Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 38 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.
Book Clinic Appointment
Treatment & Management of Stress
Treatment of Mood Disorder
Treatment Of Male Sexual Problems
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Submit a review for Dr. Shital SeshmukhYour feedback matters!
I had intercourse for five seconds last Saturday. My partner only went in half way then pulled out. I get my period in 2 days. I have back cramps. I also very emotional and having anxiety. I have leg pain but I work for seven hours on my feet. Does this relate to getting my period?
If I drink alcohol in week so I can't digest food. What should I do, should I stop drinking alcohol or any other solutions you have?
Recently I am concerned about my Violence. I am feeling fearful in darkness. Even in my room I can't stay alone. Every time I feel someone is behind me. Before 6 months it didn't happen. Now unusually my activity is going to be violent enough. Beaten my BoyFriend every time we met. I am extremely Jealous about other girls who talk to my boyfriend. I cannot forget past incidents. Constantly Brooding since 6 months. Please suggest me a way of cure.
I am 26 years old. Due to family issues and some personal issues in life, I lost interest in life. I do not have interest to go anywhere, do not want to meet anyone. Lost with confidence. Unable to interact with people. Have certain kind of fear in mind that I cant do anyrhing properly and suffer from negative thoughts about my personality and always get feeling of degradation that stay tense all the time. What should I do?
I am 21 years old. I am a confused person by nature. I used to confuse on small things. This nature is adversely affecting my personality. My decision making power is very less. Please guide me what should I do to overcome my problem.
Parkinsonism or parkinsonian syndrome group is of disorders which manifests as tremor, disturbances in voluntary movement (rigidity, bradykinesia or akinesia) and impairement in the balance and automatic reactions.
This syndrome do occur in various conditions, of which Parkinson's disease is quite common.
Parkinson's disease was observed by james Parkinson in the year 1817. It took about 100 years to be well verse with the pathology of this disease condition and the treatment was partially achieved by the introduction of Levo-dopa in the year 1960.
A. Idiopathic: The etiology is not understood. Example of this type of parkinson's diease, where there is degeneration of neurons in the substantia nigra and corpus striatum. It occurs usually in late adult life, progress slowly, and kills the patient by 10-15 years after the onset.
B. Vascular: Multi-infarct disease(arthreosclerotic parkinsonism).
C. Infection: Infection by various viruses, most commonly influenza virus may be causing parkinsonism like features. It is termed as encephalitis lethargica that causes focal insult to the brain matter.
D. Due to toxicity: Certain toxic chemicals like manganese, carbon disulfide, carbon monoxide, cyanide exposed in various occupation can cause diffuse damage to the brain exhibiting parkinsonian syndromes.
E. Various drugs: Phenothiazines, butyrophenones, tetrabenazine can cause Parkinsonism.
F. Multiple system degeneration that occurs in condition like Alzheimer disease shy-Drager syndrome, supranuclear opthalmoplegia, Wilson's disease, etc. can cause parkinsonism.
G. Metabolic: Abnormal calcium metabolism can cause disposition of calcium in the basal ganglia causing parkinsonism.
H. Traumatic: Multiple brain damage commonly encountered in boxers usually causes parkinsonism. This types of parkinsonism. This types of parkinsonism are called as punch boxers syndrome.
REDUCTION OF RIGIDITY IN PARKINSONISM
Rigidity has been found to reduce, to some extent, by generalized relaxation technique. Generalized relaxation can be obtained by vestibular stimulation that can be achieved by various rocking techniques. Rocking can be achieved by the use of adult vestibular ball, rocking or rotating chair, and cradle. Rhythmic initiation, which is a technique of PNF, can be used to reduce rigidity. This technique, which involves progression of exercise from passive to active assisted to active without any increase in tone, has been found to be very effective in reducing rigidity of the trunk.
Generalized relaxation techniques like Jacobson’s technique of progressive relaxation, yogasana, transdental meditation, biofeedback, savasana, etc. can also be used.
He used a to make a lot of mistakes while talking he has no stress but forget things very fast and is dumb keep thinking about his insult. And his parents keep trying to motivate him. His all good friends tell him to think before he talk. He wants to clever witty and smart.
Hi sir I have to quit smoking. I am a chain smoker but now I have breathing problems so I want to quit any suggestion or medicine.
I knew since a long time that I have a habit of lying since childhood. I find comfort in lies. Sometimes I lie unnecessarily. My parents were strict so I found it easier to lie than to confront honesty. This habit has gotten so deep in me now that my relationships are affected with it now. I thought this was something I could control. I hadn't lied in 3 months. I thought I could now change my life style. But I've come to realize that Now I'm lying unnecessarily. I feel helpless really since I can't bring anyone to trust me now. My relationship is over because of my lies even when I was completely loyal and I only wanted the best to happen to us. Earlier I lied about my past because I didn't want him to judge me and I didn't want my past to interfere in my present. Somehow things had gotten a bit fine but today after 3 months I again tried lying and he caught me and ended everything. I am not a teenager I am an adult. I feel really depressed due to what lying has done to me. Please help me. I don't want anyone to think of me as a bad person when I'm not so I lie, eventually I become a bad person by lying. If I can't correct this lying how can I ever live a normal and happy life? I'm ruining other's life too. He is in depression because of me. I ruined his career and his dreams. I want to help him but since I'm the root cause. I can nowhere be near him. Please help me. I can't live with this burden. I've always lived for acceptance and therefore I've made a lot of mistakes and lying just adds cherry to the cake. My feelings are true and in no way are less than the feelings he has for me. But now I'm just a liar who can never be trusted no matter what good I do in my life.
