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Dr. Mary George Varghese

Psychologist, Mumbai

1000 at clinic
Dr. Mary George Varghese Psychologist, Mumbai
1000 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Mary George Varghese
Dr. Mary George Varghese is a popular Psychologist in Bhandup West, Mumbai. You can consult Dr. Mary George Varghese at Carewell Holistic IHC in Bhandup West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Mary George Varghese on Lybrate.com.

Find numerous Psychologists in India from the comfort of your home on Lybrate.com. You will find Psychologists with more than 31 years of experience on Lybrate.com. You can find Psychologists 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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G-170, Upper Ground Floor, Dreams the Mall, LBS Marg, Bhandup West, Landmark: Adj.to Bhandup Railway Station, MumbaiMumbai Get Directions
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I am married male 26 yrs. I am suffering from erectile dysfunction. I am taking half tablet of manforce 50 mg daily. After taking this tablet my erection is fine. Earlier I had bad drinking habit but I have stopped it. Since last 3 months I hadn't taken alcohol at all. I am a moderate smoker and smokes 3 to 4 cig daily. I just want to know that if I keep taking this tablet then does it have any long term side effects rest is fine after the tablet. please tell me can I keep using half tablet of manforce 50 mg daily coz after taking dis everything is fine. Kindly give me suggestions. Thanks.

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
I am married male 26 yrs. I am suffering from erectile dysfunction. I am taking half tablet of manforce 50 mg daily. ...
Thanks for writing to us. Menforce contains sildenafil. It is used for erectile dysfunction (no proper hardening/erection of penis) not for premature ejaculation. It belongs to 5- pde inhibitor group of medicines. It should be used 2 hours prior to sex. They causes headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription. I do not recommend to take it daily. As taking daily increases the chances of side effects. In long term it can cause visual problem, hearing problem, cardiac problems and priapism (prolonged painful erection). I want to make you aware about premature ejaculation. There is no specific time we can say normal for a man during sex. Premature ejaculation (pme) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose pme. It is relative term and female partner is the best judge. There are medicinal and non medicinal approaches to treat pme. I would suggest you to follow the following behavioral approaches. 1. Stop and squeeze technique can be applied which you can learn from internet and ask me if any query in that.(in brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably). 2. Master and xxxxxxx technique can also be learnt from qualified sexologist/psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time. 3. Sex counseling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time. 4. You should do masturbation before sex (at least 2 hours before). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out. Another approach: -use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis. --topical application of anesthetic gel/spray. For this you have to consult doctor. Hope I have answered your query, I will be happy to help further. Regards,
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Mam please tell me how I extend my memory power, how I improve my memory power day by day for help in study. my mind not learn anything fast if I do hard work then my mind learn anything mam I have habit of masturbate in 2 or 3 times in a month. I think masturbation can loose my memory power please tell me all merits and demerits of masturbate and how I improve my memory power line medication or yoga please tell me doctor.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Masturbation has nothing to do with memory power. The stress about you thinking it is a problem will affect your memory. So stop worrying about it. Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives. In the meantime do some of these recommendations very faithfully to improve memory: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: •Green leafy vegetables (like spinach and salad greens): At least six servings a week •Other vegetables: At least one a day •Nuts: Five servings a week •Berries: Two or more servings a week •Beans: At least three servings a week •Whole grains: Three or more servings a day •Fish: Once a week •Poultry (like chicken or turkey): Two times a week •Olive oil: Use it as your main cooking oil. •Wine: One glass a day You avoid: •Red meat: Less than four servings a week •Butter and margarine: Less than a tablespoon daily •Cheese: Less than one serving a week •Pastries and sweets: Less than five servings a week •Fried or fast food: Less than one serving a week.
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I have dull headache. I used to laid severe pressure on mind to concentrate and to capture things in mind while studying. My brain got exhausted. The symptoms are dull headache, weakening eyesight, heavy head and dizziness. Is Ativan (lorazepam)helpful in this case.

MD
General Physician,
I have dull headache. I used to laid severe pressure on mind to concentrate and to capture things in mind while study...
you need rest. take a holiday. go to some place rejuvenate yourself. give some time for yourself only. keep books aside for a couple of days. your complaints will vanish. you don't need medication
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I sometime happy sometime angry. So please tell me what I do? I have very stares.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good Afternoon ~ If you are looking for answers to problems that have become disabling, i.e. Have become so distressing that you are not able to lead a normal productive life which could be not going to school or college, work in a normal fashion or have interpersonal relationships in a normal way then I believe that you should consult a psychiatrist. I can prescribe medications based on your symptoms on a private paid consultation which will be completely confidential and therefore can reveal more information during that time.
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Dear sir or mam My memory power is weak How can I increase it? What r the foods that boosts memory power?

