Lybrate.com has a nexus of the most experienced Psychiatrists in India. You will find Psychiatrists with more than 31 years of experience on Lybrate.com. Find the best Psychiatrists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Era S. Dutta
Treatment & Management of Stress
Treatment of Mood Disorder
Treatment Of Male Sexual Problems
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Submit a review for Dr. Era S. DuttaYour feedback matters!
My uncle is having some suspicious behavior and very short tempered. He is greedy and not at all honest. He was having some extra marital affair and beaten my aunt few times. He is living in same house with my aunt but in separate room. He always lock his room when away. Even long years back he manipulated and had sex with one of my cousin when she was minor. Now whenever we speak with my aunt she is never happy with her life. She is a working lady. Is my uncle is curable? Is my aunt can have any counselling to be happy?
I am having anxiety problem for last few days. I feel like suffocated and sometimes have problem in breathing. Also I feel like blood flow in legs has stopped and a different kind of feeling (anxiety) is developed due to that and which. Please help me with this problem as I am not able to do any work.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders.
There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
- Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
- Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
- Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
- Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.
Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.
The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals.
You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
If you become manic, you may notice that you are:
- very happy and excited
- irritated with other people who don't share your optimistic outlook
- feeling more important than usual.
- full of new and exciting ideas
- moving quickly from one idea to another
- hearing voices that other people can't hear.
- full of energy
- unable or unwilling to sleep
- more interested in sex.
- making plans that are grandiose and unrealistic
- very active, moving around very quickly
- behaving unusually
- talking very quickly - other people may find it hard to understand what you are talking about
- making odd decisions on the spur of the moment, sometimes with disastrous consequences
- recklessly spending your money
- over-familiar or recklessly critical with other people
- less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings.
The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:
- feelings of unhappiness that don't go away
- feeling that you want to burst into tears for no reason
- losing interest in things
- being unable to enjoy things
- feeling restless and agitated
- losing self-confidence
- feeling useless, inadequate and hopeless
- feeling more irritable than usual
- thinking of suicide.
- can’t think positively or hopefully
- finding it hard to make even simple decisions
- difficulty in concentrating.
- losing appetite and weight
- difficulty in getting to sleep
- waking earlier than usual
- feeling utterly tired
- going off sex.
- difficulty in starting or completing things – even everyday chores
- crying a lot – or feeling like you want to cry, but not being able to
- avoiding contact with other people.
- Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
- Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
- Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.
Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.
Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.
Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.
Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).
Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
How to effectively handle work related stress
The statistics on stress at workplace are staggering with half of respondents in studies reporting that they face higher than normal stress levels at work. Stress is a silent killer and can lead to serious health issues like stroke and heart attack. Stress at the workplace could be due to excessive workloads, unclear responsibilities, lack of control, unrealistic deadlines and noisy work environment.
While it is a good thing to be competitive and excel in whatever you are doing, it is also very important to learn to tackle stress and take life easy. Remember, we live only once! here are some simple and effective ways to handle workplace stress:
1. Seek support at work
Research has shown that having one good friend at work reduces the chances of quitting. Sharing your thoughts with another person not only reduces the stress levels but also might lead to discovering new ways to handle tough situations. Take proactive steps to be more friendly and sociable at work.
2. Manage work better
Try prioritizing better and not expecting perfection in every task. In case your role is over-loaded, try talking to your manager to reduce the load or if possible, delegate some work. Accept that you have certain limits to your productivity and do not try to prove yourself by over-working.
3. Get moving
It is a proven fact that exercises in any form reduces stress levels. Try to exercise for half an hour daily in the form walking, swimming, playing a sport or running. You can take short walking breaks at work that can add up to half an hour in a day.
Reduce weight with weight management products &gt;&gt;
4. Try breathing exercises
Breathing deeply for four counts on inhale and exhale can reduce stress levels immediately. You can try alternating breathing exercise i. E. Long inhale with one nostril and exhaling with the other nostril, which brings focus and energy in the morning before starting work.
5. Take a power nap
10 minutes of shut eye goes a long way in recharging your tired brain. Any longer than 15 minutes will end up making you groggy. Just put your head down on the desk, and clear your mind of all thoughts for 10 minutes.
6. Eat right
Food has a big role to play in determining our stress levels. Avoid processed food, sugar and high amount of refined carbs like flour, white rice etc. Maintaining your blood glucose levels by eating more complex carbohydrates that are slowly digested like ragi, jowar, bajra gives you steady energy levels throughout the day.
Take care of your sugar, liver, skin &amp; more with ayurvedic products
7. Get enough sleep
Over-worked employees often cut back on sleep and try to squeeze in work at night. Over the long term, this practice can severely impact your health and leads to more stress. A restful night's sleep of at least 6 hours is mandatory for all adults. Lack of sleep causes irritability and diminished ability to deal with stress. Avoid looking at laptop, tv or phone screens when you are trying to fall asleep.
You have to take charge of your own work-life balance and draw the line where you feel uncomfortable since no one will do it for you. Over-working might give benefits in the short term in terms of recognition and promotion, but it causes emotional, mental and physical burnout in the long term. Stay healthy, stay happy.