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Dr. Ashish Sakpal  - Psychiatrist, Mumbai

Dr. Ashish Sakpal

93 (745 ratings)
DNB (Psychiatry), DPM, MBBS

Psychiatrist, Mumbai

10 Years Experience  ·  500 - 800 at clinic  ·  ₹200 online
Get ₹125 cashback on this appointment (No Booking Fee)
Dr. Ashish Sakpal 93% (745 ratings) DNB (Psychiatry), DPM, MBBS Psychiatrist, Mumbai
10 Years Experience  ·  500 - 800 at clinic  ·  ₹200 online
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Hello!<br/><br/>I am Dr Ashish Sakpal I am a consultant psychiatrist and sexologist practicing in...

Hello!

I am Dr Ashish Sakpal I am a consultant psychiatrist and sexologist practicing in suburban areas of Mumbai.

Today we are going to talk about sexual dysfunctions, as we know there are many misconceptions related to sex and its problems. So, today I would like to clear certain types of sexual problems which may exist. Sexual dysfunction can be classified into mainly 5 categories, first is disorders related to desire, jaise ki ichha mein problem hona, in desire related disorders there are mainly two categories like first is hypoactive sexual desire disorder and hyperactive sexual desire disorder. In hypoactive ichha kam ho jati hai sex ke baare mein and in hyperactive bahut tej ichha hoti hai sex ke baare mein. And the second category in sexual dysfunctions is a problem related to excitement in which there is condition called as erectile dysfunction, erectile dysfunction mein sexual activity ke dauran penis ka flaccidity ho jana, ya phir penis ka erection hone main difficulty hona yeh usually dekha gaya hai. Third category in sexual dysfunction is disorders related to orgasm in which the first is premature ejaculation and second is anorgasmia. In premature ejaculation during the sexual activity the person loses his erection early and thus resulting into problems related to reaching orgasm, jaise ki sexual dysfunction jo premature ejaculation hai usme jo penis hai uska dhilapan ho jata hai or during activity shurvat mein ek kadak pan rahta hai lekin aage chal ke dhilapan aa jata hai. Second is anorgasmia jisme jo patient hain unko kabhi orgasm hi achieve nahi hota hai. Fourth part in sexual dysfunction is problem related to pain, the category is mainly in vaginismus, vaginismus mein during sexual activity jo dono partners hai unko dard ho sakta hai jis wajah se sexual activity puri nahi ho pati. Fifth part is miscellaneous category in which there are problems related to general medical conditions and problem related to substance abuse.

In which basically jo sex ki problems hona due to koi medical condition jaise ki diabetes hona, blood pressure hona, ya phir koi drugs, ya phir koi madak dravyoin ke sevan ki wajah se sexual problems hona. These are broadly the five categories under which sexual dysfunction exist. Now we will talk about the causes of the sexual dysfunction ya phir karan yeh sexual dysfunction hone ke. The most common cause is local genital pathology, jaise ki genital organs hai unmein koi pathology ki wajah se sex mein problem aana, second cause is endocrine dysfunction ya phir hormonal changes hona body mein jiss vajah se sexual problem hona. Third cause is neurological dysfunction jaise brain ki bimariyon ki wajah se sexual dysfunction hona. Fourth cause is due to drugs jaise ki koi dawaiyoo ke lene ki vajah se, jaise ki blood pressure ki dawaiyan, psychiatric dawaiyan and the last is due to substance jaise ki koi nashe ki cheeze, jaise ki tambaku ka sevan, alcohol, ya phir koi bhi nashile padhartho ka sevan ke vajah se sex main problem aana.

So how to diagnose these kind of sexual dysfunction, inn saare sex related bimariyon ko hum pehchane kaise. The first most common thing what we do, is take general history of the patient and physical examination, second is we send the patient for some blood investigation related to his problems described in the examination and thus there are certain special tests which can be done for these sexual problems like phenyl plethysmography or doppler or a duplex ultrasonography or maybe we can do is nocturnal penile monitoring, tumescence manassin monitoring and lastly what we do is cavernosography. Now how to treat this sexual dysfunction, the first and foremost is to identify the cause causing the sexual dysfunction and treat it as per your diagnosis, second is counselling it can be individual counseling or group counselling. In counselling what we exactly do is we understand the education about sexuality and sex related problems the patient has, any particular problems related to the couple or any communicated issue with the couple which can be there during the sexual intercourse or otherwise. After counselling what we can start is behavioural therapy for the patient in which first is relaxation therapy to calm the patient the excitement related to the sexual act. Second is ascertain skill in which we explain how to communicate to each other for couples, third is biofeedback and forth is systematic desensitization. What else is there is master in johnson therapy, in which these are specialised skills which can be taught during the sexual intercourse to the patients like squeeze technique, start stop start technique and later what we can try after behavioural therapy is medication or medicines which can be given to enhance the performance of the patient during the sexual intercourse. It is a temporary phase for the medication, gradually we have to work upon the counselling and the behavioural therapy and after which the medications can be stopped.