BHMS
Homeopath, Faridabad
Hello, there are few food items which helps you in boosting up your memory power, increases focus & concentration, so try to take more of these: 1. Choline: good sources of choline include liver, milk, eggs and peanuts. 2. Vitamin b: b vitamins are not synthesized in the body, and thus need to be obtained from food. B-complex vitamins are water-soluble vitamins, which means that they are not stored within the body. In consequence, the b vitamins need ongoing replenishment. Vitamin b1 (thiamine) rich sources include unrefined grain products, ready-to-eat cereals, meat (especially pork), dairy products, peanuts, legumes, fruits and eggs. Foods that contain high concentrations of vitamin b3 (niacin) in the free form include beans and organ meat, as well as enriched grain and cereal products. While niacin is present in corn and other grains, the bioavailability of the nutrient is much less than it is in protein-rich sources. The role of vitamin b9 (folic acid) during pregnancy is vital to normal development of the nervous system in the fetus. Good sources of folate include liver, ready-to-eat breakfast cereals, beans, asparagus, spinach, broccoli, and orange juice. Animal protein products are a good source of vitamin b12 (cobalamine), particularly organ meats such as kidney or liver. Other good sources are fish, eggs, and dairy products. 3. Vitamin a: the foods highest in vitamin a are any pigmented fruits and vegetables and leafy green vegetables. 4. Zinc: zinc is a very important part of the brain as well; many regions of the brain, such as the cerebellum, and hippocampus have neurons that contain this nutrient. Zinc is needed to maintain normal vitamin a levels in blood plasma. Sources of zinc are meats, certain seafood, whole grains, baked beans, oatmeal, milk (low-fat), cashewnut, almonds, kidney-beans, cheese, peas, spinach, sesame seeds, pumpkin seeds, flaxseeds. Medication: take homoeopathic medicine for increasing memory - anacardium 200/ once daily.
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Bipolar Disorder - 7 Signs You Should Be Aware of

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Bipolar Disorder - 7 Signs You Should Be Aware of

Symptoms for Bipolar disorder varies from patient to patient. Bipolar 1 and bipolar 2 can vary in terms of signs and symptoms. Both diseases have a different set of symptoms and they are diagnosed according to the merit of the symptoms.

Bipolar 1
Bipolar 1 is characterised by a manic episode. This may be followed by a hypomanic or depressive instance. Symptoms of mania can cause major impairment in life and extreme cases may require hospitalisation. Bipolar 1 patients can suffer from psychosis as well.

Bipolar 2
Bipolar 2 is characterised by a hypomanic instance that lasts for at least four days and one depressive instance lasting for a minimum of two weeks. Bipolar 2 doesn’t involve a manic episode. Frequent mood swings and violent behaviour can be major challenge in a patient’s life.

Warning signs of manic and hypomanic behaviour:
a. Quick passing thoughts
b. Unusual talkativeness
c. Distraction
d. Increased social activity
e. Inflated sense of self-esteem

Symptoms of bipolar disorder

  1. Anxious distress: Apprehensions about not finishing a task on time, feeling of restlessness, feeling of losing control, difficulty in concentrating due to distress, fearing an awful event will occur in the near future, etc., are key symptoms of anxiety distress.
  2. Melancholic features: Patients suffering from bipolar disorder like to be left alone. They may not seek pleasure in any activity and even good things may not have much effect on them.
  3. Catatonia: This is a condition wherein, a person stops reacting to the environment. Not speaking and holding unusual body positions are some signs of these symptoms. There might be a tendency of mimicking too.
  4. Psychosis: This is one of the classical symptoms of bipolar disease. It is characterised by hallucination, constant depression and delusions.
  5. Seasonal pattern: There is a pattern of manic, hypomanic and depressive episodes throughout the year. The pattern might change within a month or season.
  6. Rapid cycling: The number of mood swings can exceed four or more times in a single year.
  7. Peripartum onset: This is a condition where bipolar disorder symptoms are witnessed in a pregnant woman during pregnancy or within the four weeks following delivery.

Symptoms in children: It is difficult to find symptoms of bipolar disorder in children and teens. Along with bipolar disorder, kids are most often diagnosed with other mental health problems as well. The problems can result from stress, trauma or chemical imbalance of the brain. Perhaps the biggest symptoms of bipolar disorder in children and teens are their frequent mood swings, chronic depression and feeling of despair. There might be a tendency of oversleeping as well. Reaching out to a doctor or professional help is very necessary for cases related to children and teens. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.

