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Treatment & Management of Stress
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Dear doctor we have a patient of schizophrenia taking clozapine. That is a good medicine but bioavaiability is so low that it has side effects. You are requested to inform us when the nano drug delivery for clozapine can be expected. We will be highly obliged and thankful to you.
I am feeling some pain in mind, loosemotion, and fever on my body. what should I do for better health?
Worrying has become a national pastime. Whether you're worrying about repaying your college loan, having job stability in an unstable economy or making sure your toddler hits all the developmental milestones at the right times, there's no shortage of material for mind sweat.
Especially for those of us interested in wellness, it can almost feel tiring to be told the importance of "letting go," "relaxing" and "unwinding." While this advice is ultimately right, there's also good reason we might feel inclined to resist it. The simple reason? Biology: all of our brains are wired to worry.
Basically, the same brain circuits that make for super human intelligence in our frontal lobes (allowing decision making, problem solving, and planning) also produce worry. For your brain, the only difference between worrying and planning is the amount of emotional involvement and self-oriented processing in a specific part of the brain. Of course, we all know worrying is charged with more negative emotions.
But your brain's number one priority is keeping you alive, and it's evolved to do that very well. Sometimes, worrying is the body's response to danger, an evolutionary mechanism to keep you alive.
But you can take concrete steps to climb out of the worry trap. You have to learn to soothe and guide your thinking brain and calm it's fear circuit. Here are some ways to begin:
1. Cultivate greater awareness about your emotions.
The first step to decreasing worry is to recognize when you're doing it. Becoming aware of your emotional state as it occurs enlists your thinking frontal cortex and suppresses the fight or flight amygdala response. In the study Putting Feelings Into Words, when participants simply labeled an emotion, their brains calmed down.
2. Take a deep breath (ideally many of them).
Taking slow, deep breaths through your nose into your diaphragm with slow exhales turns down your nervous system and reduces your body's stress response. This advice is undoubtedly not the most original, but that doesn't mean it's not effective. Think of it this way: if your breathing and heart rate naturally speed up when you are under stress, you can choose to reverse your response — by breathing slowly. This will send your body the message "I am relaxed," and you will become more relaxed as a result. It's like magic, with science.
3. Don't look back or forward.
When you find your mind drifting into the past or future, come back to the present moment, right here right now — a practice known as mindfulness. In this moment, you are OK. Your thoughts are creating your sense of danger. Bringing your awareness back into the now calms the fearful amygdala in your brain and activates your thinking neural circuits. Studies show that with repetition, mindfulness practice can lead to long term, lasting reduction of anxiety and worrying.
4. Pay attention only to what you can control.
Your brain craves control and feels happier and calmer when it just feels more in control — even if it's just an illusion. Feeling in control can reduce anxiety, worrying, and even pain. So, avoid imagining the worst possible scenarios, and instead pay more attention to what is in your control, which modulates brain activity to reduce anxiety.
5. Make a decision, even if you don't really want to.
Simply making a decision about whatever it is that you're worrying invokes your thinking brain, increases dopamine levels, and shifts your brain's perceptual focus on the things that matter the most. Making a decision — any decision — also elevates your perceived control giving your confidence and mood a boost which helps you to take positive action.
6. Go for good enough.
Worrying is often triggered by imposing unrealistic or perfectionist expectations on yourself or others. Don't aim for being the perfect parent; just be a good one. Your kid doesn't have to get into an Ivy League college. They just need to go to college. You don't have to be model thin. You just want to be healthy.
The problem with worry arises when the brain anxiety-circuits activate too frequently and get stuck in the "on" position continually which triggers the body's fear response. This then activates the stress response — which starts a downward spiral ... making you a miserable mess. So rather than make yourself more stressed out by worrying-about-worrying, think of worry as your brain just doing its job. You just don't want it to get too enthusiastic.
Epilepsy is a common illness and therefore, we commonly encounter women with epilepsy (WWE), who are either pregnant or contemplating pregnancy. There are a lot of apprehensions and misconceptions regarding managing epilepsy in this group of WWE. Here, I wish to highlight some of the important aspects of managing epilepsy in women who are planning a pregnancy or are currently pregnant.
1. If a woman is seizure-free for at least two years, she can consider withdrawing anti-epileptic drugs (aeds) under the supervision of neurologist, and then plan for pregnancy.
2. If a woman has seizures, it is better to continue aeds during pregnancy, as the risk to the baby is several times higher with seizures, as compared to that with aeds.
3. Sodium valproate has the highest risk to the developing baby, and it should be avoided in pregnancy.
4. Aeds such as levetiracetam, lamotrigine, oxcarbazepine, topiramate, etc are safe and may be continued during pregnancy.