This was the brief description of sexual dysfunctions for more information you can contact me through Lybrate or book appointment through Lybrate portal and do not hesitate to come and talk about sex and its problems related to your life. Thank you.

read more
Hello,<br/><br/>I am Dr. Ashish Satpal, I am consultant psychiatrist working at Oshiwara, Kandiva...

Hello,

I am Dr. Ashish Satpal, I am consultant psychiatrist working at Oshiwara, Kandivali, Mira Road and Bhayandar.

Today we are going to talk about Obsessive Compulsive Disorder. It is very common in India and other countries. If we see the probability of having obsessive compulsive disorder its 1 in 100 - sau logon mein se ek aadmi ko obsessive compulsive disorder ho sakta hai.

Males or females purusho aur striyon mein samantar hai, koi alag bhed- bhav nahi hai isme. Obsessive compulsive disorder mein mainly start hota hai obsession se, jahan pe the patient gets recurrent intrusive thoughts , jaise ki baar baar ek ki vichar aana , koi particular soch ke baare mein, koi particular image ya phir koi intrusive impulse ke baare mein. Agar wo patient control nahi kar paya woh thought , to us wajah se anxiety yaani ki ghabrahat ho sakti hai.

Yeh ghabraahat kam karne ke liye usually patient compulsion karta hai jise kriya kehte hain . Baar baar haath dhona ya phir baar baar koi cheez check karna toh is kriya ki wajah se usse temporary relief milta hai , jis wajah se jo obsession , jo thought tha woh exacerbate ho jata hai.Yeh ek positive cycle ki tarah har baar jitni baar yeh obsession, anxiety, compulsion and temporary relief hoga uthna hai ye circuit from hota jata hai.

In obsessive compulsion disorder, usually jo humne dekha gaya hai ki ek soch jo atuck jati hai is wajah se baar baar ye kriya hoti rehti hai. For example , kisi ko soch aati hai ki mere haath gande hain ya phir cheeze aas paas gandi hai toh uska compulsion hoga ki woh baar baar hath dhoyega.

Kisi ko baar baar khyaal aayega ki maine light band kiya hai ke nahi, switch band kiya hai ki nahi, gas knob band kiya hai ki nahi uska compulsion hoga ki baar baar woh check karega. Is wajah se zyaadatar patient apna time waste kar lete hain, jaise ki ek ghanta ya dedh ghanta sirf nahaane mein ya hath dhone mein guzar dena, ya phir baar baar ek hi khayal aana ki meine woh cheez check ki hai ki nahi. Koi koi patient ko rituals rehte hain jaise ki itni baar bhagwan ka naam lena taki mujhe achha lage ya phir mera din kharab ho jayega , baar baar koi impulse jo aati hai unko ki mujhe baar baar mobile check karna hai, mujhe baar baar ye dekhna hai ki maine barabar sahi jagah pe hoon ke nahi, is wajah se zyadatar woh apna jo kaam rehta hai wo bhul jate hain.

Yeh day to day life mein bahut impact karta hai kuch kuch hudd tak kitna hota hai ki 24 ghante mein se 16 se 18 ghante patient ye kriyaon mein time waste karte hai.

OCD ya Obsessive Compulsive Disorder ke themes alag alag hote hain, ek theme hai contamination jaise ki gandagi ke baare mein khayal aana aur usse related compulsion hai, cleaning, saaf safai karna. Doosra theme hai symmetry ki cheeze barabar hai ke nahi uske baare mein check karte rehna, uska compulsion hai ki hum baar baar cheeze arrange karne lag jate hain. Teesra theme hai anger, gussa aana baar baar gusse ke baare mein khayal aana, uska jo compulsion jo kiya hai ke hum apne aap ko baar baar check karte rehte hain. Aur ek theme hai ki anchahi impulse baar baar aana, jaise ki sexual thought jo baar baar intersuve hai jo humko theek nahi lagta aur uska jo compulsion part hai usme hum rituals karte hain ki hum bhagwan ka naam le lenge, ya phir hum koi jagah avoid karenge jaana, toh isme jyadatar log fas jaate hain aur uss wajah se day to day life mein yeh impact karta hai.

Obsessive compulsive disorder childhood ya early adolescence jaise ki early age mein teenagers mein usually start hota hai lekin agar yeh late detect hua jaise ki middle age toh iska aage chalke prognosis achha rehta hai. If it is early age like childhood me detect hua hai toh prognosis thoda guarded hoga, jo karan hai obsessive-compulsive disorder hone ke wo ab tak bahut clear nahi hai, the exact cause is unknown.

Jo karan bataye gaye hain literature main usme ek cause hai ki genetic, jaise ki anuvanshik karan ho sakta hai jaise ki aapki family mein kisi ko OCD hai to aap ko hone ki probability around 30 to 40% hogi. Dusra karan hai environmental factor, jaise ki aap ke aas paas ki jo cheeze hai jaise ki stressful life substance use nasha karna ya phir koi bhi cheez ka samvedansheel hona yeh sare karan ki wajah se OCD bad sakta hai.

