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Book Clinic Appointment with Dr. Brinda Jaisingh
Treatment & Management of Stress
Treatment of Mood Disorder
Sex Addiction Counselling
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Cognitive Behavioral Therapy
Obsessive Compulsive Disorder Treatment
Treatment of Drug Abuse and Addiction
Counselling And Stress Management
Treatment of Abnormal Behaviour
Nicotine De-Addiction Treatment
Management of Parenting Issues & Doubts
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I have suffering from anxieties and depression .get the tension any small problems I have social phobia like with fear as speak another person please prescribed medicine anxieties.
My father have Paralysis in full Right side of the body after the brain struck from last 1 month 20 days. Now he hace slurred speech and short time memory loss. Physiotherapy is going daily. Please suggest How we can treat for paralysis.
Drinking. Addict persons is there any way to change that persons and there is any medicine to do not drink.
I am 22 years old person studying in college. From my childhood I was not good in interacting with people. When someone come to me and asked something I couldn't reply in a good manner. So I didn't have that much friends. Anyway I understood I was not good in socially at later 16s. I started changing my self but there where any good results (some slight changes are there). I am always dreaming about past incidents as making my self good and find pleasure in it. I visualise the same in my mind repeatedly sometimes. I was good at delivering speech during my schooling and got many prizes. But at the same time very low behavioural skills. Now in my hostel everyone teasing me but I can't oppose them. If someone asked something in a tweezing way I get silent and failing to handle the situation and sometimes I hide from that persons. In my dreams I am OK but in real situations I am far behind. Please resolve my problems and suggest me some some ideas to overcome.
Hi, I'm 20 years old medical student my problem is having confusion about each and everything whether its small or big. I can not take decisions. Always confused even after making a decision. Even I have to think that if m hungry or not. Now this is becoming a big problem for my health as well as my life. Afterall I have to make decisions in my decisions. Help me plz!
When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of current lifestyle diseases from diabetes to infertility to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.
The statistics around tobacco abuse are extremely startling and can be read below:
- A total of about 90 trillion rupees are spent on various tobacco products.
- About 1.4 trillion is spent on healthcare related to conditions caused by tobacco abuse.
- India has about 120 million tobacco users.
- More than 7 million people die every year due to tobacco usage.
- The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
- For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.
This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.
- In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating “Smoking Kills” or “Smoking is injurious to health.”
- Marketing campaigns are shown in the movie theaters at the beginning of movies which depict the hazards of tobacco
- Smoking is banned in most public areas, and warnings are on display.
- Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
- Schools and colleges do not have tobacco selling within 100 meters of the campus.
- The price increase ensures that not everybody has easy access to cigarettes.
- Celebrities promote quitting tobacco and smoking by talking about their personal stories.
- Restaurants have separate smoking sections where children are not allowed to sit
- Tobacco in form of beedi and gutkha also needs to be targeted, as the lower income groups often use these. Also, beedi is sold as single units, so cost is not a deterrent.
How can a healthcare professional help you?
A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support.
What should a healthcare professional do?
- Identify people who smoke
- Motivate them to quit or think about quitting
- Refer a person who smokes for treatment and support
- Support ongoing abstinence
What is the right smoking cessation strategy?
- Ask: Every smoker to visit a healthcare professional
- Advise: Urge the smoker to leave smoking
- Assess: Assess whether the person is willing to quit in 30 days
- Assist: Plan and help Rx Quit
- Arrange: Arrange a follow-up through phone or sms or in person
What is that people who smoke need help with?
- First and the foremost challenge are the withdrawal symptoms
- Urge to smoke and borderline depression with a possibility of relapse
- People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?
- Behavioral support is of proven efficacy
- Can be delivered in different formats
- Can be delivered in different formats
- Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)
- There are no real contradictions related to NRT
- No drug interactions
- Side effects, if there are any are localized e.g.
- Taste of oral products
- Hiccups with the mouth spray
- Skin irritation with patch
Treatment for quitting Nicotine
- Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion.
- Electronic cigarette: Electronic cigarettes are not as effective as imagined and have few side effects
Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco.