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Dr. Deepthi Shah

Psychiatrist, Mumbai

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Dr. Deepthi 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. Deepthi Shah
Dr. Deepthi Shah is a renowned Psychiatrist in Ghatkopar East, Mumbai. You can consult Dr. Deepthi Shah at Jagruti Clinic in Ghatkopar East, Mumbai. Book an appointment online with Dr. Deepthi Shah and consult privately on Lybrate.com.

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Jagruti Clinic

Bhatiya Wadi, Tilak Road, Near Bank Of India, Ghatkopar East, MumbaiMumbai Get Directions
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Sir the tablets can work inside the body directly to the parts of the body and the sprays will act outside the body. Then how can be that pain killer sprays will quick act on that part instead of a pain tablet?

PGDHHM, MBBS
General Physician, Delhi
Sir the tablets can work inside the body directly to the parts of the body and the sprays will act outside the body. ...
Local sprays penetrate the skin locally in substantial amounts and thus reach the desired target tissue. Topical application has also been shown to result in higher concentrations in adipose tissue and skeletal muscle than oral preparations ...that's why sprays acts faster.
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Hello Doctor, I am writing this question on behalf of my dad who is 70 years old. Recently he had open heart surgery while he was @ 67 yrs old and since after that he pretend/ act very smart and active. Not sure whether it is related to post heart surgery effects. Marriage life of my dad is not that good and I have personally seen my dad and mom fighting always. I guess it had a negative impact in their sexual life as well. Recently we had two instance (Sexual Harassment) happened within our home to my relatives when they came to our home. Since it happened to our own family member, we didn't react and didn't ask him regarding the same. We would like to get higher opinion from you and also if possible could you please provide any low dose tablet, so that we can cure this in starting stage itself. We worry that if he does the same outside home to any unknow ladies in public it would be an issue. Kindly provide your valuable suggestion.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hello Doctor,
I am writing this question on behalf of my dad who is 70 years old. Recently he had open heart surgery ...
Hi, the signs/ symptoms as seen in your dad are indicative of repressed anger and emotions owing possibly to a dissatisfied married life which probably is getting vented out in a manner as described by you. First and foremost, in order that he is not obsessively compelled to think negative and imagine stuff, it is important for you to assure him time and again that everything is perfectly ok and distract him to either watching, visualizing or doing something meaningful, relaxing and one that gives him a sense of inner strength and positive energy/ vibes. Listening to a soothing and inspiring music also helps to stay calm and relaxed. He needs to plan his day, listing out the things to be achieved and get going about them one by one. He requires to be on a healthy and balanced diet with focus on leafy greens and fresh fruits. He needs to take plenty of water daily and stay hydrated. It is important that he keeps his lifestyle streamlined and does walking/ light exercise, yoga et al in fresh air. It is good to get exposed to the early morning sunlight for 5 to 10 minutes daily. He must keep his stress levels low and stay relaxed and focused. He can enjoy his favorite yet lightweight films/ serials/ cartoons et al as he would like to watch and get some interesting yet light stories to read while he retires to bed. He can take a glass of warm milk with a pinch of fresh turmeric powder and a tsp of honey mixed to the same, at bed time. Homeopathic remedy staphysagria 12c/ 30c potency suits this particular condition. At the same time, I would also advise you to see a psychologist in person and seek independent opinion. All the very best and take care.
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Dear Sir, I am 30 years male doing field job having stressful day with continuous standing and walking .I am feeling leg cramps in all the day especially in the night .Today morning onwards my left leg feeling symptoms like symptoms severe cramps from the knee towards foot. At the foot one blood vein is beating fast .What can I do for this please suggest any Thanks in advance.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Dear Sir,
I am 30 years male doing field job having stressful day with continuous standing and walking .I am feeling ...
As strange as this may sound, these are all signs of poor exercise. You must do a lot of walking as exercise, not as work. The difference between the two is that the worked related exercise is strenuous whereas the exercise for fitness will always feel good and make you fitter. As and when you start you will feel the difference.
2 people found this helpful
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From 1 week, i am feeling so much stressed due to some family problems (joint family problems) in my house. Every time I feel so much pressured and guilty also. Some time I want to walk away from my house. But I don't have any other option to change my house, because my parents want to stay here because its our house. For some days I just felt that I lost my happiness. And feels angry. And I smoke also. And some times I feel little pain in my chest. Dont know whats happening? Every time I was in shock! Dear doctor, I need help. Please give some valuable advice.

