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Dr. Bharat R. Shah

Psychiatrist, Mumbai

Dr. Bharat R. Shah Psychiatrist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Bharat R. Shah
Dr. Bharat R. Shah is a trusted Psychiatrist in Mumbai, Mumbai. You can consult Dr. Bharat R. Shah at Disha Psychiatric Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Bharat R. Shah and consult privately on Lybrate.com.

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Disha Psychiatric Clinic

Disha Psychiatric Clinic, Hari Niwas, 1 Postal Colony, Chembur-400071, MumbaiMumbai Get Directions
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BPT, BPTh/BPT
Physiotherapist, Lucknow
What is Rett syndrome?

Rett syndrome is a neurodevelopmenal disorder that affects girls almost exclusively. It is characterized by normal early growth and development followed by a slowing of development, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability.
The disorder was identified by Dr. Andreas Rett, an Austrian physician who first described it in a journal article in 1966. It was not until after a second article about the disorder, published in 1983 by Swedish researcher Dr. Bengt Hagberg, that the disorder was generally recognized.
The course of Rett syndrome, including the age of onset and the severity of symptoms, varies from child to child. Before the symptoms begin, however, the child generally appears to grow and develop normally, although there are often subtle abnormalities even in early infancy, such as loss of muscle tone (hypotonia), difficulty feeding, and jerkiness in limb movements. Then, gradually, mental and physical symptoms appear. As the syndrome progresses, the child loses purposeful use of her hands and the ability to speak. Other early symptoms may include problems crawling or walking and diminished eye contact. The loss of functional use of the hands is followed by compulsive hand movements such as wringing and washing. The onset of this period of regression is sometimes sudden.
Apraxia — the inability to perform motor functions — is perhaps the most severely disabling feature of Rett syndrome, interfering with every body movement, including eye gaze and speech.
Children with Rett syndrome often exhibit autistic-like behaviors in the early stages. Other symptoms may include walking on the toes, sleep problems, a wide-based gait, teeth grinding and difficulty chewing, slowed growth, seizures, cognitive disabilities, and breathing difficulties while awake such as hyperventilation, apnea (breath holding), and air swallowing
14 people found this helpful
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I am 34 years old and studying for some competitive exams, but I feel pressure in my mind while solving the online questions and because of that could not solve the questions in the proper manner, but ,please guide me what can I do.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am 34 years old and studying for some competitive exams, but I feel pressure in my mind while solving the online qu...
Dear Lybrate user. I can understand. This is a problem with many students who prepare for competitive exams. Why worry about exams if you are prepared well? This worry simply shows that you are not prepared well. I suggest online stress counseling. Take care.
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I am studying 10th class 15 days more for exams I have studied more hours up to 11 o'clock. My eyes have turned to red, 104 degrees fever l got 2 days more for exams. What I should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I am studying 10th class 15 days more for exams
I have studied more hours up to 11 o'clock.
My eyes have turned to re...
Dear lybrate-user, try this method many people are success first and most sleep early wake up early at 4.0 am and study with fresh mind, of course subjects which you are not interested you must spend more time and repeat it many times" practice makes perfect" not only. Switch off mobile phone when you go to bed and switch it on at 6 am.
5 people found this helpful
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How can I quit smoking. I have tried over the time but could not control with myself.

