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Dr. Diwan Pradnya Jitendra

Psychiatrist, Mumbai

Dr. Diwan Pradnya Jitendra Psychiatrist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Diwan Pradnya Jitendra
Dr. Diwan Pradnya Jitendra is a popular Psychiatrist in Matunga West, Mumbai. You can consult Dr. Diwan Pradnya Jitendra at Asha Poly Clinic in Matunga West, Mumbai. Book an appointment online with Dr. Diwan Pradnya Jitendra and consult privately on Lybrate.com.

Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 43 years of experience on Lybrate.com. You can find Psychiatrists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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C/o Dr. D.k. Deshmukh 10,Taikalwadi Marg, Matunga West,Mahim, MumbaiMumbai Get Directions
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Hello sir My daughter short type memory she learn chapter after sometime his mind blankwhat I can do.

BHMS
Homeopath, Faridabad
Hello, give her Bacopa monnn.1x, 2 tabs twice daily. ask her to do meditation for half an hour in the morning daily. revert me after 1 month.
1 person found this helpful
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In 10th class my percentage is 87%, in intermediate my percentage is 85%, in b. Tech I failed subjects. So please give me some tips to gain interest. And what food items gives more interest?

M.Sc - Applied Psychology
Psychologist, Bangalore
Hi, you have scored really well in your 10th and intermediates. If you aren't able to study well in your b. Tech then either you are not interested in the course and doing it maybe because you have been told to do so. You need to figure out what and where does your interest lie. Is this the course that would help you in your chosen career. If yes then try to create a schedule for your study. Chunk your portions into doable sets and follow your time table. Don't leave your studies for last moment exam panics. Make study a regular habit and you will be able to achieve the percentage that you wish to get. All the best!
8 people found this helpful
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Hello doctor I am 29 year male suffering from depression and taking medicine since 3 years. I am working in a bank but sometimes too many negative thoughts will enter in my mind like I feel life is empty feels boring like hell. And another thing is that I am little bit shy type I even scare to talk with girls also if I started talking with anyone face to face start feeling sweating. Please tell me how to overcome this or I am like this only?

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
See a qualified and trained psychologist at the earliest. Psychologist is an expert in diagnosis by psychological testing and counselling/psychotherapy i. E. Treatment without medicines. Psychiatrist gives medicines only. Treatment started earlier will control the problem very fast. Get proper diagnosis first followed by right treatment. Please get diagnosis confirmed first then take medicines as advised. It is possible that problem is psychological-then it will not be cured by medicines. You will need psychotherapy. You do pranayaam on astha channel 5.00 to 7.30 am. Very very effective- esp anulom-vilom and bramri and udgit are a must. You will get miraculous results!
1 person found this helpful
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I hav epilepsy since more than 15 years. I regularly take medicines as per my doc suggestion. I wanted to know how much time it take to cure in terms of years?

MBBS
General Physician, Jalgaon
Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do meditation twice daily Put some cow ghee drops in both nostrils regularly Add Saraswatarishta 20 ml twice a day for 6 mths To your current medicine Slowly reduce the doses of current medicine In absence of seizures for more than 6 months, we can stop medicine by reducing the doses.
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I am 7 month pregnant and mostly feel that I am too sad and not happy. I have anxiety also. I want to deliver my baby healthy and happy. please suggest what to do.

MD Psychiatry, MBBS
Psychiatrist, Ghaziabad
Dear lybrate user pregnancy creates a lot of demand on a mother physically and mentally. Also its a stage of a lot of changes. Your body is changing and so is your capacity to work. Its normal to feel a little anxious about yourself and your little one. If however you feel persistently sad or have anxiety please consult a psychiatrist as pregnancy does make you vulnerable to mental disorders like depression. But its treatable with counselling or medications. Hope your concerns are addressed.
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Hi I was just coming out of a terrible flare up for 2 days. And today I went to the doctors to get some anti depressant pills. I then had to go to the dentist. I thought I would have a coffee in costa. I saw a very small granola bar. I asked if it had sugar in it and they said no. I purchased.

Dentist, Thane
stop eating at the bar , come to the normal home cooked food.. try having liquid form of curd (lassi salted) that will help to calm down the flare.
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I am student. Want to know how to counter stress and depression. I also get nervous to quickly and also problem while speaking.

BHMS
Homeopath, Raebareli
Do meditation daily before going to bed. Also take good sleep and believe in yourself that you can do it for sure. For further queries get back to me.
2 people found this helpful
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Hi sir, I am mentally depressed from past 1year. As I am working due to job stress. So please kindly suggest me some tips. Thank you in advance.

BHMS
Homeopath, Thane
Hi, Take Ginseng 1X (DR wilmar shawbe ,german) 4 tabs to be chewed twice a day for 30 days 1/2 an hour before meals Do pranayam,Suryanamaskar daily. Revert back
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Hi sir/madam, I'm 21. I want to know whether I'm stable or not. I don't know why I'm like this. I don't know whether I'm normal or not. From a long time I'm suffering from extreme emotions. (I can't explain correctly so I'll day some examples how I feel) For example: when I listen to a song and it is based on friendship I recollect when I spend time with friends and I can't control my feeling. I feel like I want to relive in that moment and I feel like I want to run and search for that moment. That feeling is extreme I can't control that sometimes I feel like I want to cry, sometimes I feel like I want to run and find something. And I used to check things again and again. Example: when I try to put bottle cap. And ill check whether I did it properly or not. I know it placed properly but I can not control myself to check it again and again. I think its not rotated properly so I used to rotate and rotate sometimes the cap has broken because to rotating too tight. I'm trying to do things but I can't. Basically when I feel like I want to become like someone I used to think I'm already like them and enjoying with them and I can completely feel that. For example: I like cricket when someone score a hundred I feel like I did that I use to think what I'll do at that time. And completely thinking about it entire the day. And I can't concentrate on things I'm doing. When I saw a aeroplane I feel like I want to be in that aeroplane and somebody in that plane are enjoying I also want to enjoy like them and I can't control myself I want to go and do something to stay there. I'm day dreamer what I do I'm not doing with focus a situation strikes in my mind and use to think of it continuously. And when I try to start a think I fell like I can't do that so I stop doing it (at beginning or in between) When I saw a negative situation I feel that it happened to my and I know its not good I want to divert my mind but I can't do that. I will try to come out from that situation but I can't. I'm afraid to do a things. If I want to study a topic I think like this I didn't listen to that topic in classes. Can I read it and if I listen to class I think I can read well and if a bought video class of that topic when I try to listen I feel I think its not the correct time to study and according to survey we can concentrate for 15 min only this class is for 1 hour can I listen to it. I think I can't listen to it. I feel like this. But once I'm in that I try to do things better. I didn't said about my feelings to anyone till now. Even my patents also don't know it. I'm facing some situations from my childhood I don't know that makes me a person like this. I feel so sad sometimes I want to cry but I didn't do that. I use to keep that feeling inside me. I'm not living life that I like. From pasy 2 days anger increasing in me. I want to break something in that anger but I think it cost to much so I won't break. When I want to discuss something with my parents they say something but I don't like that. I can't do it against to them. I feel like I'm dying in that problem. And I'm thinking now that I can't spend time with my family because they won't understand me so I'll be alone I like my mother a lot (my father will not do any work my mom take care of me andsisterfrom our childhood) when I try to say something I like and I want to do it she says we can't to that because of financial problem and even though when I show interest to that my mom says you are selfish you don't understand others. But the truth is I always understand others but others don't. I want to do things I like but I don't do that because I know my parents can't afford it and kill my though I'm understanding them but they says I'm not understanding them. My father don't do any work and make us trouble. I feel I'll be like him. Please help me I don't want to live like this and bcoz of text restrictions I can't say totally. Thank you.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi lybrate-user, Seems there are some personality issues apart from that you may have obsessive compulsive disorder which is quite evident from what you described however it will be confirmed once all the symptoms and case details are taken. Don't worry its completely curable, consult a psychologist for therapy and psychiatrist for medication. You will need exposure and response therapy in this problem. You will get better soon. Practice Mindful Breathing The primary goal of mindful breathing is simply a calm, nonjudging awareness, allowing thoughts and feelings to come and go without getting caught up in them. Sit comfortably, with your eyes closed and your spine reasonably straight. Bring your attention to your breathing. Imagine that you have a balloon in your tummy. Every time you breathe in, the balloon inflates. Each time you breathe out, the balloon deflates. Notice the sensations in your abdomen as the balloon inflates and deflates. Your abdomen rising with the in-breath, and falling with the out-breath. Thoughts will come into your mind, and that’s okay, because that’s just what the human mind does. Simply notice those thoughts, then bring your attention back to your breathing. Likewise, you can notice sounds, physical feelings, and emotions, and again, just bring your attention back to your breathing. You don’t have to follow those thoughts or feelings, don’t judge yourself for having them, or analyse them in any way. It’s okay for the thoughts to be there. Just notice those thoughts, and let them drift on by, bringing your attention back to your breathing. Whenever you notice that your attention has drifted off and is becoming caught up in thoughts or feelings, simply note that the attention has drifted, and then gently bring the attention back to your breathing. It's okay and natural for thoughts to enter into your awareness, and for your attention to follow them. No matter how many times this happens, just keep bringing your attention back to your breathing. All the best.
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I am 33 year’s old male, after my father’s death in May 2014 i was emotional broke-down, I lost my interest. After recovering in June 15 I started getting angry.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi, lybrate-user you are feeling stressed and its stress induced anger. You should know your triggers- which make you angry and irritable. Note it down and monitor it. Practice deep breathing daily 15 minutes and exercise 30 minutes. Eat more fruits and green leafy vegetables. Less of caffeine. You can consult for psychotherapy.
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Dear Dr. Thank to you a million times for answering my prayer. Can you tell me what was that I got when my heart went 250 beats per minute and my body paralyzed after? Shud I consider it as a heart problem or anxiety and why I'm I not able to feel active like before and feeling panic when the weather is hot and humid.