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
From 1 week, i am feeling so much stressed due to some family problems (joint family problems) in my house. Every tim...
Dear lybrate-user, now a days, in the world of nuclear family, everyone accepts the merits of joint family. You must read those articles. In what ways joint family system is far better than nuclear family, you must understand. Even in you office, due to manpower excess, we encounter problems. But we are able to manage it without much stress. At home, they are all our own blood or relatives. Nobody can harm the other. You can talk to any of your family and come a a concensus. Please talk to other people about your stress in a suitable voice and show your helplessness. They will help you overcome this problem. You may also consult a psychologist for advise. Take care.
1 person found this helpful
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Sir, I am facing a challenging issue. My body is getting showered when girls are seated with me. Please give me a suggestion how to overcome.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir, I am facing a challenging issue. My body is getting showered when girls are seated with me. Please give me a sug...
It is very common for young adults to be stimulated by grls presence and you have to control mind by doing meditation and yoga
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I am 23 years old male. I trying to stop smocking. How can I stop that bad habit. And is der any tablets for stop smoking in market. Of der pls tell me. If I stop suddenly what happens.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You need to meet with a doctor to get a prescription for medicines to aid in smoking cessation. You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i. E. At least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.
18 people found this helpful
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I am feeling weak .and always sleeping .Depressed and can not concentrate in my studies.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am feeling weak .and always sleeping .Depressed and can not concentrate in my studies.
Due to your age, this takes a lot of significance. Meet with as counselor and sort out the depression, and I believe that you may have to explore childhood influences to really do justice to the depression. I suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate and remember. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemical: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: 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.
51 people found this helpful
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I feel emptiness in my head is this a sign of depression if yes then may i know what all steps i can take to curb it.I personally think it is related to my habit of getting up late in the morning.

MBBS, DPM, MD, DNB
Psychiatrist, Akola
Emptiness in head may be caused by depression. Get up early do the exercise, be with nature in the morining.
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Dear Doctor, I am a student, I am very good before but now I feel like where I am losing my memory and lots of weakness I am not able to eat more what can I do if any tablets or syrup is required for me please suggest me.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hye, Thanks for the query. Poor nutrition can lead to deficiency and consequently lack of energy, stamina and concentration. Being underweight can be a concern if it's the result of poor nutrition. Here are some healthy ways to gain weight when you're underweight: Eat more frequently. When you're underweight, you may feel full faster. Eat five to six smaller meals during the day rather than two or three large meals.Choose nutrient-rich foods. As part of an overall healthy diet, choose whole-grain breads, rice and cereals; fruits and vegetables; dairy products; lean protein sources; and nuts. Don't fill up on diet soda, coffee and other drinks with few calories and little nutritional value. Instead, drink smoothies or healthy shakes. Snack on nuts, dried fruits and fresh fruits. Even when you're underweight, be mindful of excess sugar and fat. An occasional slice of cake or ice cream is fine. But most sweets should be healthy and provide nutrients in addition to calories. Sheera, lassi and chikki are good choices. Exercise, especially strength training, can help you gain weight by building up your muscles. Exercise may also stimulate your appetite.
1 person found this helpful
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I am a class 12th student. I am going to appear for the aipmt exam this year. But the chapters which I had remembered throughout the year now I had forgotten all those things. Now I am thinking that I am not able to write any thing in my exam if this situation exists. And because of the depression I want to suicide. please doctor help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Life is too precious and if the depression is making you contemplate suicide you must immediately seek professional help which will perhaps be both a counselor and a doctor. You are into an anger related depression and if you deal with the feeling, which may have origins from childhood, it will ease the effect of the depression. However, there is another factor that has to be considered, which is your age. Depression at this age is a sign that there is something from the past that needs resolution. Also due to your age I suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate and remember. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemical: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: 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 are 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.
2 people found this helpful
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I am 16 years old. My mind is not stable. I always want to spend time out of home with friends. I feel very alone and I think that nobody understand me. I want peace but I can't getting it. Tell me what should I do? Please help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 16 years old. My mind is not stable. I always want to spend time out of home with friends. I feel very alone and...
Absolutely not at all unusual, for your age. Let me explain what you are going through. You have just entered adolescence: During this time there will be a spurt in the production of the male sex hormone, testosterone, which has a duration of two years. Due to this chemical alone there are three identified features that present itself over which you have no control: you will be sexually active, aggressive and rebellious, and you will have acne and pimple problems. Then if you have unresolved childhood issues, they will compound the situation and fuel your uncontrolled behavior. Please remember that you yourself may not be aware of all this. At this time you will imagine like you do now that your mind is not stable because this is an age of conflict, confusion and a lot of stress peculiar to your age. To expect peace during this time is a real difficult ask. I am also concerned about the feeling lonely: if that is serious you may need to meet with a counselor and check if you are gong through rejection from your family or you feel they don?t love you. In which case wanting to be out with your friends might be more welcoming than being at home. In that case it is more serious to meet with a counselor who must meet with your parents too. You must learn to listen to your parents and when they are right join them but otherwise discuss sensibly when there are differences. Because of all this be very careful that you do not do the rebellious things driven by the hormones. You can channelize your energy to get involved in sports and games regularly. Watch the influence of your peer group because their influence will be irresistible. You are establishing yourself among your peers, and you will try to be fashionable in every way possible. What is outrageous to others is very much in, with youngsters today. You will be seeking a lot of attention from your friends and some of them think that they have to be horrendously different for social acceptance and you will need to join them for their acceptance (and you have no acceptance at home anyway!). I recommend that you go for career counseling also and determine that your aptitude for academic pursuits are in line with your skills.
2 people found this helpful
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I am 19 year old, there is a huge problem in my legs when I start walking my legs and thigh pains very much.