OCD ki treatment agar hum dekhe jaye toh usually doh part me hoti hai, ek hoti hai psychotherapy jisme hum log cognitive behavioral therapy use karte hain jiska part hai exposure and response prevention. Jaise ki psychotherapy mein hum log usually patient ko uss darr se expose karte hain aur jo uske eventually compulsion activity rehte hain unko prevent karna sikhate hain.

ERP ya Exposure Response Prevention has shown good result in early cases, jo cases bahut jayada hote hain usme hum log medicines use kar sakte hain, medicines jaise ki serotonin wale medicine SSRIs. Serotonin aisa ek jayadatar dekha gaya hai ki OCD me serotonin ka level kafi kam hota hai, toh jaise hi hum dawaiya shuru karte hain jaise ki SSRIs Selective Serotonin Reuptake Inhibitor, jisme brain mein serotonin ki matra bad jati hai aur yeh jo circuit hai yeh thoda slow ho jata hai.

Medicines or therapy ke saath mein OCD ko hum kafi acchi tarah control kar sakte hain. OCD ye ek aisi bimari hai jo day to day life mein humko her ek cheez mein hum ko latka sakti hai. OCD ka sahi ilaj pehla step yeh hai ki hum OCD ko samjho OCD ko samajhne ke baad hum aage usko apnaye aur therapy ki aur bade. OCD ye ek aisi bimari hai jo hume har samay humko fight karna padega ke aise nahi hai ki char din goli khayi aur aap theek ho gaye, maybe treatment can go up to maybe one year or maybe 3 years also. But then you have to be persistent aapke jo prayatna rehte hain wo regular hone chahiye tabhi aapko isme asar dekhega.

For more information regarding OCD or any other psychiatric disorders you can contact me through lybrate portal, aap mujhse sampark kar sakte hain lybrate online services se ya phir aap mujhe personally aake bhi consult kar sakte hain.

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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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
Senior Psychiatry Resident at Dr. R. N. Cooper General Municipal Hospital
Psychiatry Registrar at Masina Hospital
...more
Psychiatry Resident at Sir J.J Group of Hospitals
Languages spoken
English
Hindi
Awards and Recognitions
Completed Training Program In Rational Emotive Behavioural Therapy
Assisted In Pubication of Scientific information Booklet Defeat Depression Prevent Suicide For Federation of Western India Cine Employees
Professional Memberships
Bombay Psychiatric Society
Indian Psychiatric Society
Maharastra Medical Council

Location

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Dr. Kiran's Mind Center

B-102, Giriraj Heights, Lalji Pada, Link Road, Landmark : Near Axis Bank & Maharashtra BankMumbai Get Directions
  4.7  (745 ratings)
800 at clinic
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Bhayandar Criticare

Goddev, Near Abhinav Vidya Mandir, Phatak Road, Lazarus Park, Bhayandar East, Mira BhayandarBhayandar East Get Directions
  4.7  (745 ratings)
500 at clinic
...more

Neev Child Development Centre

Sonam Sarovar, Near Ramdwar, Opposite Roxy Gym New Golden NestMira Bhayandar Get Directions
  4.7  (745 ratings)
500 at clinic
...more
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"Very helpful" 27 reviews "knowledgeable" 28 reviews "Sensible" 4 reviews "Well-reasoned" 4 reviews "Inspiring" 5 reviews "Caring" 7 reviews "Practical" 4 reviews "Professional" 5 reviews "Helped me impr..." 1 review "Prompt" 1 review "Saved my life" 1 review "Thorough" 2 reviews

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Depression - How It Can Be Detected?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Depression -  How It Can Be Detected?

Depression is a serious yet common mental health problem that can affect all age groups ranging from young children to the elderly. It is found to be more common among women when compared to men. It can take a toll over one’s peace of mind, physical health, interpersonal relationships as well as job performance (or academic performance). What is deceiving is, the person can also be functioning well, in which case, it can go unnoticed, leading to grave consequences. The good news is that depression is treatable and individuals are able to function much better with treatment. Affected individuals feel sad most of the time. He/she loses the ability to enjoy/be happy. 

As a result of this, the daily activities that he/she participates in do not seem to appeal to him/her anymore. This is especially true in the case of socialising. The affected person will just seem to drop out of social circles. This can be said to be ironic because it is times like these when the individual with depression is in need of friends the most! 

The individual seems to have an overriding belief that the status quo will not be altered by anything and he or she will be stuck in a rut in perpetuity. In other words, depressed people experience a perennial feeling of helplessness. Negative thoughts can also drive one to commit suicide. 

A lot of people who have depression tend to experience a loss of energy. As a matter of fact, this is quite the case with men who enter a phase of depression, as the symptoms which are displayed by them can contrast sharply to those displayed by women. One of the reasons for men tending to report a higher chance of this than women is the fact that they are less likely to express feelings of self loathing. Rather, they usually talk about sleep problems and a loss of interest in things that once they might have found to be interesting or even captivating. They also gradually get quite irritable.

