Book Clinic Appointment
Treatment of Abnormal Behaviour
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Obsessive Compulsive Disorder Treatment
Cognitive Behavioral Therapy
Electroconvulsive Therapy (Ect) Treatment
Critical Care Procedures
Treatment Of Learning Disorders
Management of Emergency Conditions
Treatment Of Female Sexual Problems
Treatment Of Male Sexual Problems
Manual Therapy Treatment
Memory Improvement Techniques
Submit a review for Dr. Ketan ParmarYour feedback matters!
Patient Review Highlights
I found the answers provided by the Dr. Ketan Parmar to be professional. Can I take during my xamz?
I found the answers provided by the Dr. Ketan Parmar to be very helpful. Than u sir
Dr. Ketan Parmar provides answers that are very helpful.
Bipolar disorder is also known as manic depression. This usually sets in low and high moods in a person along with changes in energy and sleep.
People with bipolar disorder tend to have periodical changes; sometimes they are over happy and other times they might feel sad, depressed and hopeless. Between these changes they are normal. The highs and lows are considered as extreme poles of moods, thus the name bipolar disorder.
Manic term is used when a person with bipolar disorder is highly excited and feels confident. Also, feelings of irritability and recklessness along with irrationality might occur. Some people with mania might have a hallucinations that is they see and hear things that are not there, along with delusions.
The term hypomania is used to describe mild symptoms of mania, in which a person does not have hallucinations and delusions and the symptoms do not interfere with their daily life. Similarly, the term depressive is used to describe a person's time when they feel depressed or sad.
Symptoms of Bipolar Disorder
- The highs and lows in a bipolar disorder do not follow any set pattern. One might feel manic or depressed for hours or days or weeks, months and even years together, before they actually switch to a happy mood. The severity depends from person to person and also changes with time by becoming less or more severe.
- Symptoms of mania or the high are extreme excitement, change from being happy to angry and irritable along with restlessness, speech is rapid with low concentration, less sleep and increased energy, grand plans, alcohol and drug abuse and impulsiveness.
- Symptoms of low or depressive phase are lethargy, worthlessness, feeling of sadness and hopelessness, lowered concentration, irritability, loss of sleep or excessive sleeping, loss of appetite and suicidal tendencies.
Diagnosis of Bipolar Disorder
- In case someone exhibits symptoms of bipolar disorder, then talking to a psychiatrist or a doctor helps. Doctors ask questions related to the mental illness and the associated concerns. Diagnosis is basically recognizing the symptoms of the person, whether they are due to some underlying cause or mood swings because of excessive alcohol. The symptoms have to be noted and the duration, for which they last along with the severity should all be noted. The most obvious symptoms are that of lows and highs in mood and changes in behavior, energy, sleep and thoughts.
- Consulting a doctor or talking to family and friends helps to differentiate the symptoms of bipolar disorder from unipolar disorder.
- Medicines that have mood stabilizers, such as lamotrigine, valproate, lithium, carbamazepine and antipsychotics such as olanzapine, quetiapine should be taken. Psychotherapy is also recommended.
While most children share a strong bond with their parents, especially the mother, some infants are unable to establish lasting relationships with their parents or caregivers. This is known as attachment disorder. It is a rare yet serious condition as it affects the child’s relationships at a later stage and also triggers delinquent behavior. Children, who have been abandoned, orphaned or are victims of abuse are the most vulnerable to this condition.
What causes attachment disorder?
The exact cause for attachment disorder is not yet understood. However, researchers have put together a number of viable hypotheses for this. One such hypothesis suggests that when needs of a child are ignored or when he begins to feel unwanted, the child begins to expect hostility, negativity and rejection. This is a learnt response and the child begins to feel that his needs are unwanted. With time, these responses make the child untrusting and he withdraws into himself to avoid social contact. This affects the development in the brain and causes attachment problems that affect the child’s personality and future relationships.
Risks associated with it
Some children are at a higher risk of attachment disorder than others. This includes
- Children living in orphanages or other such institutes
- Children whose caregivers are changed frequently
- Children who have had prolonged hospitalization
- Neglected children
- Children who have suffered from physical, sexual or verbal abuse
- Children living in extreme poverty
- Children born to parents with mental conditions or anger management problems
- Children born to a mother suffering from post partum depression
There are two types of attachment disorders; inhibited and disinhibited.
