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Treatment & Management of Stress
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Obsessive Compulsive Disorder Treatment
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My wife is restricting me to have sex with her because she is only says me insert in me and finish in 5 min and leaves me I am not exited.
I've been taking citalopram 20mg since November and I think it has helped overall, however over the last week or so my obsessive / intrusive thoughts have come back which has been very upsetting. Do I ride out this blip or try upping to 30mg? I'm losing hope of ever feeling completely well again.
I want to know how I should come out of masturbation on daily basis I masturbate on daily basis and now I realize I deliver ejaculation quite earlier, it takes just few nominal minutes as well as my eye vision is getting blurred. After talking to my girlfriend I feel to masturbate. How should I come out of this addiction? Or, it is all just a myth in my mind towards masturbation? Kindly reply me as early as possible.
How to be a winner in life
1. Know what you want to get out of life … as you won’t reach your goals if you don’t where you’re going.
2. Make a list of all things that you’re grateful for … as it will change your attitude, your feelings and your mood.
3. Count to 10 before responding (or even worse, reacting) … as you don’t want to live with a series of regrets.
4. Track your progress so you know how you’re doing on your journey, and can make adjustments if you find you get off course.
5. Take care of yourself or you’ll end up burnt out – and you’ll lose the motivation to try, and persevere.
Sir mai 40 years ka hu maine 15 years tak gutkha (with tobacco) khaya hai. Past 4 years se bilkul chhor diya hai. Lekin mera mouth abi bi kam khulta hai, sirf 2 fingers jati hai. Pls iska upchaar batain. Thanks.
I put things somewhere and forget where I put that things n starts finding them. If someone said something to me I don't remember after a minute what that person told me. Just like this I do study hard but when it's time to revise those things I can't revise I need to relearn each n every word. And after relearning those things I still cannot write anything in exams and it results into failure. Now I feel scared to go to the exams. Please tell me what should I do. I want to come out of these things. Please help me to overcome my problem.
I am 20 years old. When I am sad. I am getting severe pain in heart. I can't bear this pain. I feel lonely because of my love issues. I am not able to become mentally strong. How to stop this severe pain.
Sir I am 25 years old. I am suffering from social phobia like in group, travelling on road but I have lot of stage daring. Then why this phobia created and what is solution. please help.
I have a bf it has been 2 years of our relationship. I am a very open person I love to talk and little kiddish I love to pull his legs.In front of friends I teased him like You can't do anything in your life. Etc and many more things I said. You know as example - we went out with two mutual friends of us we were having food and I just whispered to him that why he is paying the total amount of food. TAnd he feel like I humiliated him, and drone his prestige. He says I I am only here to drone his prestige. Is it so? He told me he is wasting time to stay with me. I had faced lots of problems in my life which I have never expressed I feel guilty for all this. I feel very much alone. Crying while typing all this but I feel better after sharing can you please help me? Should I walk away from him so that he can live happily? What should I do?
How should I reduce work stress? I have started worrying a lot and feeling very insecure with my work and unnecessarily getting worried about small things. My behaviour is rude towards my employees. What should I do?
Hello doctor, I am depressed from past few months. I am doing well now. But I have imaginary conversations with people I know constantly in my head. I also talk to myself lot but not loud because I live with my family. I have friends but I also have some imaginary friends in my mind I talk to them but in my mind. Is that okay? Am I normal or I need treatment? I also feel sad and empty most of time.
Hello sir, mam -. I am already suffering from great anxiety disorder is it suitable that green tea would help in reducing anxiety please tell me how.
I am 48 years male living in vellore District and working as HR-Manager. Due to stress, got diabetic in the year 2007 and taking medicine from M. V. Diabetic center, Chennai. My question is how long I should take these medicines.
I want to be successful in life but I have not achieved anything so far. I somehow able to complete my graduation. I always wanted to be first and get a good job in life. Because of my fear that I have not done well in studies. It took me five years to complete my graduation. I am a good kid. I don't do drugs and I am not interested in making any girlfriend. My parents always expected me that I will do good in life and take care of them because of this, I feared more and not able to do well in graduation. The main reason for this fear is I used to be a monk and I left my monkhood for my parents because my sister got married early despite of her age. My father got angry and created lot of tensions in our family because of her marriage so I have to leave my monkhood. It took me years to know about people and deal with society. As I was a monk my perspective towards life was different and I am not able to compete with fellow students. I have spent 4 years in monastery and after getting out from there, it was hard for me to do schooling and normal things. But I did my best in schools and not in graduation. Please help me Dr. I have never told this to anyone even my friends, I just want to keep this story to myself. I have gone to lot of depression during my teenage because of my religious values which was not compatible with people. But I remain silent and quiet and moved on. Now, I am in my 20's please help Sir/Madam, I am ready to anything to change my life please help. Now, I am preparing for GRE and trying to do master's in abroad. Please help me, I am really frustrated.
I have been smoking from last four to five years and I am addict of it now. Now I want to quit smoking. How can you help me.
Sir, My elder daughter, age 24 years is a patient of schizophrenia and is under treatment at PGI Chandigarh for the last 10 years. Presently she takes clozapine 200 mg single dose daily. Her problem is somewhat controlled but not totally cured. My younger son aged 17 years ,who is presently studying in class 12th (Non Medical stream) is quite intelligent and is presently taking coaching for Joint Entrance Exam of Engineering stream. His problem is that while he is quite at ease with Maths and Physics, he does not fare well in Chemistry. In weekly coaching/school test he does not fare well in Chemistry. Whenever, his results are out he is quite upset and gives up studying other subjects also. He does not want to go school/coaching institution and quarrels with his mother. When scolded for this, he becomes abusive and makes illogical arguments. However, after some time all is normal and he agrees to go to school/coaching institution . He does perform well in studies but again he is not consistent with his studies for the reasons mentioned above. Sometimes he is so optimistic that he he boasts of cracking IIT exam. But gives up easily when confronted with non performance. His lifestyle is somewhat similar. Sometimes, he cares well for his outlook, dress etc. But on another occasion, he does not care about his personal hygiene also. This issue was also discussed by me with Consular of my daughter at PGI Chandigarh, who asked me to bring my son for check up as soon as it is possible, but the problem is that my wife differs with me and says that our son has no psychiatry problem and it is just a behavioral problem and that would subside with the passage of time. She also fears that taking our son to PGI Chandigarh would make him dependent on medicines (with side effects) life long , as is the case with our elder daughter. Here in this context, I would request you to kindly advise me the right course. Thanking you.
Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.
Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.
Causes of OCD
The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.
- Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
- Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
- Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.
Treatment of OCD
For best results in treating this troublesome anxiety disorder combine brain-chemistry balancing approaches with psychotherapy techniques.
- Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms.
- The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
- Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
- Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
- Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
- Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.
Putting It All Together
- Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
- Consult with a qualified therapist using behavioural rather than analytical techniques.
- Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.