When it comes to women, guilt is quite likely to be felt. They may also sleep a lot longer than what is considered to be normal. Eating habits are a better indication of the presence or absence of depression than most people would realise. Overeating is one of the prime signs, especially in the case of women who are depressed. This leads to them putting on weight, as the rise in the intake of food is compounded by a drop in the amount of healthy physical activity. On the other hand, many may also experience loss of appetite, which over a period of time can even lead to weight loss. Some women who are depressed also complain of aches and pains in the body.

A few individuals who are depressed also complain of weird experiences, like being able to hear voices calling out to them, abusing them in dirty language, asking them to hurt themselves (hallucinations). Some may be found to be extremely suspicious about people around them.

3 people found this helpful

Stress Management - How To Deal With It?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Stress Management - How To Deal With It?

Stress can be defined as the way in which human body responds to any kind of threat or demand. When you feel stressed, the central nervous system releases some “stress hormones” like cortisol and adrenaline which trigger the whole body for urgent action. For successful stress management, you will have to practice techniques that particularly work for you. This is because what may work for others may not be as helpful for you and vice versa. Also the way, stress manifests itself differs from individual to individual. However, practicing these basic techniques may help.

Find out the habits that make you stressful:

  1. It is absolutely easy to know what is making you feel helpless and stressed out and this is the first thing you must do for yourself.
  2. You should now try to ignore your thoughts, sadness and behaviors that constantly make you stressful. By doing this, you will be able to understand whether it is really the demand from different aspects of your life or it is you who is contributing to the stress.
  3. You may start maintaining a stress journal where you will jot down what has made you stressful and how you felt about it and finally, how you reacted. You can continue keeping it until you see significant improvements.

Eliminate unhealthy habits with healthy coping strategies:

  1. Relax and contemplate about how you try to manage stress presently. Do you take any medications and how far are they effective in managing your stress?
  2. There are some people who resort to smoking, taking anti-depressants, withdrawing from family and loved ones, sleeping more than needed and taking out the stress on other people. You should also consider the long-term effects of your present coping strategies.
  3. If you find that your coping strategies are not quite effective, it is probably time to change and replace them with healthy habits.

Get up and start moving:

  1. Physical activities can help you to a great extent when you are willing to cope up with the daily stress. That doesn’t mean you will have to become an athlete to reduce stress.
  2. Spending an hour doing free hand exercises or even at the gym can be considerably beneficial.
  3. This is because when you perform some physical activity, it releases endorphins which are known as “happy hormones.” This can boost your mood and burn out the frustration and anger that are putting you down.
  4. Start following these easy steps today to see desirable reduction in stress levels.
     
4 people found this helpful

Sexual Dysfunction

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Play video

Hello!

I am Dr Ashish Sakpal I am a consultant psychiatrist and sexologist practicing in suburban areas of Mumbai.

Today we are going to talk about sexual dysfunctions, as we know there are many misconceptions related to sex and its problems. So, today I would like to clear certain types of sexual problems which may exist. Sexual dysfunction can be classified into mainly 5 categories, first is disorders related to desire, jaise ki ichha mein problem hona, in desire related disorders there are mainly two categories like first is hypoactive sexual desire disorder and hyperactive sexual desire disorder. In hypoactive ichha kam ho jati hai sex ke baare mein and in hyperactive bahut tej ichha hoti hai sex ke baare mein. And the second category in sexual dysfunctions is a problem related to excitement in which there is condition called as erectile dysfunction, erectile dysfunction mein sexual activity ke dauran penis ka flaccidity ho jana, ya phir penis ka erection hone main difficulty hona yeh usually dekha gaya hai. Third category in sexual dysfunction is disorders related to orgasm in which the first is premature ejaculation and second is anorgasmia. In premature ejaculation during the sexual activity the person loses his erection early and thus resulting into problems related to reaching orgasm, jaise ki sexual dysfunction jo premature ejaculation hai usme jo penis hai uska dhilapan ho jata hai or during activity shurvat mein ek kadak pan rahta hai lekin aage chal ke dhilapan aa jata hai. Second is anorgasmia jisme jo patient hain unko kabhi orgasm hi achieve nahi hota hai. Fourth part in sexual dysfunction is problem related to pain, the category is mainly in vaginismus, vaginismus mein during sexual activity jo dono partners hai unko dard ho sakta hai jis wajah se sexual activity puri nahi ho pati. Fifth part is miscellaneous category in which there are problems related to general medical conditions and problem related to substance abuse.

