Dr. Dhananjay Gambhire

Social Anxiety Disorder (social phobia) is the third largest mental health care problem in the world today. The latest government epidemiological data show social anxiety affects about 7% of the population at any given time Social anxiety is the fear of social situations that involve interaction with other people. You could say social anxiety is the fear and anxiety of being negatively judged and evaluated by other people. It is a pervasive disorder and causes anxiety and fear in most all areas of a person's life. It is chronic because it does not go away on its own. Anxiety reducing medications along with CBT (Cognitive Behavior Therapy), can change the brain, and help people overcome social anxiety. Consult a psychiatrist and get helped. All the best.

Follow health advises given below: measure temperature and tell me reading 1. Avoid exertion 2. Lot of fluids to be taken 3. Take proper diet homemade food like moong dal dalia, chapati etc. Medication can be started after taking complete history and weight of child

It is difficult to make someone change their behavior if they are not willing and open. Smoking is no different. If person wants to stop smoking through his own initiative following things might help. Smoking is one of the few habits which takes very systematic approach and needs lot of support and individualized stretagies to quit successfully. Data such as - since how long are you smoking and how many cigarettes a day you consume are important information. Also have you tried quitting it earlier? How successful were you? And what are your personal reasons to stop smoking? All these are also important part of your success stretagy. Broadly speaking your reasons for not smoking work as your motivator. The stronger the reasons behind not smoking the higher the motivation and thus higher the chances for you to be successful. Also your body will have a withdrawal symptoms and it is very important to come up with strategies and solid plan to counter these withdrawal symptoms. These strategies should be tailormaid as per your need and situation. If you consider these and many other individualized approach and if you have a solid support through out your journey. You would be able to make a shift from being a smoker to a non smoker. I do have a 3 to 6 month package to help smokers step by step. To come up with stretagies that work and to customise the support system. You could either contact someone in your city or contact me to work either telephonically or via Internet based system.  Hope this helps Wishing you very best Try long distance running as a form of exercise. Join runner's group. That might help as well.

Quetiapine, marketed as Seroquel among other names, is an atypical antipsychotic used for the treatment of schizophrenia, bipolar disorder, and major depressive disorder. Dear Devaraj. Depressive disorder or depression is a neuro chemical disorder. Suicidal tendency is one main symptom of depression. You must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, Psychotherapy techniques, life style changes etc. Take care.

Hi lybrate-user, skin color can only lighten but not get fair as in contrast to your original color. Be comfortable with your skin tone, every skin tone is beautiful.

You can come out of depression but you need to combine counseling with medication. In counseling, you will learn a lot of skills and techniques that will help you to meet the daily challenges in life for that of a depressed person. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: 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. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.

Can you tell me the actual drug name in Wilpose is it Lorazepam. Then you are taking both nexito plus clonazepam and lorazepam. I think you need to slowly reduce the wilpose and stop and then be only on nexito rather than nexito plus. It looks like you are getting addicted to wilpose if it is lorazepam otherwise it is ok

Hi Mr. Lybrate-user, yes, it seems you have agoraphobia. Agoraphobia is a mental health condition characterized by irrational fears about being in public places. The condition causes afflicted individuals to avoid public places and remain trapped in their homes. Coping with your own agoraphobia involves facing up to the irrationality of the fearful thoughts it produces, and seeking help from others. While it may be very unpleasant, you should do your best to regularly expose yourself to the situations which trigger your fear and panic. In modern life, exposure to public places is inevitable, and the more you resist, the worse the consequences will be for your life. Don't go it alone. Having a trusted friend or family member with you when you are on the bus, at the store, or in any other triggering situation can be a great help. A therapist can help you explore" exposure therapy" in which you intentionally seek out situations which trigger your fear response. For an agoraphobe, this means voluntarily exposing yourself to crowds, public places, or wide open space. This must be done gradually, and with great care, so that the fear and panic do not become overwhelming, putting you or others in danger. It is best to consult with your therapist before attempting exposure therapy. Now, if you find yourself panicking in a public place, try to focus on controlling your breath instead of fixating on fearful or anxious thoughts. Breathing slowly and deeply will help naturally calm your body's physiological response to fear, reducing its severity. Close your eyes, count slowly to 10, and focus on breathing in through the mouth, and out through the nose. Visualize calming environments and images, and remind yourself that you are in no danger, and that the episode will pass lastly, challenge irrational thoughts. Many of the anxious and fearful thoughts associated with agoraphobia are irrational, meaning that they are not based in fact. Understanding this, you can work to correct your thoughts by challenging them with evidence. When you are in a situation which triggers your agoraphobia, ask yourself these questions: do facts or evidence support my fearful thinking, or are they irrational? if a frightening or dangerous situation occurs, what steps could I take to remain safe? what would I say to another agoraphobe to comfort them in this situation? have I felt this way before while in a similar situation, and, if so, were my fears warranted? consult with a psychologist sir, thats the best way to benefit and overcome the fear. Consult with me for same. A all the best.

Your stress is causing all these problems. Meet with a counselor and sort out your stress for vast imp[rovement. In the meantime, do the following for your sleep problems: In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i.e. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT (check this out either on YouTube or Google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.