early intervention after a traumatic event or emotionally distressing experience (war, natural disaster, sexual abuse, etc.) can help prevent and manage symptoms of dissociative disorders. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

2884 people found this helpful

Cannabis And Psychosis - What We Need To Know?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Cannabis And Psychosis - What We Need To Know?

It is really important to enlighten yourself with the meaning of the word 'cannabis'. Cannabis Sativa is a kind of hemp plant from which you derive hash, hash oil and marijuana. Cannabis is popularly known by a litany of street names like weed, pot, grass, homegrown or even ganja. Tetrahydrocannabinol or THC is a chief chemical present in the plant. This chemical has the potential to alter the way you think, feel or work and hence there is a need to know its link with psychosis. Psychosis on the other hand aims to explain mental conditions felt by a person. In most cases a stark departure from reality is noticed which is usually the case after consuming cannabis as well.

Psychotic effects of Cannabis:

  1. Irregular sleep patterns: The effect of Marijuana or hash can upset your sleep patterns. A check has to be exercised therefore. It can make you feel too tired and exhausted to rest for long hours. 
  2. Increased anxiety: Many times, the hemp plant has been found to play up with your coping skills. You might feel anxious at the drop of a hat. Anxiety takes a toll on mental peace and affects your physical health.
  3. Problem in thinking clearly: Under the effect of Cannabis, you tend to live in a parallel universe. Your mind makes up imaginary situations thinking it to be real. This muddles up your capability to think clearly.
  4. Lack of innovation: Continuous consumption of the drug can also make a person repetitive; you stop conceiving new ideas. 
  5. Reduced confidence: Studies show how you can become very nervous due to the effects of cannabis.
  6. Reticence: Communication can be a problem if you have been using the plant for a long time. You tend to bottle up your emotions and also your fears.  
  7. Paranoia and suspiciousness: You might even grow suspicious of people you trusted all along. Friends, relatives, parents are doubted. Obsession with the slightest of things is also a resultant effect. 
  8. Delusions and Hallucinations: Being 'high' is a positive effect as it helps you to relax, but if unhindered it could lead to serious hallucinations. Your existence in a hallucinated world can even turn fatal in some cases. If you wish to discuss about any specific problem, you can consult a psychiatrist.
2728 people found this helpful

Hands are shivering when panic and holding some weightless cups some times but I not consume any alcohol what is the reason.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Hands are shivering when panic and holding some weightless cups some times but I not consume any alcohol what is the ...
Essential tremors is a nerve disorder characterized by uncontrollable shaking, or "tremors, in different parts and on different sides of the body Areas affected often include the hands, arms, head, larynx (voice box), tongue, and chin. The lower body is rarely affected. ET is not a life-threatening disorder, unless it prevents a person from caring for him or herself. Most people are able to live normal lives with this condition -- although they may find everyday activities like eating, dressing, or writing difficult. It is only when the tremors become severe that they actually cause disability. If you are having problem in activities of daily life then only you may consult a neurologist or psychiatrist.
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Psychiatric Disorder - 5 Silent Signs

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Psychiatric Disorder - 5 Silent Signs

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. But an early detection of any irregularity proves to be more beneficial for the patient in the long run.

It is important to know the telltale symptoms of mental disorder to distinguish between what is regular and what is not.

  1. Withdrawal: Everyone needs some quiet time to cool off and relax but if a person continuously withdraws him/herself from social occasions and avoids meeting or speaking to friends, it could be a sign that something is wrong. Losing interest in life, work and people are symptoms of depression and psychotic disorder.
  2. Thinking problems: Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.
  3. Anxiety: Excessive stress and anxious behavior for a prolonged period are not normal. Frequent heart palpitations, headache, shortness of breath, racing mind and restlessness are cries of help that need to be heard.
  4. Emotional outbursts: Sudden dramatic outbursts for no apparent reason, frequent mood swings and feeling distressed are potent signs of mental illnesses. These kinds of behavior are seen as part of a person's nature and so they are often unnoticed.
  5. Changes in appetite and sleeping patterns: Oversleeping may be a sign of depression and insomnia could be a sign of anxiety. Changes in appetite and not caring about oneself or the world are indicators of a mental problem. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.
2513 people found this helpful