- Inhibited attachment disorder: Children suffering from inhibited attachment disorder are likely to be:
- Unresponsive to comforting ie. they shun all types of relationships and generally do not get along with their peers or caregivers.
- Disinhibited attachment disorder: On the other hand, children suffering from disinhibited attachment are likely to:
- Seek attention
- Display inappropriate behavior
- Frequently break social boundaries
- Be inappropriately familial and attached to selective figures.
Additionally, children suffering from either type of attachment disorder are manipulative, destructive, moody and lack compassion and remorse.
Effects of attachment disorder
If not managed properly in its early stages, this disorder can continue into adulthood. This leads to:
Mental illnesses refer to an extended range of health disorders related to the mental condition of an individual, which affect the health, mood and behavior of that person. Depression, anxiety, eating disorders, addictive behaviors, schizophrenia, etc. are the different types of mental illnesses. Mental illnesses can create a lot of trouble in the normal functioning of the day-to-day activities of a person's life.
Here are some of the common treatment options available for relieving mental illnesses.
- Medications: Antidepressants, anti-anxiety medications, mood-stabilizing medications, antipsychotic medications are some general types of psychiatric medications prescribed by the doctor, which can be consumed depending on the condition one is going through. Although these medications do not cure the person completely, it helps in improving the condition.
- Psychotherapy: This type of therapy involves talking to a mental health provider about your condition and other related issues. In other words, it is also called talk therapy. It helps a person to cope up with his/her stress. The duration of such a treatment varies. It may either take a few months or even longer, if required. This therapy can be carried out in a group, with family members or even face to face with the therapist.
- Brain stimulation treatments: When the medications and psychotherapies fail to work in treating mental illness, this treatment is applied. It involves procedures such as electroconvulsive therapy, transcranial magnetic stimulation, deep brain stimulation and vagus nerve stimulation.
- Hospital and residential treatment programs: In extreme cases of mental illness when a person becomes a threat to himself/herself, it is recommended that he/she be hospitalized to a psychiatric hospital.
- Substance abuse treatments: Substance abuse and mental illness go hand in hand. It worsens the condition of mental illness in an individual, if he/she cannot restrict the consumption of alcohol or drugs. In such circumstances, an individual needs to talk to the doctor regarding the treatment options for stopping substance abuse.
There is a distinct relationship between sleeping disorders and your emotional health, both influence each other. Insomnia is a common sleeping disorder, which is generally caused due to stress and tension. Depression and anxiety also account for insomnia. It has been proven by research that people who experience sleeplessness or cases of insomnia are at a higher risk of depression and similar psychiatric disorders.
Insomnia is an important factor which causes depression and many people affected by it commit suicide. Researchers have found dysfunctional activity in the area of the brain where emotions are processed and regulated, among people with insomnia. Their study explains the mechanism by which insomnia affects and influences emotions in people, which leads to depression and other disorders.
The ways in which insomnia affects your emotions
- There is a clear difference in the brain activities of people with insomnia when compared with normal people who get good sleep. There is usually a great difference between the activities of the amygdala, which are neurons in the temporal lobe of the brain. The amygdala is very important in regulation and processing of emotions.
- Insomnia disrupts the ability of the brain to process negative emotions.
- Neural change and problems with regulating emotions are also caused because of insomnia.
- Insomnia disables the ability of judging or sensing any kind of emotion by looking at the face of a person. It is difficult to judge emotions such as anger and sadness in people suffering from insomnia. This impairment occurs more in women.
- Insomnia and similar sleeping disorders affect our inhibition and disrupt our impulse control mechanism. An insomniac person is likely to develop increased impulsiveness to negative stimulus.
- People suffering from insomnia develop a perception towards negative stuff and perceive most things in a negative way, rather than looking at the bright side which a normal person tends to do. People affected by insomnia are characterized by a negative mood and are pessimists in nature.
- A sleep deprived or insomniac patient shows greater activity around the limbic area of the brain. This is the area where major emotional regulation and processing are undertaken.
- A person suffering from insomnia develops a cranky personality. The patient is in an irritable mood and is triggered by the slightest and pettiest of circumstances. An insomniac patient is also characterized by swinging moods, high temper and general fatigue, which result due to lack of sleep.