DNB, DPM, MBBS
Psychiatrist, Delhi
All patients should be assessed for (1) smoking status, (2) motivation to quit, and (3) motivators for and barriers to quitting. Smoking status includes current smoker, ex-smoker, or never-smoker; type of tobacco used; and frequency of use. In terms of motivation to quit, smokers can be classified as immotives (no plans to quit), precontemplators (plan to quit but not in the next 6 months), contemplators (plan to quit in the next 6 months), and preparers (plan to quit in the next month). Common motivators to quit are health concerns, effects of smoking on others, and social pressure. Treatments for smoking -------------------------------------------------------------------------------- psychosocial therapy behavior therapy social support pharmacological therapies bupropion (zyban) nicotine replacement therapy second-line pharmacological therapies read this well.
6 people found this helpful
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I want to quit smoking cigarrete but don't have that much will power to quit instantly. So is there any that i can do so. Thanks in advance.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
If you are an occasional smoker - with public messages, health awareness programs and your own doctors advice, you can quit. if you are a regular smoker, motivational therapy with a trained psychotherapist or a psychiatrist and enormous will power will help you quit. If you are a Diseased Smoker, Consult a Deaddiction Psychiatrist at the earliest. he may give you anti-smoking medications and deaddiction treatment.
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My wife was in relationship before marriage due to this I live in tension and thing about her relationship every time. What should I do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My wife was in relationship before marriage due to this I live in tension and thing about her relationship every time...
You both need to talk to each other. If you find difficult to sort out issues among yourselves, consult a psychiatrist/ psychologist. The fact that you are seeking help shows you care for your wife and wish to avoid thoughts of her previous relationships. However you need to get clarifications about your thought and feelings that keep haunting your mind.
1 person found this helpful
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Fr past 3 years I am smoking I need to quit it please consult me medicines that I can take at home and quit it completely plz.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advise. Take care.
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I am a suffering from depression. I am not able to focus on what I want to achieve. I have one friend without him I am unable to live. He is whole and sole for me. But after his marriage he started ignoring me on the demand of his wife. What to do I am not able to understand. I have started thinking about suicide attempts. My mind think like that only. What to do, his wife think that we both are gay. I am also married. But don't know how to handle the situation. And get out of this. Can you please help me. Please.

MBBS, DPM
Psychiatrist, Bangalore
I am a suffering from depression. I am not able to focus on what I want to achieve. I have one friend without him I a...
Dear Kaustubh, It is difficult to cut off from someone you love so much. But you have to do, since you don't want your friend to have problems with his wife. You also need to spend more time with your wife, other family members and other friends. May be, you are suffering from Major Depressive disorder and that is why you are thinking of suicide. You need treatment with antidepressants and talk therapy. That will take your mind to larger world of friends and relatives and other fun things.
1 person found this helpful
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I'm getting anxiety unnecessarily. When my weight increases a little , I'm getting anxious whether I would get fatty and get any disease even though I'm underweight. Pls advise me. When I'm becoming anxious , there is a clear viscous liquid (semen) leaking from my penis. Then I'm become weak.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I'm getting anxiety unnecessarily. When my weight increases a little , I'm getting anxious whether I would get fatty ...
Semen leaking it is not weakness. You feel yourself very sensitive. When sexual urge comes then semen releases it is common. Better to divert your mind to other aspects. Relaxation therapy is helpful to come out of the anxious status. Better to practice it. Anxiety status there is a chance to eat much more than normal status. Your anxiety status is your enemy. Better to come out of this stage. You are not getting any disease that is your feelling. It is called phobia. You need psychotherapy and behaviour therapy. So better to take the help of psychologist. Or recover yourself. Better share your feelings with your friends and family members. Do not be alone. Be sociable and be friendly with others. Ok all the best.
1 person found this helpful
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I have Lizard phobia. Even I fear a small baby lizard too. Please help me to overcome from this.

M. S. in Psychotherapy and Counselling
Psychologist, Jaipur
I have Lizard phobia. Even I fear a small baby lizard too. Please help me to overcome from this.
hi, I would suggest you to read the information about house lizard. It is harmless creature but as it looks awful and as it may fall on us so we tend to get scared of it. Try systematic desensitization... slowly expose yourself to lizard..first from a distance and then reduce the distance slowly. when you go near it you will find that the poor lizard is scared of you... :)
1 person found this helpful
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I have sleeping problem. I do good work in day time but couldn't get good sleep at night. I don't even feel much stress. Help me.