MBBS, cc USG
General Physician, Gurgaon
I am 19 year old, there is a huge problem in my legs when I start walking my legs and thigh pains very much.
Hello, 1. You can apply volini gel 1% local application twice a day for 3-5 days 2. Hot fomentation twice a day for 3 days I am giving to some common reasons for leg pain 1. Generalized weakness 2. Anaemia 3. Physical exertion and any trauma 4. Lack of protein in diet 5. Any infection present on leg or foot 6. Muscle weakness 7. Abrupt start/ stop of physical exercise 8. Vit d and calcium deficiency kindly consult physician for further management.
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It is known that alcohol is injurious for health. But is there any permissible limits of its intake in Indian context. Please advise.

M.D,Psychiatry
Psychiatrist, Amritsar
Two small peg of 30 ml once or twice a week is not considered that harmful. But it should be of good quality.
8 people found this helpful
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Hi . Well I'm a student . Since this January i've connected myself with a guy , he resides out of India . Honestly , I'm in love with that guy . He proposed me , still I didn't say anything , But I truly like him a lot & after some days I confessed that , but now he's ignoring me somehow , what should I do ? should I discuss this thing with him frankly ?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Don't say anything.As this isn't right age to decided anything.Till the age of 25yrs.There comes a lot of fluctuations in likings and dislikings.Better don't take much on mind.You will find many such guys in future.
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Having back ache nd stiffness (cramping issues). Suggest some initial remedies nd exercise to get rid of it without any course medication.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Having back ache nd stiffness (cramping issues). Suggest some initial remedies nd exercise to get rid of it without a...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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C.S.C, D.C.H, M.B.B.S
General Physician,
10 Signs That You May Be Bipolar DISORDER

When it comes to mental illness, there are plenty of stereotypes. But in reality, mood disorders can be hard to pinpoint?particularly in people with bipolar disorder symptoms.
Here are 10 signs that mood problems may be due to more than a quirky or difficult personality:

Greater Than Great Mood
Bipolar disorder is characterized by up-and-down episodes of mania and depression. During a manic phase, some patients can have a total break from reality. But hypomania, which is also a symptom of the disorder, is a high-energy state in which a person feels exuberant but hasn?t lost his or her grip on reality. ?Hypomania can be a pretty enjoyable state, really,? A person?s mood can be elevated, they may have a lot of energy and creativity, and they may experience euphoria. This is the ?up? side of bipolar disorder that some people with the condition actually enjoy?while it lasts.
Inability To Complete Tasks
Having a house full of half-completed projects is a hallmark of bipolar disorder. People who can harness their energy when they are in a hypomanic phase can be really productive. Those who can?t often go from task to task, planning grand, unrealistic projects that are never finished before moving on to something else. ?They can be quite distractible and may start a million things and never finish them,?
Depression
A person who is in a bipolar depressive state is going to look just like someone who has regular depression. ?They have the same problems with energy, appetite, sleep, and focus as others who have ?plain old depression,?? Unfortunately, typical antidepressants alone don?t work well in patients who are bipolar. They can even make people cycle more frequently, worsening their condition, or send someone into a break-with-reality episode. ?Antidepressants can be downright dangerous in people with bipolar because they can send them into mania,?