5. The lowest effective dose of aed should be used.
6. Try to use only a single anti-epileptic drug, if possible.
7. Folic acid vitamin supplements should be used in pregnancy.
8. The dose of anti-epileptic medication may have to be increased during the last three months of pregnancy.
9. Ct scan of the brain should be avoided, as far as possible, during pregnancy, as radiation exposure due to it may harm the baby.
10. Mri brain is reasonably safe for baby, especially after the first three months of pregnancy. So, if needed, it may be performed.
More than 17 million people suffer from alcohol abuse or dependence
But not everyone can tell when heavy drinking crosses the line to alcoholism.
To help people identify when drinking becomes a problem, five major signs of alcohol abuse or dependence:
One is a high tolerance for alcohol, which means a person drinks increasing amounts of alcohol. Someone with a high tolerance may drink more than others without showing obvious signs of intoxication.
Another sign is having withdrawal symptoms when not drinking. These symptoms include anxiety, trembling, jumpiness, sweating, nausea and vomiting, insomnia, irritability, depression, fatigue, headaches and loss of appetite. Some people suffer potentially life-threatening withdrawal seizures, Jacobs said in a university news release.
People with a drinking problem often spend less time on activities that used to be important to them because their drinking is consuming more of their time, energy and focus.
Those who are addicted to alcohol may continue to drink despite negative consequences. Work troubles, damage to a marriage or other relationships or health problems are some possible consequences.
The fifth sign is that someone can't quit or reduce their drinking even when they want to.
If you or someone you know has these signs of alcohol addiction, help is available. Talk to your doctor and/or seek professional counseling,
Long-term alcohol use can harm every organ in your body, including your brain, according to Jacobs. Alcohol abuse can also damage your career, finances, emotional stability, and adversely impact your family and friends.
"Alcohol use disorders are equal opportunity diseases. People from all walks of life are affected, but with the appropriate treatment and care, lifelong recovery is possible"
I am 25 years girl am having anxiety disorder I consult psychiatrist he give me tab lonazep 2.5mgafter 2mnth I am oke but now also having sever tension now am not taking tablets is it want to continue lonazep till life long solving this problem.
Hi doctor. Normally I don't believe in friendship from my childhood. In my graduation time I made one friend. We become close like brother but the thing is that he is taking me for granted. The problem is that because of this I am getting fear of losing him, depression, not getting hungry, no sleep n various thoughts are striking in mind. Even not getting interest in studies. What should I do?
I am 55 years old. Feeling very tired having back pain, overall body pain, high acidity. Please guide me. Tks.
Having children is a challenging and full time job. Whether you have one child or four of them, the mental and emotional implications of raising a child will always be tremendous. This is mainly due to the fact that children have a way of becoming your greatest challenge. They are a life altering addition to your home and life and you would do well to understand this as you evolve as a parent, rather than letting it hinder the other quarters of your life.
Read on to know the surprising ways in which kids can affect your relationship, and what you can do about it!
- Sharing Responsibilities: While marriage or cohabiting may change the way you look at the person you dated, having a child with that partner completely changes the logistics in the relationship. This is because the unsaid rule of responsibility comes into the picture. While both parents are equally responsible for the child, a delicate rhythm and routine tends to fall into place. Yet, the setting of this very routine can take the mickey out of the most compatible couples when it comes to figuring out expectations and the unsaid pressure. For example, as per medical studies, it has been proven that fathers tend to have a less active role when the couple is raising a daughter. So, in case you are facing a laid back partner, you may want to discuss sharing responsibilities that would have little to do with gender centric roles.
- Full Time Job: Your relationship with your partner and spouse is one of the things that will get heavily impacted by the addition of a child or children to your equation. This is because raising a child is a full time job that requires the commitment of two people who are unique and were drawn to each other for certain reasons that may seem very different when a third individual is in the equation, especially one who requires full time care and raising. Here, you can remember to show your emotions in a less judgmental manner and discuss things on a regular basis to avoid strife.
- Career: While most women go through the pain of labour and delivery, men may go through the guilt of tying down a woman who might have been career oriented. In such cases, it is best to talk about getting back to a career and the support that the father can render, beforehand.
There are a number of ways in which child rearing affects individual households. So, it is best to go in for counselling in case things get too difficult to handle.
How can improve my memory. I forget something sometimes that's very dangerous situation. Please suggest me.
I am 17 year old and studies in class XII but I failed to concentrate in my studies then what should I do?
For last one month I have been suffering from Trypophobia. How can I recover from it? Is there any medicine for it?
Diagnose root cause of your pain at an early stage because improperly diagnose & treated pain can create lot of problems in future.