C.S.C, D.C.H, M.B.B.S
General Physician,
The heart rate of 250 bpm indicates a ventricular tachycardia and more probably a fibrillation and you need cardiac evaluation.
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I wanted to quit smoking for the past six months And I am taking nicotine gum but I am not able to quit it as if now any other way I can wait smoking?

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, Congratulations for quitting smoking for past 6 months. Usually the craving for nicotine comes down in 6 month's time. The nicotine gum should be taken as per your need in the beginning. You need to gradually increase time between 2 gums. Please take long term, say 12 weeks or so. Along with that you need psychosocial help also to continuously motivating you. See if the following tips help you. Otherwise please come back with more details of your support system. When you stop suddenly, you may get withdrawal symptoms like restlessness, irritability, lack of concentration, increased hunger, sleep disturbance, headache, impatience, anxiety, depression, etc. If you have them please don’t get back to smoking, take nicotine gum or lozenge or patch. They are available in all medical shops. You don’t need a prescription from doctors. Use 2 mg gum if you smoke less than 25 cigarettes/day. Use 4 mg gum if you smoke more than 25 cigarettes/day. First 6 weeks, use 1 gum every 1 – 2 hours. Reduce it in week 7 – 9 to one gum every 2 – 4 hours. In week 10 – 12, reduce it further to 1 gum every 4 -8 hours. By 3 months, you will be able to stop both cigarettes and gum fully without any withdrawal symptoms. Please feel confident that you can do it and give yourself some gift for doing it like vacation or books or new mobile. Smoking is a chronic relapsing condition like diabetes and B.P. So please don’t worry if you restart smoking. Start all over again to stop. You will learn the situations that make you smoke and avoid them. Please think of health benefits and money saved often. Plan how to avoid relapsing situations, like smoking friends, along with alcohol, stressful feeling or depression. Delay, drink, deep breathe, distract and discuss are the helpful tips. Increase of non smoking zones, gift yourself for stopping smoking. Even chewing cinnamon may delay. Please remember that the urge to smoke comes and goes like waves. Delay and see whether it goes away. It will be like a passing cloud.
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Sir I am so depressed that I appear for an interview but I was not selected in the interview so sir please give a solution for this.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi lybrate-user, we all feel little stressed and sad when we are unable to clear interview we had hopes from, but feeling depressed due to not being able to clear one interview is something you should think about. You are young and there are ample of opportunities for you this was not your life's last interview. So be motivated and keep working towards your bright future. I have confidence you will crack the next one. Yes, if there are few things that you feel you lack while giving interview like confidence, be anxious.
2 people found this helpful
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How can I manage multiple work at 8 hours duty? I have more than one boss at my work place. How can I manage them both? Lastly how can I manage stress at my life?

