Dr. Ms. M Shah Patel

Don't interfere to any body's business. Just pay attention to your own work. Daily morning meditation can solve your problem further.

Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it! and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme, or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of: irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one think about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this' you can say, 'I understand what you are feeling. Is there a way we can resolve this situation? 2.Understand / recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/Find ways to let it go: Not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today.

Dear lybrate user. I can understand. No cigarette is good for health or harmless. Every cigarette smoking is addictive and can cause many diseases including cancer. Quit smoking. Take care.

Lybrate user most importantly you need to decide what is more important to you your studies or the problems which are creating disturbances at your mental level. Secondly try to hv a glass of water before just start your studies you will not get distract for good amount of time. Meanwhile if you feel needed opt for online counselling.

Not at all. You are probably going through some depression and I suspect that your hormonal imbalances may be effecting this reaction. Kindly meet with a counselor and if that person feels you need to meet with a doctor, kindly do so and cooperate with both of them. Even if you are pit on medication do not discontinue the counseling until the depression is fully resolved. If it is only to do with the hormones, it will resolve itself in some time. Yet a visit to a counselor is advised.

Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 3 drops of Aspen.+ 3 drops of Mimulus + 3 drops of Rock rose + 3 drops of Cherry plum. Mix these with 100 ml water and drink it every morning and night.(same dose) on empty stomach. If problem continues consult me online.

As per your concern I would suggest you to do following remedy 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This will help with your concern.

You are not mentally affected by one drink BUT you should not make it a habit. Now you can gain mind control by meditation and yoga .Symptoms vary depending on the type of anxiety disorder, but general symptoms include: •Feelings of panic, fear, and uneasiness. •Problems sleeping. •Cold or sweaty hands and/or feet. •Shortness of breath. •Heart palpitations. •An inability to be still and calm. •Dry mouth. •Numbness or tingling in the hands or feet. “Anxiety is a normal, predictable part of life. However, “people with an anxiety disorder are essentially phobic about the feeling state of anxiety.” And they’ll go to great lengths to avoid it. Some people experience generalized anxiety disorder (GAD), excessive anxiety about real-life concerns, such as money, relationships, health and academics, Others struggle with society anxiety, and worry about being evaluated or embarrassing themselves, he said. People with obsessive-compulsive disorder (OCD) might become preoccupied with symmetry or potential contamination. “The bottom line is that people can experience anxiety, and anxiety disorders, related to just about anything. Most of these steps contribute to a healthy and fulfilling life, overall. For instance, “making some basic lifestyle changes can do wonders for someone coping with elevated anxiety,” Take these steps from today. 1. Take a deep breath. “Deep diaphragmatic breathing triggers our relaxation response, switching from our fight-or-flight response of the sympathetic nervous system, to the relaxed, balanced response of our parasympathetic nervous system,” according to, clinical psychologists. Who have suggested the following exercise, which you can repeat several times: Inhale slowly to a count of four, starting at your belly and then moving into your chest. Gently hold your breath for four counts. Then slowly exhale to four counts. 2. Get active. “One of the most important things one can do [to cope with anxiety] is to get regular cardiovascular exercise,” For instance, a brisk 30- to 60-minute walk “releases endorphins that lead to a reduction in anxiety.” You can start today by taking a walk. Or create a list of physical activities that you enjoy, and put them on your schedule for the week. Other options include: running, rowing, rollerblading, hiking, biking, dancing, swimming, surfing, step aerobics, kickboxing and sports such as soccer, tennis and basketball. 3. Sleep well. Not getting enough sleep can trigger anxiety. If you’re having trouble sleeping, tonight, engage in a relaxing activity before bedtime, such as taking a warm bath, listening to soothing music or taking several deep breaths. And, if you’re like many people with anxiety whose brains start buzzing right before bed, jot down your worries earlier in the day for 10 to 15 minutes, or try a mental exercise like thinking of fruits with the same letter. 4. Challenge an anxious thought. “We all have moments wherein we unintentionally increase or maintain our own worry by thinking unhelpful thoughts. These thoughts are often unrealistic, inaccurate, or, to some extent, unreasonable,” Thankfully, we can change these thoughts. The first step is to identify them. Consider how a specific thought affects your feelings and behaviours. Is it helpful or unhelpful? These are the types of thoughts you want to challenge. Therefore it is suggested asking yourself: “Is this worry realistic?” “Is this really likely to happen?” “If the worst possible outcome happens, what would be so bad about that?” “Could I handle that?” “What might I do?” “If something bad happens, what might that mean about me?” “Is this really true or does it just seem that wa Then, “reframe or correct that thought to make it more accurate, realistic and more adaptive.” Here’s one example: “I would feel embarrassed if I tripped on the stage, but that’s just a feeling; it wouldn’t last forever, and I would get through it.” 5. Say an encouraging statement. Positive, accurate statements can help to put things into perspective. See these examples: “Anxiety is just a feeling, like any other feeling.” and “This feels bad, but I can use some strategies to [cope with] it.” 6. Stay connected to others. “Social support is vital to managing stress,” Today, call a loved one, schedule a Skype date or go to lunch with a close friend. “Talking with others can do a world of good.” Another option is to get together and engage in an activity that improves your anxiety, such as taking a walk, sitting on the beach or going to a yoga class. 7. Avoid caffeine. Managing anxiety is as much about what you do as what you don’t do. And there are some substances that exacerbate anxiety. Caffeine is one of those substances. As said, “The last thing people with anxiety need is a substance that makes them feel more amped up, which is exactly what caffeine does.” 8. Avoid mind-altering substances. “While drugs and alcohol might help to reduce anxiety in the short term, they often do just the opposite in the long term,” Even the short-term effect can be harmful. Experts have treated countless clients whose first panic attack occurred while they were taking drugs such as marijuana, ecstasy or LSD. “Panic attacks are bad enough if you are straight and sober, so imagine how bad they are if you are high, and can’t get un-high until the drug wears off.” 9. Do something you enjoy. Engaging in enjoyable activities helps to soothe your anxiety. For instance, today, you might take a walk, listen to music or read a book, 10. Take a break. It’s also helpful to build breaks into your day. As it is said, this might be a “simple change of pace or scenery, enjoying a hobby, or switching ‘to-do’ tasks.” “Breaking from concerted effort can be refreshing.” 11. Problem-solve. It is suggested considering how you can address the stressors that are causing your anxiety. Today, make a list of these stressors and next to each one, jot down one or two solutions. 12. Pick up a book. There are many valuable resources on anxiety, which teach you effective coping skills. Some recommended are Dying of Embarrassment for people with social anxiety; The BDD Workbook for body dysmorphic disorder; The Imp of the Mind and The OCD Workbook for obsessive-compulsive disorder. It is suggested Stop Obsessing for adults with OCD (and Up and Down the Worry Hill for kids with OCD). For people with panic attacks, it is suggested Don’t Panic: Taking Control of Anxiety Attacks. For a general overview of cognitive-behavioural therapy for anxiety, 13. Engage in calming practices. “Meditation, yoga, or other calming practices can help minimize anxiety in both the short and long term.” Sign up for a yoga class or watch a yoga video online. (Curvy Yoga is a wonderful and sizes.) Meditate right now for just three minutes resource for yoga for all shapes 14. Contact a therapist. “Sometimes anxiety can be difficult to manage without professional help,” Many organizations include databases of providers who specialize in anxiety (along with helpful information). 15. Accept your anxiety. “If you really want to effectively manage your anxiety, the key is to accept it,” This might sound counterintuitive. But anxiety, “in and of itself,” isn’t the real problem. Instead, it’s our attempts at controlling and eliminating it, he said. “Not accepting these unwanted inner experiences is the actual source of so much of our self-induced suffering.” Accepting anxiety doesn’t mean “resign[ing] ourselves to a life of anxious misery. It simply means that we are better off recognizing and fully accepting the existence of anxiety and other uncomfortable emotional states that are inevitable, but transitory,” So if you experience anxiety today, simply observe it. “Think of it like a wave of the ocean; allow it to come in, experience it, and ride it out.” Anxiety can feel overwhelming. It can feel like chains around your feet, weighing you down. But by taking small steps – like the ones above – you can minimize your anxiety and cope effectively.

Take charge of life, be master of your life, go and meet some counsellor face to face. In your age it happens, lot many confusions are there. Social influence and peer pressure and lot many things. Talk to someone professional. Do not worry.

Yes stop playing video games if you do not want a migrane attack. Cold drink is not just dangerous its cancerous. Drink at your own risk dear. Head down posture may harm your body posture, first stop video games and start walking. Do yoga and pranayam regularly.

If you are feeling worthlessness, sadness and lack of hope than you may be suffering from depression. It is a debilitating condition that can prevent you from enjoying your life. Although it may be difficult to enjoy previous feeling of happiness. You can take control of your depression by increasing social support, changing your thinking and by increasing your physical health. These are the method to overcome it. 1. Talk to a psychologist /psychiatrist/therapist a psychologist or a therapist will be able to help you work through the issues you are going through at this time. He or she will also educate you about your depression and will further guide you the right line of action to be taken. 2. Spend time with positive people social support is crucial to getting out of a depression and can be very helpful for you to cope with stress full life. Support from positive people can also help to reduce negative thoughts that lead to depression. Please find those people in your life who make a positive impact on your daily functioning. Your friends, family members or co-members should be encouraging and you should enjoy their company. Please go out and do small small things with them [ like listening music, watching movies, walking, reading etc.]. Please create distance with people you know cause you anxiety or who are not supportive. Spending time with them will surely worsen your condition and make it harder to feel enthusiastic about recovery. Plan a short vacation with positive people. 3. Physical contact hug a friend hold hands play with your pet or dog 4. Always think positive and realistically negative thoughts are trademark of depression. This means you get struck thinking the same negative thoughts over and over again. Write down all the bad negative thoughts you have and create a positive thought for each negative thought you wrote down. For example I am ugly, please write I am unique and beautiful. I dont need any approval. 5. Compliment yourself for small small things. 6. Please avoid alcohol, cigarettes or any kind of substance abuse.