Insomnia is a sleeping disorder which directly affects a person's emotions and the processing and regulation of emotions. There is a direct and important link between insomnia and emotional disorders. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Therapy is an ideal way of freeing your mind over a talk session with a therapist. Here are 10 reasons you should try therapy for a better health of mind.
- Therapy is for everybody: Therapy is not for crazy people with mental illness. It is good for anybody and everybody who wants to gain peace of mind.
- It is easier to talk to a stranger about some matters, than a friend: Only a stranger has the ability to recognize an irregularity in you, which your friends cannot. Therapists can dig into matters deeply and arrive at different conclusions.
- You get to learn more about yourself: During therapy, you talk about stuff and come to different realizations about things, which you never thought or cared about before, which allows you to discover a new side of yourself.
- You can get out of your comfort zone: Before going for therapy, you may feel awkward or strange to sit with a stranger and discuss personal matters. However, therapists are professionals and once you open up to them, you will be able to discuss everything with them comfortably.
- You feel supported: There are many issues in life, which seriously affect you, but no one pays heed to them. Your therapist listens and discusses everything you have in mind. Finally, you are heard.
- You develop better self-awareness: Therapy gives you a chance to stop for a moment and contemplate about certain areas of life, which you usually never cared about. What you never thought about might finally affect you, and you will try to improve on it.
- You feel better: You may have serious issues and might be feeling troubled. The therapist gives you suggestions and when you leave the clinic, you are bound to feel much lighter and calmer.
- You can focus on yourself: In the daily hustle bustle of life, you may be so occupied that you never get a chance to think about or focus on yourself. Weekly therapy gives you an hour, which is dedicated only to you to explore your feelings, thoughts and concerns about life.
- You may be pushing down yourself: Ignorance of serious issues causes a negative effect on your life and health, as well in the lives of your dear ones. Therapy allows you to bring all these ignored issues to light and after recognizing them properly, you can improve upon them.
- Smart, successful people believe in therapy: Therapy is for strong people who have the courage to approach a stranger with their personal issues. Majority of smart and successful people recognize the benefit of therapy and undergo the same for their own benefit.
Therapy is very effective and allows you to express yourself honestly and benefits you in many ways.
What is Schizophrenia?
We all know it as a debilitating mental illness that plagues people across the globe. Schizophrenic patients often feel like they are being overtaken by situations and events that are beyond their control. They may complain of seeing people who are not there or hearing voices where there are none. This happens because the neurotransmitters in the brain of the patient do not function appropriately. There are various types, causes and symptoms of this disease. Read up to know more.
- Symptoms: Psychotic symptoms like delusion are common in patients suffering from this disease. Also, the patient may be severely blunted in the emotional sense and may bear a lost look and wear a feeling of loss or absence at all times. The thought process or cognition of the patient may also suffer in such cases. Poor concentration and lack of coordination are some symptoms of this kind of suffering. Hallucinations and distorted thought processes also characterise the patient to a great extent. The patient may also display certain typical symptoms like social withdrawal, extreme apathy, and lack of motivation. The patient will also be in an emotionally numb state once the delusions have lessened.
- Causes: So what causes Schizophrenia, really? While no tests or conclusive examinations exist to pin point the exact diagnosis or cause of the disease, there are many factors that can contribute to the development and progression of the same. Hereditary factors play up in many cases while chemical imbalances in the brain also lead to this condition. The serotonin levels and the functioning of the neurotransmitters are the most significant causes of this disease, in such cases. Excessive abuse of drugs like LSD and cannabis can also contribute to this condition, while family relations and a dysfunctional environment can also lead to this disease.
- Types: There are many different kinds of Schizophrenia. One of them is Paranoid Schizophrenia, which makes the patient highly suspicious. Disorganised Schizophrenia can lead to incoherence in speech and thought. Catatonic Schizophrenia can cause social withdrawal while Residual Schizophrenia can lead to a complete lack of motivation. Finally, Schizoaffective Disorder can lead to major mood swings.
The various kinds of Schizophrenia are characterised by varying degrees of mood swings, depression, paranoia and delusional thinking. The progression of the disease can be checked with the help of cognitive behavioural therapy, which can help in reprogramming the brain of the patient to a great degree. Rehabilitation programs as well as case management can help in the long run. But the key here is to recognise the symptoms early on and get the treatment or counselling started to reduce the symptoms and their spread.