In which basically jo sex ki problems hona due to koi medical condition jaise ki diabetes hona, blood pressure hona, ya phir koi drugs, ya phir koi madak dravyoin ke sevan ki wajah se sexual problems hona. These are broadly the five categories under which sexual dysfunction exist. Now we will talk about the causes of the sexual dysfunction ya phir karan yeh sexual dysfunction hone ke. The most common cause is local genital pathology, jaise ki genital organs hai unmein koi pathology ki wajah se sex mein problem aana, second cause is endocrine dysfunction ya phir hormonal changes hona body mein jiss vajah se sexual problem hona. Third cause is neurological dysfunction jaise brain ki bimariyon ki wajah se sexual dysfunction hona. Fourth cause is due to drugs jaise ki koi dawaiyoo ke lene ki vajah se, jaise ki blood pressure ki dawaiyan, psychiatric dawaiyan and the last is due to substance jaise ki koi nashe ki cheeze, jaise ki tambaku ka sevan, alcohol, ya phir koi bhi nashile padhartho ka sevan ke vajah se sex main problem aana.

So how to diagnose these kind of sexual dysfunction, inn saare sex related bimariyon ko hum pehchane kaise. The first most common thing what we do, is take general history of the patient and physical examination, second is we send the patient for some blood investigation related to his problems described in the examination and thus there are certain special tests which can be done for these sexual problems like phenyl plethysmography or doppler or a duplex ultrasonography or maybe we can do is nocturnal penile monitoring, tumescence manassin monitoring and lastly what we do is cavernosography. Now how to treat this sexual dysfunction, the first and foremost is to identify the cause causing the sexual dysfunction and treat it as per your diagnosis, second is counselling it can be individual counseling or group counselling. In counselling what we exactly do is we understand the education about sexuality and sex related problems the patient has, any particular problems related to the couple or any communicated issue with the couple which can be there during the sexual intercourse or otherwise. After counselling what we can start is behavioural therapy for the patient in which first is relaxation therapy to calm the patient the excitement related to the sexual act. Second is ascertain skill in which we explain how to communicate to each other for couples, third is biofeedback and forth is systematic desensitization. What else is there is master in johnson therapy, in which these are specialised skills which can be taught during the sexual intercourse to the patients like squeeze technique, start stop start technique and later what we can try after behavioural therapy is medication or medicines which can be given to enhance the performance of the patient during the sexual intercourse. It is a temporary phase for the medication, gradually we have to work upon the counselling and the behavioural therapy and after which the medications can be stopped.

This was the brief description of sexual dysfunctions for more information you can contact me through Lybrate or book appointment through Lybrate portal and do not hesitate to come and talk about sex and its problems related to your life. Thank you.

2953 people found this helpful

Is There A Link Between Marijuana Use And Psychiatric Disorders?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Is There A Link Between Marijuana Use And Psychiatric Disorders?

Cananbis Sativa is a hemp plants which creates a variety of drugs including marijuana. This plant has an active ingredient known as THC that makes a person feel high upon ingestion. The compounds of this ingredient can also affect the way a person's body functions. Usually, high doses of this can cause potentially life threatening effects on the person. It is mostly ingested in the form of dried leaves, flowers, stems and seeds. People also mix it in vapourisers, or brew it as tea. It may also be baked as cookies. While the physical side effects are many, smoking or ingesting this substance can also lead to many mental side effects. Let us find out more:

Physical Side Effects:As per various medical studies, the inhalation or ingestion of Cannabis can take your heart rate to an increased level of two times its normal rate. This state can last up to three hours. Also, people who have had very high doses or suffer from this increased heart rate for a prolonged period may die due to a sudden cardiac arrest. Dizziness and shallow breathing are also a part of the side effects while dilated pupils and red eyes may also be seen. Further, a sudden spike in one's appetite and a dry mouth are some of the other side effects.

Cravings:A person who has ingested Cannabis may experience many side effects that are on the mental and emotional side. The more mild side effects include the experience of cravings for certain types of food, as well as an increase in one's appetite where the person does not manage to keep track of what he or she is eating, and in what quantity. Also, sleeplessness and irritability may set in.

Mind and Mood Changes:After Cannabis ingestion, the person may feel extremely happy or extremely sad. Either which ways, the patient will feel a sense of detachment as far as reality goes. While he or she may not be acutely aware of the same, the people around the patient will be able to sense this with the words and actions of the person. The patient may also experience a distorted sense of time and motion, while depression and anxiety may also set in with prolonged abuse of this drug. Short term memory impairment may also take place, which can lead to forgetfulness regarding important details. Also, random thinking and strange fears may begin to plague the person in question.

In case you have a concern or query you can always consult an expert & get answers to your questions!

 

3489 people found this helpful

Eating Disorders - How You Can Support Your Child?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Eating Disorders - How You Can Support Your Child?

