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Dr. Prasanna Tandolkar

Psychiatrist, Mumbai

600 at clinic
Dr. Prasanna Tandolkar Psychiatrist, Mumbai
600 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Prasanna Tandolkar
Dr. Prasanna Tandolkar is a renowned Psychiatrist in Dadar West, Mumbai. He is currently associated with Shushrusha Hospital in Dadar West, Mumbai. Save your time and book an appointment online with Dr. Prasanna Tandolkar on Lybrate.com.

Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 40 years of experience on Lybrate.com. You can find Psychiatrists 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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Hindi

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Street No 698-B, Ranade Road, Dadar West, Landmark : Nera Shivaji Park, MumbaiMumbai Get Directions
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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.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Oral bioavailability of clozapine is around 25-28% which is less as compared to other drugs. However it is a very good medication fir schizophrenia, no doubts on that. Side effects do not necessarily occur in every patient and it may not be related to its bioavailability. Studies on nano drug delivery options for clozapine are ongoing and have shown promising results. There is however no consensus on how long will it take to enter markets and be available for use.
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I am feeling some pain in mind, loosemotion, and fever on my body. what should I do for better health?

Master of Clinical Psychology, Post Graduate Diploma in Psychological Counselling
Psychologist, Pune
I am feeling some pain in mind, loosemotion, and fever on my body. what should I do for better health?
Proper diet, sufficient sleep and regular exercise is a key to better health. Yoga and pranayam helps a lot to release psychological as well as physical stress.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Health Tip:
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.
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Managing EPILEPSY in WOMEN

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Managing EPILEPSY in WOMEN

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.


 

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C.S.C, D.C.H, M.B.B.S
General Physician,
ALCOHOL -PROBLEM DRINKING / STEPS TO AVOID DEPENDENCE

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"
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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.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 25 years girl am having anxiety disorder I consult psychiatrist he give me tab lonazep 2.5mgafter 2mnth I am oke...
You should never discontinue medication on your own even if you are feeling better. Consult your doctor and if you are not happy with that person go for a second opinion. In the meantime meet a counselor too and get a lot of help regarding handling the daily stresses and challenges with some skills and techniques. If you look too far into the future, you will be scared. Most of what you are scared about does not happen: as I remember in the last count 90% of what we worry about will not happen. In fact, if you look back and see from all the worrying you have done so far, has any of those things really happened? In other words, we simply trouble ourselves. There may be another contributor, and that is if there were any past influences that have made your system prone to anxiety. You will need to check into your background for that information. When you do find out meet with a counselor and work this out. You must also develop your constitution to make it fit enough to cope with fear, felt many times unnecessarily. You may be taking normal fear and converting it into abnormal fear like anxiety and so on. Take care of the following: Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body’s health by physical fitness through exercise, good rest (sleep), and a proper diet. Anyway, what you need to focus on is to do vigorous exercise of the aerobic kind for the heart’s fitness; meditation for the brain’s fitness; sleep for a well rested mind and body; a sound spiritual well-being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the callisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again. The earlier you tackle this, the easier it is going to be. You can also take this measure: To slow your heart beat breathe deep and slow into your diaphragm, it utilizes an extra 80% of your lungs to absorb more oxygen. The heart beats faster due to more oxygen requirement and slow breathing also will reduce stress.
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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?

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
Hi doctor. Normally I don't believe in friendship from my childhood. In my graduation time I made one friend. We beco...
Dear lybrate-user. Welcome to lybrate. I can understand. Loosing someone near and dear is called grief and depression related to grief is pretty normal. But this sort of depression does not stay for long. This depression gets cleared within a span of some weeks. The best option for you is to undergo counseling and depression related therapy. Take care.
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I am 55 years old. Feeling very tired having back pain, overall body pain, high acidity. Please guide me. Tks.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 55 years old. Feeling very tired having back pain, overall body pain, high acidity. Please guide me. Tks.
Do strength exercise of both limbs and tk healthy diet and nutrition and do physical activity and core strength exercise.
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3 Surprising Ways Kids Can Affect Your Relationship and What to Do

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
3 Surprising Ways Kids Can Affect Your Relationship and What to Do

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!

