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I found the answers provided by the Dr. Ashish Sakpal to be knowledgeable, well-reasoned and inspiring. Thank u very much for ur answer
Dr Ashish listens patiently and provides practical solutions to any problems. Highly recommend him for psychiatric consultation
Dr. Ashish Sakpal provides answers that are very helpful. Thanks
Apt answer apt doctor very good experience thankyou
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.
- 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.
- Thinking problems: Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.
- 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.
- 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.
- 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.
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.
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.
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.
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.
Increased Anxiety, interfering with daily life, suddenly feels sweaty, nervous,tremors and blank mind. What should i do?
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.
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.
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:
- 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.
- 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.
- 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:
- 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.
- 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.
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.
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.
Hi I am abbas WI would like to know the reasons Last night my room mate and I went for outing we had alcohol 180 ml each from there we had birayni but after he had food after 20 mins his face was totally sweating and he was unable to stand also he was telling he is getting unconscious suddenly And he told me that this is happened after dinner only and this was 2nd time happened Iwas thinking that this is happen bcoz of blood pressure issues Can u pls help me with reason.
Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?
I losh somebody closed lash years and I feel very depress. Please help me. Because I am very depression feeling.
Hi, I am married for last 4 years to a bpd male, he has undergone various treatments in the past. I want to know can a relationship with bpd male last forever?
Dear doctors pls advice me about psychiatric meds like sertraline 150 mg & zapiz 0.5 mg I am taking since last two years for ocd, depression, anxiety and mild high BP. On meds I feel OK but they are becoming daily addiction, can't live without them. Pls advice in details what should I do. Taking treatment from AIIMS.
Causes of eating disorders and risk factors associated with them
Conditions related to the eating patterns or behavior of an individual which leave a negative impact on the health of the person are known as eating disorders. These can lead to the deficiency of sufficient nutrition in the body. The heart, the digestive system, the bones, and the teeth and the mouth are the body parts that generally get affected due to this condition.
Although the root cause is not known exactly, there are several factors which can be held responsible for causing this type of disorders likes:
1. Genetics-A person, who has parents or siblings suffering from eating disorders, has higher chances of suffering from it as well.
2. Society- In order to fit into the society, people often find it very necessary to look the best, which means being thin. Peer pressure and the worry about what people say fuels the desire, more like desperation in a person to become thin, which may lead to an eating disorder.
3. Emotional and psychological health- Problems directly linked with the psychological and emotional health of a person, like low self-esteem, impulsive behavior, relationship associated trouble and perfectionism can also lead to eating disorders.
There are certain factors which increase the risk of eating disorders.
1. Age-Anyone can suffer from this condition. However, a teenager or a young adult has higher chances of getting an eating disorder.
2. Gender- Females have higher risks of suffering from eating disorders than men.
3. Stress- Anyone who is going through any kind of emotional/mental stress has high chances of getting an eating disorder.
4. Family history-People who have a family history of this condition, i.e. their parents or siblings had suffered from it earlier, have higher chances of getting any kind of eating disorder.
5. Other mental disorders-Obsessive compulsive disorder, depression and anxiety are some mental disorders which may trigger this condition in an individual.
6. Profession-Athletes, sports persons, dancers, models or actors have higher chances of suffering from eating disorders because they always have this urge/want to look the best, so they starve themselves.
Related Tip: Can Depression Really Increase Creativity?