Irritability
Some people with this condition suffer from ?mixed mania,? where they experience symptoms of mania and depression at the same time. During this state, they are often extremely irritable. Everyone has bad days, which is one reason this kind of bipolarity is much harder to recognize. ?We are all irritable or moody sometimes,? . ?But in people with bipolar disorder it often becomes so severe that it interferes with their relationships?especially if the person is saying, ?I don?t know why I?m so irritable?I can't control it.??
Rapid Speech
Some people are naturally talkative; we all know a motormouth or Chatty Cathy. But ?pressured speech? is one of the most common symptoms of bipolar disorder. This kind of speech occurs when someone is really not in a two-way conversation, The person will talk rapidly and if you try to speak, they will likely just talk over you. They will also sometimes jump around to different topics. ?What?s kind of a red flag is when it is atypical for the person to talk like this,? doing it only when they are in a manic cycle but not at other times,
Problems At Work
People with this disorder often have difficulty in the workplace because so many of their symptoms can interfere with their ability to show up for work, do their job, and interact productively with others. In addition to having problems completing tasks, they may have difficulty sleeping, irritability, and an inflated ego during a manic phase, and depression at other times, which causes excessive sleeping and additional mood problems. A lot of the workplace problems can be interpersonal ones,
Substance Abuse
About 50% of people with bipolar disorder also have a substance abuse problem, particularly alcohol use, . Many people will drink when they are in a manic phase to slow themselves down, and use alcohol to improve their mood when they are depressed.
Erratic Behavior
When they are in a manic phase, people with bipolar disorder can have an inflated self-esteem. ?They feel grandiose and don?t consider consequences; everything sounds good to them,? . Two of the most common types of behavior that can result from this are spending sprees and unusual sexual behavior. ?I have had a number of patients who have had affairs who never would have done that if they weren't in a manic episode?during this episode they exhibited behavior that is not consistent with what they would do normally,?
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I have a habitat of cigarette smoking. What should I do to stop cigarette smoking?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Loss of control over the addiction is not surprising since that is a major part of the enslavement to substances. That also means that if you want you can give it up anywhere, anytime. But the better reason to give up smoking is to relate to the harmful effects of tobacco. Also the peer pressure is very great while in college and in the hostel, and it appears that you are not able to say ‘no’. To be ‘in’ with the crowd you may hesitate to refuse to join them and go along with the flow. But this is hurting you further, and down the line you will find it increasingly difficult to quit. Do it now even if your friends ostracize you: your life is at stake, not theirs. When quitting, you must take one day at a time. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing in the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest.
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I m 27 years old before marriage I was going to work distance was 1 hour from home and after marriage we shifted to some other place and now distance is 2hrs to work I got just married 1 month back now my daily head and full body pain alot why its happening pls help me out.

MBBS
General Physician, Hyderabad
I m 27 years old before marriage I was going to work distance was 1 hour from home and after marriage we shifted to s...
Hi! It is due to too much travelling beyond your bodies tolerance You are under stress too Please do something about it then you will be fine Drink water more When you get chance take rest Eat healthy
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Hi, my father had heavy drinking habit, we are trying to stop, he will leave that one are two days, then he will going as tease, how can I stop that,

Reparenting Technique, BA, BEd
Psychologist, Bangalore
That is part of the problem in his failure: 'we are trying to stop'. It is your father who wants and needs to want to stop! If he does the outcome will be successful and less frustrating. Because of his age and length of abuse it will be quite difficult but not impossible. If you think that he will find it very difficult, then admit him to a hospital and go for de-addiction: which normally lasts for about two weeks. Then follow that up with addiction counseling from a professional for at least three years to completely get rid of the habit. If this is also not enough, then admit him into a de-addiction center and let him stay there for at least 6 months and after that attend counseling with a professional. There are medicines that help with the drinking just to ease the initial craving. Ultimately, it is his will power and the support that he receives from the medical fraternity and his close and dear ones. He must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course look at all the genetic factors to plan a strategy not to get into what is called ‘cross addictions’ i.e. another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide him on several measures and precautions he will need to take to stay with his resolve. Even after the rehabilitation he must attend AA meetings and continue this support for a long time. His family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. He cannot be treated in isolation because the family has gotten used to his drinking and have made some unhealthy adaptations to somehow cope. His children will also have to attend meetings to work out their issues because of the father’s habit. In fact, they are all suffering from the Adult Children Of Alcoholics Syndrome (ACOAs), which in effect means that they are genetically predisposed to alcoholism or can have cross addiction problems and they will have similar traits of the abusing alcoholic but in a milder form. There are special support groups for them all over the world. Should they touch or indulge in alcohol or any addictive substances or behaviors, they could also become full-fledged addicts themselves. If your dad refuses to go for rehabilitation, then some centers have a method of picking him up when he is totally sloshed and is not able to fight back effectively. They will need the family’s written consent before willing to take him in this manner. Make a serious plan with your mom and other siblings and whoever else’s support he can get and act on it fast. Since he has tried a few times, make this one the final and do it like I have advised. It is really worth all the effort.
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My son 26 year. .Suffering from depression. .Its heridetary .Father side.In that they choose drink ing.I am v worried. .So what to do. Taking anti deeprasive Baclof 20, Naxito10, Zapiz0.5, feeling better. .But what we should for him .Pl guide me .We are on right path?

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, You should understand the depression and its associated problems. Education about your mental health condition is the first step towards management. Learn more and more and surely incorporate psychotherapy techniques. I am sure you will be able to manage your depression. You may post a private query to me for further details. Take care.
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