  1. 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.
  2. 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.
  3. 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.

3326 people found this helpful

How can improve my memory. I forget something sometimes that's very dangerous situation. Please suggest me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicines----------- bacoppa monneri (wilmar schwabe india) chew 2 tab twice daily------- bramhari pranayam daily for 15 minutes ------- report after 30 days-----------------
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I am 17 year old and studies in class XII but I failed to concentrate in my studies then what should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Don't worry too much about the failure but I hope you have learned your lessons from it. Lots of great people have had failures but they have picked themselves up and done better after that. So it is your turn now. I suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemical: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: 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 are 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.
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My mother is suffering from echopraxia which is a neuro disease. How it can be cured.

C.S.C, D.C.H, M.B.B.S
General Physician,
My mother is suffering from echopraxia which is a neuro disease. How it can be cured.
Echopraxia is a tic characterized by the involuntary repetition of another person's behavior or movements. It is closely related to echolalia, which is the involuntary repetition of another person's speech. A person with echopraxia might imitate another person's fidgeting, style of walking, or body language. And is curable by counselling and motivation.
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For last one month I have been suffering from Trypophobia. How can I recover from it? Is there any medicine for it?

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
For last one month I have been suffering from Trypophobia. How can I recover from it? Is there any medicine for it?
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 rock rose.+ 3 drops of mimulus. Mix these with 100 ml water and drink it every morning and night.(same dose) on empty stomach.
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Hi please help me, I feel very depression any small matter, please give me sajation.

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Hi please help me, I feel very depression any small matter, please give me sajation.
Dear lybrate-user the details you furnished are inadequate to say something concretely, still I wd like you to have a regulatr routine for sleeping, leaving the bed in the morning, some light exercises &/or walk, yoga etc; on a regular basis wd make feel gd & confident. If you don't feel satisfied contact a qualified psychiatrist, wishing you all the best!
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Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Some handy life skills to manage difficult situations.
1 person found this helpful

Pain Management

MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Delhi
Pain Management

Diagnose root cause of your pain at an early stage because improperly diagnose & treated pain can create lot of problems in future.

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I am 18 years old girl and I think my boyfriend is suffering from depression. What should I do? Is break up a good thing to do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 18 years old girl and I think my boyfriend is suffering from depression. What should I do? Is break up a good th...
If you truly love him, you wouldn't break up with him. You would see how much he can use the relationship as a motivation to get out of the depression. Depression is curable. If is unwilling and not cooperative, then you can take a call. In terms of helping him, there are limitations and a p[articularly concerning dynamic that can hamper and become somewhat gamey is if he puts you in a mother's role and also if he becomes passive expecting you to do all the work. Obviously, that will never work for him. So make all the rules clear about this. He4 needs to get into a good vigorous exercise program for 30 minutes every day which makes the body produce natural antidepressants, but do check with his physician before venturing to attempt this. Talk therapy helps a lot to relieve the depression, but he could also have a good and reliable confidante to do the same, like you. This is the only condition where he is required to literally do the opposite of what he feels like doing. Depression makes him want to withdraw, lie down, sleep, become lethargic, slow down, make him too lazy to even think etc. So when I suggested doing the opposite, he will need to fight this disease. He must become active; stay upright during the daylight time; meet people; never sleep during the day, and wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend Yoga classes etc. He can watch a lot of sitcoms on TV or comedies and cheer himself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose himself to some sunlight every day, at least 30 minutes but not in the scorching heat. I hope you can love him until he is through with this condition. Remember if he is not cooperative, you are wasting your time and you can quit. Whatever happens please incorporate these three important adaptations in his life: always be responsible, be respectful, and be functional. If he did these three things lots of things will go well in life. Please pray and have faith in God to alleviate his sufferings. If he is still not relieved from the depression, then go first to a counselor and later to a psychiatrist, if the counselor advises you. The pro0cess is tough but not impossible.
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I am a 27 year boy feeling sens of fear in job and routine life activity. I am working in i. T. Dept. how to get rid of this fear ?

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
You seem to suffer from insecurity, low confidence, low self esteem which are a hallmarks of dependent personality or if recently developed - depressive illness. Consult a psychiatrist for effective treatment and advice.
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