Masters in Clinical Psychology & Certified Cognitive Behaviour Therapy Practioner, Certified Neuro linguistic programming Practioner, Masters in Clinical Psychology, Post Graduate Diploma in Child and ADolescent Counselling
Psychologist, Pune
As a manager or employee, you often have to multitask and manage or work on multiple projects each day. Some projects are short and take just a few hours or days to complete, while others can take months or even years to complete. Managing multiple projects and deadlines at work can be stressful, so it is important to take the time to organize your work and schedule. Prepare your workspace: Organize your desk. Put everything you use daily within close reach. Get rid of those unused stacks of correspondence, brochures and lists that you keep around because you" might need them some day. Prioritize your tasks. This requires coordination with bosses, coworkers and subordinates. Decide what tasks are really important to you, your boss, your team members and your organization. Do them first. Are these tasks that really don't need to be done at all? Get rid of them. Insist on a clear deadline for each task you take on. Plan your work and your time. Poor or nonexistent planning is the greatest cause of missed deadlines and delays. For all but the simplest tasks, develop a work plan before you start. Divide large projects into manageable chunks. Organize your tasks into a logical sequence. Plan your time. If you do your best brain work between 10 a. M. And noon, schedule your hardest task for that time slot. Persevere to complete each task. Once you start a task, stick with it to completion. Don't flit around from task to task. Even if you feel pressured because other important tasks are pending, don't let that pressure distract you. You'll accomplish more in the long run if you take one thing at a time. Push away distractions. During the next work week, pay attention to your major distracters. Do you spend too much time on the phone? Do too many people stop by your desk during a day? Are you" putting out the welcome mat" for people to just stop by and chat? Do you go through your correspondence two or three times before deciding what to do with it? Do you check your e-mail 20 times a day? Analyze those things that are keeping you from accomplishing your tasks, then work to minimize them. Handle correspondence and e-mail just once or twice a day. Working in a matrix organization with multiple bosses can create major challenges: •Work overload. A common refrain in workplaces around the globe is, “I have too much work to do.” Things can be even worse when you have multiple managers on different projects. Each boss may treat you as if you only work for him or her. •Competing demands. Having several bosses can mean competing demands on your time. Whose project gets first priority—especially when every boss believes his or her project should be number one? •Conflicting messages. The more managers you have, the more opportunity there is for conflicting messages. Different bosses have different expectations and methods of communicating, and can unintentionally send conflicting messages. What can you do to manage these challenges? I suggest these four strategies: 1. Be Clear Who Your “Real” Boss Is It’s important to know who your real boss is. Which person do you formally report to? Who does your final performance review? Who makes decisions regarding your compensation? Even in a heavily matrixed environment, just one manager is typically responsible for these tasks. Make sure you are having regular one-on-one meetings at least once a month with your real boss. Use this formal leader as a mentor or coach in dealing with your other managers. 2. Be Open About Your Workload Your bosses don’t know what’s on your plate unless you tell them. Be open about your workload. Share your calendar with all of your managers so they know your schedule. Create a shared document that updates them on each of the projects you’re working on so they see your progress and have a better understanding of your workload. Have quick weekly check-in meetings to stay connected and address any concerns. 3. Set Clear Boundaries on Your Time Constant interruptions are a major time waster. It’s difficult to focus on your projects if your bosses keep coming by to ask questions or make additional requests. Encourage them to use email or text for questions and requests. Block off specific time on your calendar to work on projects. Let your managers know this is sacred time and you should not be interrupted unless it is an emergency. 4. Set Clear Standards for Communication Get your bosses together to develop one set of standards for communication. Do you prefer to get requests through email, text, Outlook tasks, face-to-face, or some other way? What is the expectation for timely response to an email or text—for you and for them? How often will you meet one-on-one? How are you going to report project status? If possible, come up with one way that works for all of your managers so you don’t have to deal with different expectations for communication. Taking Steps to Manage Stress •Track your stressors. Keep a journal for a week or two to identify which situations create the most stress and how you respond to them. Record your thoughts, feelings and information about the environment, including the people and circumstances involved, the physical setting and how you reacted. Did you raise your voice? Get a snack from the vending machine? Go for a walk? Taking notes can help you find patterns among your stressors and your reactions to them. •Develop healthy responses. Instead of attempting to fight stress with fast food or alcohol, do your best to make healthy choices when you feel the tension rise. Exercise is a great stress-buster. Yoga can be an excellent choice, but any form of physical activity is beneficial. Also make time for hobbies and favorite activities. Whether it's reading a novel, going to concerts or playing games with your family, make sure to set aside time for the things that bring you pleasure. Getting enough good-quality sleep is also important for effective stress management. Build healthy sleep habits by limiting your caffeine intake late in the day and minimizing stimulating activities, such as computer and television use, at night. •Establish boundaries. In today's digital world, it's easy to feel pressure to be available 24 hours a day. Establish some work-life boundaries for yourself. That might mean making a rule not to check email from home in the evening, or not answering the phone during dinner. Although people have different preferences when it comes to how much they blend their work and home life, creating some clear boundaries between these realms can reduce the potential for work-life conflict and the stress that goes with it. •Take time to recharge. To avoid the negative effects of chronic stress and burnout, we need time to replenish and return to our pre-stress level of functioning. This recovery process requires “switching off” from work by having periods of time when you are neither engaging in work-related activities, nor thinking about work. That's why it's critical that you disconnect from time to time, in a way that fits your needs and preferences. Don't let your vacation days go to waste. When possible, take time off to relax and unwind, so you come back to work feeling reinvigorated and ready to perform at your best. When you're not able to take time off, get a quick boost by turning off your smartphone and focusing your attention on non-work activities for a while. •Learn how to relax. Techniques such as meditation, deep breathing exercises and mindfulness (a state in which you actively observe present experiences and thoughts without judging them) can help melt away stress. Start by taking a few minutes each day to focus on a simple activity like breathing, walking or enjoying a meal. The skill of being able to focus purposefully on a single activity without distraction will get stronger with practice and you'll find that you can apply it to many different aspects of your life. •Talk to your supervisor. Healthy employees are typically more productive, so your boss has an incentive to create a work environment that promotes employee well-being. Start by having an open conversation with your supervisor. The purpose of this isn't to lay out a list of complaints, but rather to come up with an effective plan for managing the stressors you've identified, so you can perform at your best on the job. While some parts of the plan may be designed to help you improve your skills in areas such as time management, other elements might include identifying employer-sponsored wellness resources you can tap into, clarifying what's expected of you, getting necessary resources or support from colleagues, enriching your job to include more challenging or meaningful tasks, or making changes to your physical workspace to make it more comfortable and reduce strain. •Get some support. Accepting help from trusted friends and family members can improve your ability to manage stress. Your employer may also have stress management resources available through an employee assistance program (EAP), including online information, available counseling and referral to mental health professionals, if needed. If you continue to feel overwhelmed by work stress, you may want to talk to a psychologist, who can help you better manage stress and change unhealthy behavior. Hope I have answered your query, I will be happy to help further. Regards,
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How to stop smoking I am having 2 packs of cigarettes on daily base routine how do I stop.