Hi I am 24 years old and mujhe school days me he tobacco and porn Ka addiction ho gaya tha. Me 4-5 hours tak porn dekhta tha or masturbate karta tha and jaise he mujhe feel hota ki me ab satisfy hone wala hu to me ruk jata tha and fir start kar deta Tha ab maine tobacco khana to chod diya h kafi time se but recently jab me sex kar raha tha to mujhe feel hua ki mera erection sahi se nhi ban raha h when I pushing my penis in her vegina I started to loosing my erection but when I masturbate tab aisa nhi hota but erection pehle jaisa tight ni hota doctor please help me.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Hi I am 24 years old and mujhe school days me he tobacco and porn Ka addiction ho gaya tha. Me 4-5 hours tak porn dek...
It's great that you have stopped tobacco intake, regarding addiction to pornography. Try these steps to stop the habit 1. Delete pornography videos or literature from your personal computer 2. Use safe mode while using PC by using better antivirus and firewall 3. Keep content filter to protect accidentally opening adult sites while surfing 4. Avoid spending time on PC alone or in closed doors, use PC in drawing room or with a company. 5. Keep a check on time, places and mood states which remind about pornography and try to avoid them. 6. Get too busy for pornography by indulging in fruitful activities 7. Take help of spiritual guidance to focus to goals 8. Have a better sexual release by discussing the problem with partner. Consult a sex therapist or a psychiatrist for further issues.
1 person found this helpful
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I am a boy of age 16 and once I watched lesbian videos and chat with lesbian girls and from then I am addicted to it but now I want to leave these things so is it right to stop these things suddenly. Please help me doctors.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
I am a boy of age 16 and once I watched lesbian videos and chat with lesbian girls and from then I am addicted to it ...
Try these steps to stop the habit 1. Delete pornography videos or literature from your personal computer 2. Use safe mode while using PC by using better antivirus and firewall 3. Keep content filter to protect accidentally opening adult sites while surfing 4. Avoid spending time on PC alone or in closed doors, use PC in drawing room or with a company. 5. Keep a check on time, places and mood states which remind about pornography and try to avoid them. 6. Get too busy for pornography by indulging in fruitful activities 7. Take help of spiritual guidance to focus to goals 8. Have a better sexual release by discussing the problem with partner. Consult a Psychiatrist for any further management.
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Hisir, I am 28 year, 72 kg, 6 feet tall, I was addicted to porn since last 2 years (2014-2016) daily 3-4 hours internet porn and at the end of 3-4 hour I used masturbate and there were very hard erections even I cannot believe now, at the end (after 2nd year), I couldn't get any erections to porn. I shocked and fell ill with high fever, from next day I have been suffering from high anxiety, heart palpitations, insomnia, mood swings, foggy mood, muscle pain, joint pain, no interest to go any work, no libido, suicide thoughts, some time I will get morning erections, it's a years now, Can it be recovered with proper diet and exercise, meditation? Do you any cases like this before? If so what goods are good and how long it takes to recovery? Thanks in advance sir please help me or else I'm feeling die.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Hisir, I am 28 year, 72 kg, 6 feet tall, I was addicted to porn since last 2 years (2014-2016) daily 3-4 hours intern...
Pornography addiction is an addiction model of compulsive sexual activity with concurrent use of pornographic material, despite negative consequences to one's physical, psychological, social, or financial well-being Try these steps to stop the habit 1. Delete pornography videos or literature from your personal computer 2. Use safe mode while using PC by using better antivirus and firewall 3. Keep content filter to protect accidentally opening adult sites while surfing 4. Avoid spending time on PC alone or in closed doors, use PC in drawing room or with a company. 5. Keep a check on time, places and mood states which remind about pornography and try to avoid them. 6. Get too busy for pornography by indulging in fruitful activities 7. Take help of spiritual guidance to focus to goals 8. Have a better sexual release by discussing the problem with partner. Consult a Psychiatrist for any further management.
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Video Games and Neurological Problems Associated with Them

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Video Games and Neurological Problems Associated with Them

Your mother has often yelled at you for playing video games for long hours but obviously you haven’t paid heed to it. Such is the obsession with video games that they don’t let you rest unless you have championed all the levels in the virtual interface. Here is the source of all problems. Studies have revealed that video games have a direct relation to neurological disorders. As a result, many health experts across the world consider video game as a kind of health abuse.

People who play action-oriented video games are at higher risks. The more you indulge in these kinds of games, the more they are going to affect the hippocampus section of your brain. It is that part of the brain which is considered to be the centre of your nervous system, memory, and emotion. This has a detrimental effect on your overall brain health.

Let us see some of the signs which may indicate the onset of certain complications arising from an over indulgence in these games.
1. You spend hours on the computer or related gaming devices and devote lesser hours for your family and friends.
2. You get agitated when someone stops you midway through the game
3. You become socially isolated and show signs of occasional mood swings
4. You are unable to keep a track of time once you start playing
5. You repeatedly neglect your studies, resulting in a dip in performance at school

Why does this happen?
All of the above signs indicate that sooner or later you might develop neurological problems. When you spend an excessive number of hours on playing and navigating through the games, the ‘hippocampus’ portion of your brain shows signs of decreased gray matter. As a result, the volume of the hippocampus shrinks, causing severe nerve related disorders such as schizophrenia, Alzheimer’s disease, dementia, depression, and overall general stress.

One of the biggest reasons behind this is a lack of self-control. Most of the video games will encourage you to steal cars, run away after a theft and kill your enemies. Moreover, if you succeed, you are rewarded. This naturally unleashes a blatant urge for the gratification of all these awkward desires in your real life too. Hence, once you are encountered with the reality, you tend to show violent behavior.