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I am a18 year old girl, l was confident about my future and decisions that l've made regarding my studies and career, but when I started to study the specified topics l was not able to follow it. L tried my best but l was not able secure the desired results, and now l feel like lam a waste, l know that I am depressed very much, what should l do to get my life back?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I suspect that you have made a slight blunder that may be the cause of this despair. You must go for career guidance tests and also an aptitude test. These will determine what you are made for and tailor your skills set to the most desirable career. The career guidance counselor will then help with several professional options and match your favorite subjects that suit a particular course to be pursued. You are so young that mistakes can be easily and quickly rectified. Why trouble yourself and get into a depression when these matters can be sorted out in style. Cheer up and take your world by storm. There is so much waiting for you to do. In the meantime do regular exercise, eat well and get adequate sleep every day. Do not withdraw, and meet people in activity oriented settings so that mixing with them will be a whole lot comfortable. But do go through a little discomfort in the beginning, and in time it will ease up considerably. Keep me posted about your progress.
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I got married recently and about my wife she tells that she has a friend who is elder than her and she is a widow and my wife wants her to be with us always she always thinks of her and she is not co operative in sex she says she has less interest I am getting doubt on her I am not able to concentrate on my work pleas help me out should I give divorce her to her.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I got married recently and about my wife she tells that she has a friend who is elder than her and she is a widow and...
Honesstly difficult to opine on this issue. Consult, psychologist councellar if it helps you. All the best. May god help you. Be bold and positive.
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Is it psychological problem that I like to smell socks and shoes I get agitated and want to do sex as I do it.Please tell.

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
Is it psychological problem that I like to smell socks and shoes I get agitated and want to do sex as I do it.Please ...
Dear lybrate-user, I would like you to read about fetishism, in psychology, a form of sexual deviance involving erotic attachment to an inanimate object or an ordinarily asexual part of the human body. Fetishism as a mental condition may be defined as the necessity to use a non-genital object in order to achieve sexual gratification. The affected person has created a strong association between an object and sexual pleasure or gratification. The object may be some other body part, an article of clothing, or, less frequently, some more impersonal object. A person with a fetish often spends significant amounts of time thinking about the object of the fetish. Further, the object is intimately related to sexual pleasure or gratification. In the extreme, the presence of the fetish object is required for sexual release and gratification. The person with fetishism frequently masturbates while holding, rubbing, or smelling the fetish object or may ask the sexual partner to wear the object during their sexual encounters. Usually the fetish is required or strongly preferred for sexual excitement, and in its absence there may be erectile dysfunction in males. The condition occurs almost exclusively among men, and most of the objects used relate to the female body or female clothing. The articles of clothing most commonly used are shoes and items of female underclothes. Olfactory sensations are also frequently important. For some people with a paraphilia such as fetishism, paraphilic fantasies or stimuli may be necessary for erotic arousal and are always included in sexual activity, or the presence of the fetish object may occur only episodically. For example, the fetish object may only be necessary for arousal during periods of stress, and at other times, the person is able to function sexually without the fetish or stimuli related to the fetish. If you have any further query, feel free to contact.
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I am 22 years under anti depressant medication from past five years. I just feel inferiority complex and lonely all the time and feel as if I have lost my dream and am doing nothing good. I feel so helpless and get irritated when my family approaches me. What should I do?

MSC Psychotherapy & Counselling, CHt Hypnotherapy, MD Alternative Medicine, MBBS, Diploma in Public Health
Psychologist, Mumbai
I am 22 years under anti depressant medication from past five years. I just feel inferiority complex and lonely all t...
Hi what symptoms you mentioned are all because of depression. It is like using mental filter. In depression we see only the negative around us and about us. We make no efforts to see the positives around us. We even forget our own positive achievements and moments in life. Slowly mind sets into this habitual thinking. But there is a way out. As we go to gym to exercise regularly every day if we want to loose weight same way you need to change your this habitual thinking by conscious efforts every day. Everyday write down the positive happenings in your life even if it means the simplest thing like smelling of beautiful flower fragrance that put smile on your face, someone praised you. This will start your brain rewiring what we call as neuroplasticity towards positive change. Also write your achievements till now. Everyday. Even if you have to write same thing again. Continue this for at least 8 weeks. Learn some relaxation exercise, listening to music. Avoid watching emotional serials or movies. Watch and read comedy. Please do continue on medicines as suggested by your psychiatrist and regularly visit to modify the dose if needed. This is equally important as these exercises. Wishing you a good health! warm regards.
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I am 26 years old. Female. Always am at upset and am not able to separate happiness and sad.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
This is all stress and worries of life. May be issues of married life/future marriage, you may be having insecurities and fear. Just relax. Ask yourself what bothers you? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you cant do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life.
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I am becoming mad. I think. I am thinking wrong about my parents and thinking all bad God's I don't knw why I try to stop but can't.why this is happening does smoking hashish made me like this. Please answer little briefly.