BHMS
Homeopath, Faridabad
Hello,Smoking is injurious to health. Smoking can have serious effects on your life. The longer you smoke, the more damage you do to your body.If you want to quit smoking then take the below treatment:- take tabacum 200, 5 drops once in a week and arnica 30 ch, 5 drops once daily.Daphne indica 1x, 2 tabs twice daily. Revert me after 1 month.
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Sir, I am too serious about my career. I also take small small things into pressure. If anyone angry on me I felt that I am looser. I am not angry person. I can't raise my voice against wrong decisions of any one related to me. I am afraid of unknown people. I can't easily phase unknown people specifically if he/she is at higher position like managed or head or boss and also can't raise my voice if they are wrong. But in my mind I fill same on me and I thought on the topics which are related to my career again and again. I feel anxious sometime and sometime it feels that the attack will come on my heart. My mind never thought to go behind because I was average as student. But in my class all are toppers. They doing well in each and every work. But I can't study and work like them. So many time I insulted by my professors in my bachelor of engineering career. So I am very judgmental about my career and do not accept thing easolily and thinking about them again and again. I completed my 4 years of bachelor of engineering with lots of fear because I am average student. But I proved my self I will tolerate but not claim any issue against any bad thing it is my big Problem. I want to achieve highest education I wat be like other professionals in any way. I am vey anxious about it. But I am afraid of unknown people. I can't easily interact with them. I feel that he/she will avoid me and also angry on me. After that o feel like rejection. Due to this sometime I leave all my tension of study one side and go with my some naugty friends of my society. So that I feel happy. But it is for some time. Then I also think that this is not original happiness. original happiness is what I achieve in my life. Sometime I want to do nothing and want to sleep whole day but this is also very scary. I feel lik I have nothing to do. I thought that how others will remain home at homw whole day. I can't sit at home without any work. I always want to busy in work. But the work should be respective. But I am in this condition that I have no direction but I want to do it. I want to be person like shahrukh khan comedy and also successful. But in my life it is not possible. Because I always seem people who are stand first and also their behaviour is alway boss type. So I always feeling loose against them. I want to tell much more but I can't explain you. Now a days I started to hear brahmakumairs lectures. I am attracted towards their views about life. But same way I also feel that if I am not feel fear I can't do any work and only I will enjoy the tv and sleep. So acc to my view career and peace of mind both important. But I can't make mak it balanced. I am very judgmental. I also feel that others are bigger than me in any profession. So I always feel weak and fear with them and also give respect to them every time. Now I will stop. Please give me solutions of all my problems. I always feels difficulty from my childhood every time. I also feel that there is some mistake in my janam kundali may be. But provide me solution. So I will success and not become so judgmental.