Hi lybrate-user, it sure will take time for you feel normal again. There will be difficult times during this phase and relapse but stick with your medication and make lifestyle changes in your routine - proper sleep, eat healthy and exercise daily. Yoga and meditation will help you cope with feelings of hopelessness.

Hello is there any family problem or your are not taking food and sleep properly. Please tell more about yourself to guide you. At present you take ignatia 200 one drop in 1/2 cup of water for 15 days and tell me your condition after that. Thanks.

If all the symptoms were like previous one, you need not go for x-ray. However I do not know that based on what finding X ray is asked for. Etizola beta will temporarily relief of symptoms.

Please do meditation to relieve stress. Limit your screen time staring at computers, tvs or phones in the evening before going to bed. Take balance diet. Keep bowels clear. Take kali phos 6x - 4 tablets twice daily for next 2 weeks. Get back to me for further treatment.

Dear lybrate-user, try this method many people are success first and most sleep early wake up early at 4.0 am and study with fresh mind, of course subjects which you are not interested you must spend more time and repeat it many times" practice makes perfect" not only human including pets. Switch off mobile phone when you go to bed and switch it on at 6am. Example some people they don't like mathematics but it is essential for life everyday and every time we are depended on mathematics, right from doctor to business man, including vegetable seller, we can understand many other distraction disturbed minds it is like love issues. Still not able to concentrate go for counselling help.

Its in your hand to be happy what it requires is slightly change in your approach firstly stop thinking that something is wrong with me I am not well make yourself as much busy as you can so that you don't get time to think on all this. And its everyone's right is to be happy we cannot change the thinking of people or situation around us but we can get the things or reasons which make us happy. We get only one life after that we don't know what will happen in future, what we can do is to live every second of life, what do you want to be, what do you want to eat, to do, your career, your friends, your likings etc. Develop some hobby, make some good friends, make yourself busy, as much you will think you will get frustrate and will gain nothing, live only for yourself, and this can be possible when you will involve yourself in some other things first start from joining any hobby class and make any good friend with whom you can share everything .you can take help of any counsellor ,you can also contact me regarding this. Take care.

Hi, Thanks for writing in, welcome to the forum. Let us look at your scenario systematically. First, what is the likely diagnosis? It is difficult to say with the limited information available, but if one were to conclude with this information, I would agree with the diagnosis that was assigned to you (OCD). Your doctor is not using risperidone as an antipsychotic here, but as an augmenting agent. The dose of risperidone is on the lower side and that further confirms his intentions. The use of risperidone when there is unsatisfactory improvement with an SSRI is well known and proven beyond doubt. But the question here is whether we can just have improvement with an appropriate dose of paxidep alone or not. The only way to get to know that is to try it without the risperidone with appropriate dose adjustments from time to time. A call regarding risperidone can be taken after a few weeks of treatment along these lines. Please understand that all of the above suggestions are for your information only and I have no intention to question or interfere with your doctor's line of treatment. Also, since I have not seen you, I am assuming that the diagnosis of OCD is accurate and you have previously not taken medicines for the same or previously did not have any psychiatric ailments. A number of psychiatric terms, diagnoses and medication classes are deceptively similar to words used in general english. For example the word obsession as used in english and as used in psychiatry are completely different. Similarly, a medicine that is called an antidepressant or an antipsychotic is not simply a medicine to be given in depression and psychosis only, but depending upon the dose and other medicines being used alongside, can have vastly different effects and can be used in many different conditions. For example, a medicine such as propranolol, depending upon the dose and formulation can be used in the treatment of migraine, BP, anxiety, heart disease, intra-abdominal bleeds, aggression and so on. So stay away from a simplistic interpretation of what a medicine is for and clarify with the doctor. Take care!

You need to come out of stressful environment. Do yoga and meditation and work where you feel comfortable.

Dear student for concentration and memory try following things on a daily basis and you will see positive results. Concentration is a mental skill that you can develop. There are two ways to improve your concentration: first, raise your brain's natural ability to concentrate. In other words, increase your attention. Second, adjust the environment around you to make concentrating easier. To improve your concentration takes a little time and effort, but it can be worth it. In my personal experience with students. This can make noticeable improvement in a relatively short time. Ideas for daily concentration-boosting habits include: mindfulness meditation - many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Focusing on your breathing, known as mindfulness meditation, is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. Proper sleep -i am sorry to say it. Pulling all nighter will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be. Brain game -. The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not the score in the game! eat healthier - your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white floor in your diet as much as you could. Exercise is helpful in both reducing stress and increasing focus. At-least 20 minutes a day would go a long way. Optimize your mental state & environment in addition to building the habits described above into your daily routine, also adjust your environment and your current mental state to improve your concentration when studying. Create a study spot. Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed. Remove distractions. Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with talk radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration. Block background noises. If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking. Use time boxes. Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time. Stay motivated with rewards. If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing one hour of intense studying. That way, even if the material is dry, you have the reward to look forward to. Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind. Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also. If you want to learn how to study effectively and need help making a balanced study habit you could contact me for 60 to 90 minute audio consultation and I will be able to make one for you hope this helps wishing you very best.