Bachelors in Psychology, Masters in Psychology, Post Graduate Diploma in Guidance and Counselling
Psychologist, Jalandhar
I am becoming mad. I think. I am thinking wrong about my parents and thinking all bad God's I don't knw why I try to ...
Hi Akki... as you are in teenage...so there will be so many ups and down emotions.. You parents is worried about you nothing else ..they want your better life so try to under stand and do n't be panic ...try to feel their pain and fear about you...may be you will be anxious on me ... but this is truth...try to take your parent in confidence that you will not doing wrong.....love your parent ....take care.....
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I lost my friend last year in a tragic accident. From then I feel very depressed. Please help.

BHMS
Homeopath, Pune
I lost my friend last year in a tragic accident. From then I feel very depressed. Please help.
See I admit you were very close to your friend but as you have lost your friend it means that your life also has stopped there you have to make up your mind to move on. Know that its natures rule one who comes have to go it doesn't mean that you have to stop there you can take example of nature only every sec she looses her close ones but she never gets depressed but with again great enthusiasm she give everyone everything. So be happy never feel any guilt and never feel that you r alone your parents are there for you all the time. So keep smiling and be happy have great life.
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I smoke from last five years so I want to stop it. After stopping smoking in how many days it's takes to cure.

MD - Psychiatry
Psychiatrist, Delhi
Hello, welcome to lybrate, you deserve an appreciation as you consider the thought to stop smoking. Smoking like any other substance do have a dependence producing quality due to the presence of a psychoactive substance in it called nicotine. Smoking if less severe can be managed with psychosocial interventions only. However as the severity increases, it needs an expert opinion to plan the management for smoking cessation which would include both pharmacological intervention as well as psychological approaches for complete recovery. At present you need an expert opinion to assess the severity of dependence on smoke, hence you can consult me to plan further management of your smoking problem.
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I imagine things like someone I wanna be. But I cant control it. I mean when i am talking to someone my mind is somewhere else when I try to concentrate on conversation its only for a minute then again lost in imagination. Please help me.

BHMS
Homeopath, Faridabad
I imagine things like someone I wanna be. But I cant control it. I mean when i am talking to someone my mind is somew...
Hello, You are lacking the focus and concentration. The best way of increasing the concentration is through exercises (sp. yoga and meditation) which increases your blood circulation, boosts up oxygen in each and every tissue of the body. Medication: Take homoeopathic medicines - Bacopa Monierri Q/ 10 drops in 1/2 cup of water/ thrice daily and Kali Phos. 6x/ once at night. Take them for 20 days. Revert me back.
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I have a masturbation problem whenever I am in anger mood after that I am automatically in mood of sex why so?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I have a masturbation problem whenever I am in anger mood after that I am automatically in mood of sex why so?
Dear , such an attitude is not normal but cannot be counted as rare. Such things are seen in many people and there is nothing to worry about. In due course you will learn how to manage that too. You may do well with psychological counseling. Take care.
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How much alcohol can someone over 50 safely drink, and does our tolerance change with aging?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Yes, the body's ability to throw out the by products of alcohol metabolism changes with growing age. Also there is no recommendations for alcohol. It's alien to our system.
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I am 40 years old and I have problem in reading and writing stuff and I feel that my eyesight is getting weak. Is it due to ageing for something else?

BHMS
Homeopath, Lucknow
I am 40 years old and I have problem in reading and writing stuff and I feel that my eyesight is getting weak. Is it ...
Yeh it can be. You should go for eye checkup. And take proper diet like carrot, spinach, watermelon. Do some eye exercise, like rooling eyes, rooling left, than right up and down, it is very good exercise which is very helpful for eye muscles. And apply mustard oil in toe after bathing. It will very helpful to u. Bye tk cr.
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Sir I amresh kumar want to know about symptom of depression, and how I overcome on it please tell me about it.

DNB, DPM, MBBS
Psychiatrist, Delhi
Sir I amresh kumar want to know about symptom of depression, and how I overcome on it please tell me about it.
Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is (1) depressed mood or (2) loss of interest or pleasure. Note: do not include symptoms that are clearly due to a general medical condition or mood-incongruent delusions or hallucinations. (1) depressed mood most of the day, nearly every day, as indicated by subjective report (e. G. Feels sad or empty) or observation made by others (e. G. Appears tearful). Note: in children and adolescents, can be irritable mood. (2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by subjective account or observation made by others). (3) significant weight loss when not dieting or weight gain (e. G change of more than 5 percent of body weight in a month) or decrease or increase in appetite nearly every day. Note: in children, consider failure to make expected weight gains. (4) insomnia or hypersomnia nearly every day. (5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down). (6) fatigue or loss of energy nearly every day. (7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick). (8) diminished ability to think or to concentrate or indecisiveness, nearly every day (by subjective account or as observed by others). (9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. B. The symptoms do not meet criteria for a mixed episode. C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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