If your child develops an eating disorder, you might be unsure about how to solve the problem and how to act on it. Eating disorders occur when your child tends to either eat in excess, or eats too less. The behavior of your child is also subjected to change because of an eating disorder. It is likely for him to get withdrawn, rude, and touchy. This makes it difficult for you to deal with them at a time when communication is necessary. Here are some essential tips that you should follow in dealing with eating disorders in children:

  1. You should get advice about how to talk to your child. It will help you in realizing that your child is likely to be defensive as their eating disorder is a form of coping. Hence, it is normal for a child to be reluctant about letting go of it. If your child is undergoing treatment, the treatment team has a vital role to play. However, your constant love and support are also very important.
  2. It is important to talk to your child about the condition, even though he cannot accept that he is having a problem. Communication is an essential part of treatment, which you should never ignore. You should not blame or judge your child, and refer proper resources to him. You have to be prepared for a negative response from your child.
  3. You should educate yourself properly about your eating disorder. Abstain from talking to your child about his appearance, even in the form of a compliment. Use ways for boosting your child’s self-esteem and confidence.
  4. Abstain from referring to weight problems and diets followed by other people. You need to assure your child that you will be there for him, no matter what. You should talk to him about activities he should get involved in, in a positive tone and approach.
  5. Coping with the meal times of your child suffering from an eating disorder is very important as well. Consult your child’s treatment team to know about ways of arranging your meal times ideally.
  6. Take your child out for shopping and agree on having meals that are acceptable, from both your and his end.
  7. You should have an agreement with your whole family regarding meals, which will help to set the expectations of everybody. Agree on not talking about fat content, calorie content, or portion sizes during meals.
  8. You must abstain from consuming low calorie food items in front of them. Try to keep the meal time atmosphere positive and light hearted. Do not focus on others during meal times and teach your child to concentrate on his own meal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3686 people found this helpful

Dealing With Hostile And Aggressive Behaviour In People!

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Dealing With Hostile And Aggressive Behaviour In People!

Do you have the habit of breaking into violent outbursts, accompanied by repeated episodes of impulsive, violent, and aggressive behavior? These are indications of intermittent explosive disorder, which makes you react grossly in a situation. Such violent outbursts can cause great distress to you, by negatively affecting your daily activities and personal relationships.

It is important to treat violent outbursts to avoid getting into big troubles, which are quite likely.

  1. Psychotherapy: Individual counseling or group therapy can be beneficial for treating violent outbursts. Cognitive behavioral therapy is commonly used for treating people suffering from intermittent explosive disorder. You are taught how to identify behaviors and situations, which might trigger you to respond aggressively. You are also taught about anger management, using techniques like relaxation training.
  2. Medicines: Several different types of medications are used for treating violent outbursts. They include antidepressants and anticonvulsant mood stabilizers.

How can you control your anger? 

  1. Unlearn problem behavior: Coping well with anger can be learned. You need to practice all the methods you learn during the therapy. This helps you to recognize what triggers you and how to keep away from being triggered.
  2. Develop a plan: You should develop an action plan for the times when you feel that you are getting very angry. If you sense that you are losing control, you must try to get away from the situation. Find ways to distract yourself.
  3. Avoid alcohol and drugs: Alcohol and other recreational drugs increase your aggressiveness and trigger your violent nature. Hence, keep away from them.
  4. Take preventive steps: In order to keep away from violent outbursts while you are under treatment, you should take several preventive steps. They are as follows:
  5. Stick to your treatment plan: You must attend your therapy sessions, practice coping skills, and take your prescribed medicines regularly. Maintenance medications may be prescribed for avoiding recurrence of violent outbursts.
  6. Practice relaxations techniques: You must practice yoga, deep breathing, and take the help of relaxing imagery to keep yourself calm.
  7. Cognitive restructuring: You need to change the ways you think about a certain situation by thinking rationally. You should be logical and must learn to have reasonable expectations. These help you in positively reacting to a situation.

For dealing with violent outbursts, it is important for you to change your environment. Try to leave certain situations to which you reacted violently in the past. You need time on your own, and should take a peaceful break in order to normalize your impulsive nature. In case you have a concern or query you can always consult an expert & get answers to your questions!

3861 people found this helpful

Does Cannabis Cause Psychosis?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Does Cannabis Cause Psychosis?

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. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3237 people found this helpful

Obsessive Compulsive Disorder || Symptoms & Treatment

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
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Hello,

I am Dr. Ashish Satpal, I am consultant psychiatrist working at Oshiwara, Kandivali, Mira Road and Bhayandar.

Today we are going to talk about Obsessive Compulsive Disorder. It is very common in India and other countries. If we see the probability of having obsessive compulsive disorder its 1 in 100 - sau logon mein se ek aadmi ko obsessive compulsive disorder ho sakta hai.

Males or females purusho aur striyon mein samantar hai, koi alag bhed- bhav nahi hai isme. Obsessive compulsive disorder mein mainly start hota hai obsession se, jahan pe the patient gets recurrent intrusive thoughts , jaise ki baar baar ek ki vichar aana , koi particular soch ke baare mein, koi particular image ya phir koi intrusive impulse ke baare mein. Agar wo patient control nahi kar paya woh thought , to us wajah se anxiety yaani ki ghabrahat ho sakti hai.