BAMS
Ayurveda, Ambala
Dear you should follow my these instructions seriously - *first you have to stop thinking that you are nothing. You are very good and intelligent thats why you have passed all your education. * do not think that you feel nothing. You are feeling everything thats why you told about your deep feeling of your heart. Follow my these best instruction that you must follow everyday to make yourself feel more confident and better person - * on getting up every morning, just stand in front of mirror and say you are happy and you can do anything. By saying these words, you get positive energy about yourself and that makes you feel better. * in morning and evening, take a little time for meditation. You just have to sit in a peaceful place, close your eyes and take long breaths in and out. While breathing just concentrate on breathing only and do it for atleast 10-15 minutes daily. * when ever anything make you feel stressed, do not try to hide it. Just go to your parents or the nearest person you trust most and talk to him/her about the problem and discuss it very clearly. It will solve the problem and make you feel that you are not alone in the world. *join the charity functions and help those persons which are so poor and can not afford their meal and other daily routine things. Helping other make you feel inspired and boost your confidence level. * go to the temple or any nearest religious place who you believe daily. Going to that place daily give you positive energy and bless your life by the grace of god. Apply these things in your life and I assure you that you feel that your life have changed completelyy and you live your life with full confidence.
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
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I smoke weed since last two yrs. What are possible damages my health may go through?

C.S.C, D.C.H, M.B.B.S
General Physician,
Brain imaging scans of heavy marijuana smokers have revealed changes in blood flow to parts of the brain involved in memory and attention. Researchers have also noted differences in the size and shape of the thalamus, the part of the brain that's involved in consciousness and information processing. Heavy pot smokers in studies score lower than non-users on tests of memory, attention, and learning. The more they smoked, the worse they did. The effects of smoking pot may be even more pronounced in teenage smokers than adults, because teens' brains are still developing. Regular users are more likely to be diagnosed with schizophrenia, especially when they have a family history of the condition. Other Health Effects Marijuana can have effects beyond the lungs and brain. These include: Anxiety Depression Fast heart rate Increased risk of heart attack (within the first hour after smoking) Suicidal thoughts in teens It is Addictive. People who stop smoking pot don't have the same withdrawal symptoms -- like anxiety and sweating -- they'd get if they were addicted to a drug like heroin. Yet those who use marijuana all the time can have a hard time stopping.
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