The brain is not a stagnant realm fed with a granted quota of intelligence and memory at birth. It is always in a state of flux. Exercising your brain in various ways accelerates its ability to perform better. It is in your hands to have a sharper take on situations and occurrences. Playing games that require brainstorming, solving quizzes, crosswords or playing chess makes you feel rejuvenated and tired at the same time; the reason being activated brain cells. A healthy brain will affect your life decisions positively and you probably will think rightly before you leap.
Tips to exercise those brain cells:
1. Meditate and calm your mind: Ten minutes of meditation each day can help you get over anxiety. When your mind is at peace you think out pros and cons with enhanced insight. This composure reflects in each of your actions. Meditation demands your brain to be quiet when it is accustomed to work; you therefore have greater control over it.
2. Music can improve your brain abilities: Music is the best antidote for a sloppy brain. Music excites the neurons healing a bruised memory. It gifts you with clarity of thought. Apart from listening to music one must try to play a musical instrument. Teaching yourself things puts your mind through a strict regimen of constructive activities.
3. Take out time to learn a new language: We are paralyzed the minute our brain gives up. Due to several external and internal reasons each one of us is likely to suffer from cognitive disorders on being subjected to extreme pressure or shock. Trying to learn a new language motivate your brain cells to have a wider vocabulary, which further restricts your chances of brain damage.
4. Mental mathematics could better your intelligence: Calculators, computers and phones are ridding us of our ability to compute individual data. Computation and consolidation of data helps your mind to work faster with precision. So, you now know those lessons on mental mathematics in childhood were actually the key to a well-rounded brain.
5. Think of something novel: The more the number of neurons the merrier is your brain. Take pains to direct your mind on a novel track. Thinking beyond what is given and expected helps your brain grow new neurons. It builds up your creativity letting you discover more of your capabilities.
Dr. My problem is when I am having sex with my girl friend I didn't getting enough time. With in 30 seconds my sperm coming out. Its my first time. I don't have previous experience also. please suggest a good medicine or something with out any side effect .i don't want take risk on my life. I hope any Good Doctor will solve this problem. Thank you.
I want to use the Sinclair method for curing my alcohol addiction. Can you suggest the name of the pill which contains naltrexone. Also let me know if taking the pill has any side effects.
My partner was recently diagnosed with a type of hpv infection and he is using some ointment called podowart for those warts which he had in his penis due to the infection. But as we dint no about it priorly we participated in sex even . So will that infect me even? Is it a serious issue for me than my partner? What should I do for it whom should I consult?
OCD or Obsessive Compulsive Disorder is an anxiety disorder, which can be indicated through obsession, having pervasive thoughts or thoughts, which may upset you, having certain compulsions, and practicing certain rituals, which may help to control or manage your obsessions. It is a disorder, which cannot be cured, but can be controlled with the help of treatment. Mostly, OCD is considered to be a lifelong disorder. It often circulates around the fear of germs or sickness and around keeping order and maintaining patterns. A person suffering from OCD can often be extremely annoying. Hence here are a few tips you can use to deal with OCD:
1. Understand OCD: The first step towards dealing with OCD is to know what you have to deal with. Gather as much information as you can about OCD and also read up about how you can overcome it. You need to know the symptoms of OCD so you can identify the disorder. Almost everyone suffers from OCD at one point of their lives. Hence, it is extremely important to understand OCD in order to treat it.
2. Work with your compulsions: Do not get petrified about your compulsions if you are planning to overcome your OCD, instead work with them. Try not to encourage their development. If you are worrying about whether you have switched of the lights, try and develop a mental picture of you doing it. If you are able to get a clear picture, then you have, otherwise you can go and switch it off. Another option is to maintain a list where you tick off the activity once you have done it so that you don't have to worry about it later on.
3. Maintain a journal: Maintaining a journal will help you curb your fears and negative thoughts. Write down all your obsessive thought and reflect on how they are affecting you and whether they are worth your worry or time. Gradually you will see that you are able to control these thoughts and will be able to push away any negativity which comes along with them.
4. Remind yourself about the good in you: Make this your regular practice. Do not undermine yourself, instead make yourself feel good. This will help you to get over the fact that you have done something wrong in your daily activities (like not turning the gas off when you actually have) and that wrong is going to harm people.
Chronic OCD will require therapy and medical assistance. Hence if you are able to detect the signs at an early level and are able to adopt the above measures to control it, then going to a doctor might not be necessary.