BAMS
Ayurveda, Ambala
I have sleeping problem. I do good work in day time but couldn't get good sleep at night. I don't even feel much stre...
These are some instructions & methods for good sleep: • Frequent oil massage of head with oil relax your mind and enhances sleep. You can also do foot massage daily it destress you. • Do not take stress. Do meditation and long breathing pranayams to relax the mind. • Do not take caffeine, tea & alcohol in excess and these are stimulant,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Avoid sleep during day time as it makes it harder to fall asleep at night. •Try to sleep early at night. Do exercise and long walk daily. • Avoid to take sleeping pills because these are habit forming drugs and these drugs disturb your normal sleep pattern. • Take a bowl of curd daily in afternoon and one glass of milk at night daily.
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I am 19 years old boy. I want to concentrate in my studies even me too studying mbbs. I am addicted by gay sex. I want to relieve from it. Wat should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 19 years old boy. I want to concentrate in my studies even me too studying mbbs. I am addicted by gay sex. I wan...
Now that there is so much of movement to decriminalize homosexuality, you have a choice. However, since you are so young, do not be fooled by the orientation right away. At this age and due to many factors both environmentally and naturally, you could be driven into a choice that appears natural but is only in that guise to distract you from what is suppressed. So wait for some time and see if this is your true leaning and then you can pursue it. Talk to a sexologist too and get the full understanding of sex and sexuality; which is physical primarily for the former and the latter incorporates femininity and masculinity. There are some beautiful subtleties that need to be grasped and when you are in the full know of these aspects, your decision could be in the right perspective. Seek from that person the understanding of the implications of your choice and then if you are comfortable about a particular leaning you may choose to do so. With regard to improving your concentration, you may do some of the following: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: •Green leafy vegetables (like spinach and salad greens): At least six servings a week •Other vegetables: At least one a day •Nuts: Five servings a week •Berries: Two or more servings a week •Beans: At least three servings a week •Whole grains: Three or more servings a day •Fish: Once a week •Poultry (like chicken or turkey): Two times a week •Olive oil: Use it as your main cooking oil. •Wine: One glass a day You avoid: •Red meat: Less than four servings a week •Butter and margarine: Less than a tablespoon daily •Cheese: Less than one serving a week •Pastries and sweets: Less than five servings a week •Fried or fast food: Less than one serving a week.
6 people found this helpful
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For past few months after going through depression now my memory power went weak. Please give me the best solution.

C.S.C, D.C.H, M.B.B.S
General Physician,
For past few months after going through depression now my memory power went weak. Please give me the best solution.
You try yoga, mind relaxation techniques and explain all the causes of depression. Medicine can be prescribed only privatley.
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I have epilepsy and take oxetol 450 mg But still I talk in sleepbwhen I hav high stress Sometimes I have internal feeling that some one is also able to see through my thoughts. Yes see all that what I am thinking ,that exist just for 30 sec. What to do to avoid that. I tried yoga, meditation, wtc but still it persist.

MBBS
General Physician, Jalgaon
Please Continue your current medicine Do meditation twice daily regularly Go for morning and evening walk daily with relaxed mind Do pranayam regularly Take Saraswatarishta 20 ml twice daily with water for 3 mths Reconsult me on Lybrate after 1 month.
1 person found this helpful
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I have depression initial stage and my mind. Is always try to suicide And quiting my life And I am unable to understand normal Problem and I just want to live life And I want to be a successful person I don't want to die Help me!

MD - Psychiatry
Psychiatrist, Chennai
I have depression initial stage and my mind. Is always try to suicide And quiting my life
And I am unable to understa...
The word depressed is a common everyday word. People might say" i'm depressed" when in fact they mean" i'm fed up because i've had a row, or failed an exam, or lost my job" etc. These ups and downs of life are common and normal. Most people recover quite quickly. With true depression, you have a low mood and other symptoms each day for at least two weeks The common symptoms are (few might be present in a person with depression) Feelings of sadness, tearfulness, emptiness or hopelessness Angry outbursts, irritability or frustration, even over small matters Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports Sleep disturbances, including insomnia or sleeping too much Tiredness and lack of energy, so even small tasks take extra effort Changes in appetite — often reduced appetite and weight loss, but increased cravings for food and weight gain in some people Anxiety, agitation or restlessness Slowed thinking, speaking or body movements Feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren't your responsibility Trouble thinking, concentrating, making decisions and remembering things Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide Unexplained physical problems, such as back pain or headaches consult a psychiatrist and get evaluated.
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Esteemed doctors. I worry about little things and I get nervous because of this. Please prescribe me a remedy for this.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Esteemed doctors. I worry about little things and I get nervous because of this. Please prescribe me a remedy for this.
First of all, start doing meditation daily for 30-40 min and increase it up to 1 hour. Sit in a calm relaxed and noise free place and at a time when no one will disturb u. Turn off your mobile phone first. Focus on your breathing and forget everything else. Sit still without any movement and focus only on your breath coming and going out of your body. Next thing is pranayam. Daily be done for 20 min or more. It will give more oxygen to your body cells and brain and improve the functioning of brain and body. Helps you feel better and think better. Take your medications regularly with faith and eat well and healthy food. Make yoga a part of life under guidance of a good yoga instructor. Pray with devotion and faith to your deity. Do these things daily religiously without fail and you will see lots of positive changes in your self.
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Depression - Don't Let It Suck Your Life!