Yeh ghabraahat kam karne ke liye usually patient compulsion karta hai jise kriya kehte hain . Baar baar haath dhona ya phir baar baar koi cheez check karna toh is kriya ki wajah se usse temporary relief milta hai , jis wajah se jo obsession , jo thought tha woh exacerbate ho jata hai.Yeh ek positive cycle ki tarah har baar jitni baar yeh obsession, anxiety, compulsion and temporary relief hoga uthna hai ye circuit from hota jata hai.

In obsessive compulsion disorder, usually jo humne dekha gaya hai ki ek soch jo atuck jati hai is wajah se baar baar ye kriya hoti rehti hai. For example , kisi ko soch aati hai ki mere haath gande hain ya phir cheeze aas paas gandi hai toh uska compulsion hoga ki woh baar baar hath dhoyega.

Kisi ko baar baar khyaal aayega ki maine light band kiya hai ke nahi, switch band kiya hai ki nahi, gas knob band kiya hai ki nahi uska compulsion hoga ki baar baar woh check karega. Is wajah se zyaadatar patient apna time waste kar lete hain, jaise ki ek ghanta ya dedh ghanta sirf nahaane mein ya hath dhone mein guzar dena, ya phir baar baar ek hi khayal aana ki meine woh cheez check ki hai ki nahi. Koi koi patient ko rituals rehte hain jaise ki itni baar bhagwan ka naam lena taki mujhe achha lage ya phir mera din kharab ho jayega , baar baar koi impulse jo aati hai unko ki mujhe baar baar mobile check karna hai, mujhe baar baar ye dekhna hai ki maine barabar sahi jagah pe hoon ke nahi, is wajah se zyadatar woh apna jo kaam rehta hai wo bhul jate hain.

Yeh day to day life mein bahut impact karta hai kuch kuch hudd tak kitna hota hai ki 24 ghante mein se 16 se 18 ghante patient ye kriyaon mein time waste karte hai.

OCD ya Obsessive Compulsive Disorder ke themes alag alag hote hain, ek theme hai contamination jaise ki gandagi ke baare mein khayal aana aur usse related compulsion hai, cleaning, saaf safai karna. Doosra theme hai symmetry ki cheeze barabar hai ke nahi uske baare mein check karte rehna, uska compulsion hai ki hum baar baar cheeze arrange karne lag jate hain. Teesra theme hai anger, gussa aana baar baar gusse ke baare mein khayal aana, uska jo compulsion jo kiya hai ke hum apne aap ko baar baar check karte rehte hain. Aur ek theme hai ki anchahi impulse baar baar aana, jaise ki sexual thought jo baar baar intersuve hai jo humko theek nahi lagta aur uska jo compulsion part hai usme hum rituals karte hain ki hum bhagwan ka naam le lenge, ya phir hum koi jagah avoid karenge jaana, toh isme jyadatar log fas jaate hain aur uss wajah se day to day life mein yeh impact karta hai.

Obsessive compulsive disorder childhood ya early adolescence jaise ki early age mein teenagers mein usually start hota hai lekin agar yeh late detect hua jaise ki middle age toh iska aage chalke prognosis achha rehta hai. If it is early age like childhood me detect hua hai toh prognosis thoda guarded hoga, jo karan hai obsessive-compulsive disorder hone ke wo ab tak bahut clear nahi hai, the exact cause is unknown.

Jo karan bataye gaye hain literature main usme ek cause hai ki genetic, jaise ki anuvanshik karan ho sakta hai jaise ki aapki family mein kisi ko OCD hai to aap ko hone ki probability around 30 to 40% hogi. Dusra karan hai environmental factor, jaise ki aap ke aas paas ki jo cheeze hai jaise ki stressful life substance use nasha karna ya phir koi bhi cheez ka samvedansheel hona yeh sare karan ki wajah se OCD bad sakta hai.

OCD ki treatment agar hum dekhe jaye toh usually doh part me hoti hai, ek hoti hai psychotherapy jisme hum log cognitive behavioral therapy use karte hain jiska part hai exposure and response prevention. Jaise ki psychotherapy mein hum log usually patient ko uss darr se expose karte hain aur jo uske eventually compulsion activity rehte hain unko prevent karna sikhate hain.

ERP ya Exposure Response Prevention has shown good result in early cases, jo cases bahut jayada hote hain usme hum log medicines use kar sakte hain, medicines jaise ki serotonin wale medicine SSRIs. Serotonin aisa ek jayadatar dekha gaya hai ki OCD me serotonin ka level kafi kam hota hai, toh jaise hi hum dawaiya shuru karte hain jaise ki SSRIs Selective Serotonin Reuptake Inhibitor, jisme brain mein serotonin ki matra bad jati hai aur yeh jo circuit hai yeh thoda slow ho jata hai.

Medicines or therapy ke saath mein OCD ko hum kafi acchi tarah control kar sakte hain. OCD ye ek aisi bimari hai jo day to day life mein humko her ek cheez mein hum ko latka sakti hai. OCD ka sahi ilaj pehla step yeh hai ki hum OCD ko samjho OCD ko samajhne ke baad hum aage usko apnaye aur therapy ki aur bade. OCD ye ek aisi bimari hai jo hume har samay humko fight karna padega ke aise nahi hai ki char din goli khayi aur aap theek ho gaye, maybe treatment can go up to maybe one year or maybe 3 years also. But then you have to be persistent aapke jo prayatna rehte hain wo regular hone chahiye tabhi aapko isme asar dekhega.

