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I was having therdepression. Ashish Sakpal has so much knowledge that for everything my family takes herreference. Even though I was fit and fine, it was shocked when I got to know that I have depression. Both Ashish Sakpal and staff were very helpful. The waiting area in the dr Kiran's Mind Center is very comfortable for elderly patients. The complete process of depression treatment was so painless and quick, and i am so relieved that I chose to consult him. Over the period of time I noticed a number of changes in myself. With the help of hertreatment for depression I am feeling so great.
I had got addicted to smoking due to which I started facing several issues. One of my colleague referred Dr Ashish. In the very 1st seating he told me the problem and how the treatment procedure will be carried out. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. I must say that he is really a patient doctor and helped me in full recovery.
There is no one I trust more with my Problems than dr Ashish Sakpal, he is far and away the best doctor I have ever met and nothing I can say really does justice to the man who has had a very special approach with my problem solving of alcohol addiction , he is extremely knowledgeable, compassionate, caring person and a truly outstanding doctor,. His clinic is at dr Kiran's Mind Center in Mumbai
From quite some time i was suffering from it, but never gave much importance. I was having issues with premature ejaculation. He is very professional and is a really patient listener. I was quite concerned, as my health was degrading day by day, but due to Dr Ashish Sakpal and the premature ejaculation treatment I didn't lose hope.
dr Ashish Sakpal made me comfortable and induced enough confidence in me to share my problem with him regarding anxiety issues in sufficient manner and in detail. He did not hurry me and answered my doubts and questions in calm and composed manner. I am very thankful to him. He can be consulted at dr Kiran's Mind Center in Mumbai.
He was very welcoming. At once knowledgeable and down to earth. I liked talking to him and he listened to me patiently. I particularly liked the fact that he wanted to prescribe as little medication as possible, though making sure that the medicines will be enough to make a difference. I look forward to meeting him again.
Taking a treatment from dr Ashish Sakpal for anger managment is the best decision I have ever made.Very good doctor very humble, good listener recommending him to everyone who is having any problem. He can be found at dr Kiran's Mind Center in Mumbai.
I visited dr Ashish Sakpal at Neev Child Developmental Center in Mira Bhayandar. He treated my child’s abnormal behavior who was having OCD related difficulty regarding symmetry, order and exactness. Now, he’s in a good shape.
I was in too much stress from past few days. My father took me to Dr Ashish. I appreciate the way he traets his patients. His treatment suited me the best. I owe him a big thank for treating me so patiently.
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 knowledgeable. Helpfull
Dr. Ashish Sakpal provides answers that are very helpful. Thanks
Apt answer apt doctor very good experience thankyou
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.
- 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.
- 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.
- 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.
- The child is also taught relaxation techniques, which can help in controlling the urge.
- 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.
- 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. Consult an Expert & get answers to your questions!
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:
- Vitamin B12 replacement in people with vitamin deficiency
- Treat hypothyroidism with thyroid replacement
- Manage depression with antidepressants
- Change or substitute medications leading to memory loss
- Mild to moderate Alzheimer’s disease can be controlled with acetylcholine esterase inhibitors like rivastigmine and galantamine; more severe forms with memantine hydrochloride.
- Manage behavioural changes with antipsychotics
- Recommend surgical removal if there are brain tumours that cause increased pressure
- Treat brain infections like encephalitis, if present.
- 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:
- Help the affected person become independent and manage daily activities on their own.
- Include cognitive stimulation with activities and games to improve memory and cognitive functioning.
- Validation therapy and behaviour therapy are also used, depending on the symptoms.
- 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.
- 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.
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.
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.
- 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.
- 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.
- 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:
- Encourage communication and help them understand problems
- Cognitive therapy to change feelings and behaviour and thinking patterns
- Medications like antidepressants and anti-anxiety drugs
- Family therapy where symptoms are taught, especially to identify an attack
- 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.
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:
- 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.
- 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.
- 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.
- Lack of innovation: Continuous consumption of the drug can also make a person repetitive; you stop conceiving new ideas.
- Reduced confidence: Studies show how you can become very nervous due to the effects of cannabis.
- 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.
- 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.
- 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.
Hands are shivering when panic and holding some weightless cups some times but I not consume any alcohol what is the reason.
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.