MD - Psychiatry
Psychiatrist, Ahmedabad
Depression - Don't Let It Suck Your Life!

Recently most of us were shaken by the death of the well-known television actress, Pratyusha Banerjee. Her sudden death has brought to light the very common yet under-addressed problem - Depression -  that a number of youths are living with.

Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should, most people still live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression. There is often a delay in opting for the treatment because of the social taboo associated with depression.

Although cases of depression can vary from an individual to the other, there are signs that one can look out for, to identify a depressed person:

  1. Low mood most of the time of day along with frequent crying spells
  2. Feeling of unworthiness and low self-respect are very common in a depressed person. Due to these feelings, the affected person may become very critical and disapproving about himself or herself.
  3. Lack of enjoyment and loss of interest in a depressed person makes them no longer derive pleasure from things that once gave him or her happiness.
  4. Exhaustion and insomnia are signs that one should look out for in a depressed individual. These are usually due to changes in sleep patterns, from sleeping a lot because of feelings of constant fatigue or due to instances of wakefulness.
  5. From indulging in comfort eating to losing the will to eat, predominantly loss of appetite characterizes a depressed person.
  6. Difficulty in recalling details and tendency to over generalize as also problem-solving issues can point to the presence of depression
  7. Unexplained bodily pains and aches are another characteristics of the condition.  

What are the different types of depression?

Regarding the different forms of this mental health issue, it comes in several forms along with their distinct symptoms, effects, and causes. These are:

  1. Major depression
  2. Dysthymia
  3. Recurrent depressive disorder
  4. Seasonal affective disorder
  5. Bipolar disorder

How can it affect your life?

More than 90% people who commit suicide suffer from some form of psychiatric illness and depression is the most common reason. The despair that usually accompanies depression makes the thought of taking one's life as the only means available to escape the pain. In addition to suicidal thoughts, it can also affect one's functioning in day to day life if help is not sought in time.

Depression is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability.

1 person found this helpful

I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surgery at this age. Bearable pain while walking.

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surger...
Hello lybrate user, arthritis is a degenerative condition which progresses with aging. It goes through different stages like mild, moderate and severe arthritis. You might be suffering from arthritis at the age of 49 because of some pre-disposing condition but it usually presents in patients greater than 55 to 60 years. You have mentioned that you have bearable pain while walking. You might be in the early stages of arthritis. This can be managed by lifestyle modifications like light exercises, weight reduction, physiotherapy for the muscles of knee to maintain the mobility and strengthen the muscles. This might decrease your pain as well. If you have persistent pain, it might respond to painkillers. Surgery is advisable to only those who have unbearable pain and who are unable to do their daily routine activities because of the advanced arthritis. The other disadvantage of surgery at an early age is the limited life span of the prosthetic knee joint. Even in ideal cases has a life span of 15 to 20 years, after which you might need to undergo revision surgeries which are complex and are associated with a high rate of complications. So considering an average of 12 years of implant survival, by the age of 70 to 75 you might need a second revision surgery. Therefore, it is best to delay surgery as much as possible unless you have complications like decreasing movement at the knee joint or development of a severe deformity because of a severe grade of arthritis or unbearable pain not responding even to the highest doses of medications. Hope this helps.
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How can we control stress And in what way we can control and please reply to my questions.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
How can we control stress
And in what way we can control and please reply to my questions.
If the work load is causing the stress, learn to manage your work well. You could talk to your supervisor and tell him about the stress and he may suggest some better ways of doing what you are doing. Stress is eventually all about the perception of stress. If you change the outlook, the result will be 350`different. If there is a possibility to delegate some work to someone else, please do so. To feel energized you must eat healthy food involving whole grains, fruits and vegetables. Drink green tea and a lot of buttermilk every day. You may eat an egg every day too: it is a multivitamin and multi-mineral, all built into one. You must exercise regularly, especially the aerobic kind. Get at least 8 hours of good sleep and the more you sleep before midnight the better. Learn some stress management and meditation. You must identify our feelings and make sure you express all of them, appropriately. Maintain good relations, especially at home. Deep breathing exercises help to calm a person, immediately. Do not indulge in drinking and smoking.
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