For more information regarding OCD or any other psychiatric disorders you can contact me through lybrate portal, aap mujhse sampark kar sakte hain lybrate online services se ya phir aap mujhe personally aake bhi consult kar sakte hain.

2527 people found this helpful

Understanding Dyscalculia - Your Child Could Be Suffering From It?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Understanding Dyscalculia - Your Child Could Be Suffering From It?

At a young age, it is fairly common to be afraid of math. The rational nature of numbers, multiplication tables, addition, subtraction and all that in between can admittedly be a tough thing to get on with at a tender age. But in most of the cases, this difficulty tends to improve as one attains maturity. This can be attributed to a growing familiarity with the subject and a subsequent change in the way of understanding certain things. But if your child suffers from a problem with understanding math even at a grown age, chances are he/she might be suffering from Dyscalculia- a special type of learning disorder that is characterized by a person’s inability to grasp the concepts of math or the very concept of numbers itself.

Dyscalculia generally occurs due to genetic factors. However, it is also possible to encounter this disorder if your child had suffered from significant brain injury in the past or have problems with remembering things. It is also possible to have this disorder, if your child is already suffering from Dyslexia ( a learning disorder which makes your child unable to read or understand written words).

The symptoms of Dyscalculia are as follows:

  1. Inability to recognize numbers and significant trouble while counting.
  2. Significant problems while performing basic additions, subtractions or divisions.
  3. Facing problems with how to use money or telling time.
  4. The problem with memorizing mathematical formulae or tables.
  5. Your child might be unable to discern exactly how to approach a math problem.
  6. Your child will be increasingly reluctant to go to a math class or feel tensed before math examinations.
  7. Inability to understand the basic functionality of numbers.

It is extremely important to remember that having this disorder does not necessarily mean your child has a bad academic record on the whole. Since this disorder can cause significant problems in the future for your child in terms of dealing with things in the real world, you should be extremely sensitive regarding its treatment.

The treatment of Dyscalculia might include:

  1. You should encourage your child more and more if they tend to get immensely frustrated with their math problems. If possible, try to help your child with his/ her homework.
  2. Strike a healthy relationship with your child. Make him realize that not being able to grasp the concept of numbers is not the end of the world. Explore his other skills. That might boost his lost confidence and might encourage him to approach math in a more efficient manner.
  3. You should try to make your child learn how to tell time or use money with little home exercises. If possible, try to make him learn the basic of math with daily activities like counting the number of flowers while walking down the streets.
  4. You must consult a specialist who will make your child learn numbers by following different modes other than writing. For example, the specialist might read a math problem to your child in order to make him understand the problem. 
16 people found this helpful

Why Having A Sibling is Good for Your Health?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Why Having A Sibling is Good for Your Health?

In most Indian homes, a family is not complete with just one child. Until about a couple of decades ago, a family with a single child was very rare. The most common response would be 'with whom the child will play'. Between the siblings, there is always so much love. Starting from getting attention from the parent to education at all stages of life, this is one relationship which just grows and grows. While it definitely is a feel-good factor, scientifically too, it has been proven to have multiple benefits.

Read on to know some benefits of having siblings and how it can help you stay healthy and positive.

  1. A constant companion: With a sibling around, there is no need to look for a play or study companion. There is always one available right in the same home. This provides for a happy, healthy equation with a lot of give and take that just extends through life.
  2. Continuous learning environment: With a sibling around, the learning never stops. There is a constant teacher/mentor-student relationship with the elder one having an upper hand and trying to teach the younger one all sorts of things from using a chalk to spoon to math to magic.
  3. Sharing begins at home: Whether it is your toys or colours, stationary or chocolates, siblings share a lot of stuff and so from a very young age, there is a behaviour that encourages sharing of all sorts of things. Studies have shown that children with siblings show a lot more sympathy and are more open to sharing things as compared to single children.
  4. Builds selflessness: The next time you see two siblings, notice how the elder one is always so protective of the younger one. The elder one is willing to give up their chocolate just so the younger one smiles. Similarly, the younger one also would give up a toy so that the elder one is happy. This selflessness is ingrained in children with siblings, which extends into their other relationships too later in life.
  5. Tougher individuals: Problem solving is something which gets built in early in life when children have siblings. This comes in handy later in life too, which makes them tougher individuals. They are also better skilled at negotiating, good at setting and achieving goals, managing relationships (both professional and personal), and are so more successful.

The relationship with a sibling just continues through life. The above are some pointers as to how having a sibling makes for a happy, healthier, and positive life. Anyone with a sibling would definitely vouch for these!

In case you have a concern or query you can always consult an expert & get answers to your questions!

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