2588 people found this helpful

Increased Anxiety, interfering with daily life, suddenly feels sweaty, nervous,tremors and blank mind. What should i do?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Increased Anxiety, interfering with daily life, suddenly feels sweaty, nervous,tremors and blank mind. What should i do?
Some degree of anxiety is actually good as it keeps us on alert and motivated for upcoming stressor. But if it's overwhelming so much that day to day functioning is affected then it needs to be tackled on. Please understand what degree and what frequency of anxiety spells you having and how badly is it affecting your schedule. Professional help can be sought from a counsellor or a Psychiatrist. Meanwhile learn breathing exercises and relaxation techniques to calm yourself.
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My son is a national ranking tennis player. Now a days he is feeling very angry and loosing his hope while playing tournaments and he is getting a top seed in tournament and loosing with used player with his aggressive behaviour and he wants to quit from sports too. But we know he is a good palyers. please can you suggest us what to do with my son. Did he need any counselling or yoga to get rid of anger and loosing his hope.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Yes counselling will surely help him. Winning or losing are part of game, he needs to understand that. Sports builds up morale and character of a person. He needs to be motivated to keep trying. Persistence and determination is the key. Channeling his energy on constructive measures will help him to gain further heights. Please take help of a professional counsellor for nurturing the resource we have in him.
1 person found this helpful
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I am girl who have fear of losing people .i love a boy and I just do not know why I feel so tensed that I will lose some one. Actually I care people a lot and if my people stop talking me I will be so tensed and I can not do or continue with my work and I just can not concentrate I feel sad and I will be crying whole day. I just want yout help to make me relieved please.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
I am girl who have fear of losing people .i love a boy and I just do not know why I feel so tensed that I will lose s...
Is it Fear of losing people or a constant attempt to appease everyone at same time? It's very difficult to keep everyone happy simultaneously and being happy yourself. Get your priorities right. One needs to balance their personal and academic/professional life to move ahead. U need to learn assertiveness to control the situation's. Meet a therapist if you unable to do it yourself.
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What You Need to Know About Borderline Personality Disorder

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
What You Need to Know About Borderline Personality Disorder

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

People suffering from BPD fear abandonment and loneliness. Yet, they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life. It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.

Symptoms of BPD:

  1. Disturbed self-image: People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
  2. Emotional instability: Intense feelings of rage, sorrow, anger, guilt and emptiness or loneliness are experienced by some sufferers of BPD. Extreme mood swings, lasting for a short span of time, are common in BPD. They may also have issues with their self-image where they cannot place themselves and don't know what they feel about themselves or who they are.
  3. Dysfunctional relationships: It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak. Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common. Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Causes for BPD:

  1. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
  2. Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis for BPD:

There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

4129 people found this helpful

Dear Sir My Wife Is Suffering From Manic Depression from 15 years .yearly one's attack the manic dep. I want permanent cure for mania. please suggest me.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Dear Sir
My Wife Is Suffering From Manic Depression from 15 years .yearly one's attack the manic dep. I want permanen...
The newer terminology for maniac depression is bipolar mood disorder. It's a lifetime disorder with waxing and waning course due to change in neurotransmitters in brain. The management is based on continuing the mood stabilizer medications and avoid relapse of symptoms. There is no permanent and once and for all treatment for it. The onus lies on being compliant to medications and controlling the episodes of relapse. The more you educate yourself about the disorder the better you can control it. Keep in touch with your consulting psychiatrist.
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Hello All, I feel like something stuck in my throat before 2 months ago I had anxiety disorder but now i'm good is that okay if I feel something stuck in my throat from 2 Months till date no pain but tightness in throat specially when I'm hungry. It's making me worried. God bless you.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Hello All, I feel like something stuck in my throat before 2 months ago I had anxiety disorder but now i'm good is th...
Globus pharangis (also known as globus hystericus commonly referred to as having a "lump in throat feeling"), is the persistent sensation of having phlegm, a pill or some other sort of obstruction in the throat when there is none. Swallowing can be performed normally, so it is not a true case of dysphagia, but it can become quite irritating. One may also feel mild chest pain or even severe pain with a clicking sensation when swallowing. If you have consulted an ENT specialist/physician and there have been no diagnosis or relief in symptoms, please consult a psychiatrist.
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Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?
Daxid is sertraline which is an antidepressant which increases the serotonin uptake in neurons of brain. It is usually prescribed for depression or anxiety symptoms primarily. Now in sleep apnea it can be prescribed for the secondary mood symptoms of the disorder but if it is prescribed only for sleep apnea symptoms then it's not a rational prescription.
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I losh somebody closed lash years and I feel very depress. Please help me. Because I am very depression feeling.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
I losh somebody closed lash years and I feel very depress. Please help me. Because I am very depression feeling.
Bereavement refers specifically to the process of recovering from the death of a loved one. Grief is a reaction to any form of loss. Both encompass a range of feelings from deep sadness to anger, and the process of adapting to a significant loss can vary dramatically from one person to another, depending on his or her background, beliefs, relationship to what was lost, and other factors. Stages of grief that most people are now familiar with: denial anger bargaining depression acceptance for coping with the death of a loved one try to accept the reality of the loss to work through the pain of grief to adjust to life without the deceased to maintain a connection to the deceased while moving on with life seek help from mental health expert for further help.
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