I want to ask you that I am feeling so uncertain about what my partner is doing like I am feeling so deep core thinking about wrong. I was unable to eat & my heart sinks about think wrong that my partner is cheating on me. I am unable to concentrate on any work I always think ab my partner (my girl) that what is she doing. Is she going out with someone else. Whenever she do not pick my call I feel so scared. I thought negative & unable to connect with anyone. Kindly help me in this how to keep my mind cool and a genuine person.
Dear sir I am just 18 year old. My problems starts with the girl. But I am not in relationship with her. My mind starts divert from 12 april 2015. So many illusions creates in my mind. But when I was going to solve my illusion another new1 create in my mind. Approx 13000 hours has been gone but still I can't understand me. Everything when I am think being my problem. After all this time when I m asking you my problem. It also becomes my problem. So sir please is it possible to divert my mind or erase my memories of last 54 days? please sir I wants to live my life and come back in my life again.
How stress affects family life? Effect of stress is not limited to mind. It has serious effects in the body. It affects blood circulation and the heart. It puts pressure on nerves. It also alters the blood sugar level. And he end result is diabetes, hypertension (high blood pressure) and heart diseases. Ultimately these diseases affect all the organs of our body. Some people try to get rid of stress by smoking and alcohol. These will simply put burden on already affected heart and blood.
Stress also alters important hormone levels in our body. The hormones needed for basic reproductive function (sex, conception and pregnancy) are either increased or decreased. Prolactin hormone is increased. Normally prolactin is needed to secrete milk from breast to fed the baby. But abnormally increased prolactin leads to milk secretion from breast (even without pregnancy) and irregularities in periods. Very high prolactin may even lead to problems with ovulation (at middle of each period, the egg gets released from ovary) and as a result, the woman cannot conceive a baby. Even in male, high prolactin leads to difficulty in erection of penis. In some male, it can lead to gynaecomastia (growth of male breast). Excessive high dose of prolatin leads to loss of sex desire in male and interferes with spermatogenesis (sperm production).
Apart from increasing prolactin, stress can directly affect the hormones secreted from the pituitary gland of both male and female, the testes in male and the ovaries in female. As a result, all the reproductive functions get disturbed leading to problems in sex (loss of desire in both male and female, problems in erection and ejaculation in male), irregular periods in female and ultimately pregnancy cannot occur.
The diseases occurring as a result of stress (diabetes, hypertension etc) also affect the normal functions of ovaries causing irregular periods, even no periods at all. There may be problems in ovulation and thus difficulties in achieving pregnancy. Even if pregnancy occurs, it may be aborted because of these diseases. Similarly in male, diabetes and hypertension will cause sexual dysfunction and will affect sperm production.
The lifestyles accompanying stress are also responsible for harmful effects on family life. Smoking and alcohol have been mentioned earlier. Stress may be associated with abnormal weight gain and that will affect the woman’s life in badly manner. There will be disturbances in periods, ovulation problems, infertility and even pregnancy loss. Sitting for long time while driving or keeping laptops on laps, will increase the temperature of scrotum in male and thus will decrease the sperm production.
Again there is a vicious cycle- stress leads to family problems like problems in sex and in having pregnancy. That will in turn increase pressures from family (especially in-laws) and the society. This will simple aggravate the stress.
So, what can be done to avoid these problems? The answer seems to be simple- that is avoiding stress. But it’s very easy to say and difficult to commit. First thing is try to bring stress at home just keep it at your workplace. Avoid smoking and cut down alcohol consumption. Avoid sitting long time in front of computers and take periodical rests when you are working continuously. The rest does not mean that you have to lie down in bed; just have a short walk. Start exercise that will keep you healthy and reduce your stress. Yoga is an Indian culture that taught the Western world how to reduce stress. Take plenty of water and green vegetables and fruits. Avoid fast food. Always put on comfortable dresses. And if all of these do not work, try if you can do something to avoid the stress- like changing the workplace, talking directly to your co-employees or the employer. If still all these cannot help, consult psychological counselor. A timely counseling will reduce stress significantly. In very few cases, drugs may be needed to reduce stress. But remember, drugs can only be useful if you are trying all the other measures. Simple dependence on drugs won’t help much.
Now regarding family problems associated with stress follow simple measures. Often we feel embarrassed to discuss these issues. Try to enjoy time of personal intimacy to the fullest. Don’t think of any problems during that time. If still there are problems, don’t hesitate to take medical help. And please remember, the drugs used to solve sexual problems may have side effects. So, these should be taken only after medical consultation.
In case of female, maintain optimum weight. Avoid fast food, alcohol and smoking. If periods are irregular, maintain a menstrual diary. Consult a doctor to find out if there are some serious issues associated with these problems (like hormonal problems, thyroid diseases, even some tumours). You doctor will then decide the best treatment for you. If there are low desire for sex, don’t hesitate to take help of doctor. It may be a symptom of hormone deficiency that can affect your different systems (like bone, heart, blood etc). Now a days, there are lots of treatment options available for this.
For male, if there is low desire, consult your doctor to find out the cause of this problem. At the same time, avoid any anxiety, alcohol and smoking. Sometimes there are problems with erection. Instead of trying drugs shown in media or newspaper, feel free to talk to your doctor; because erection problem may be caused by some serious issues like heart disease, diabetes etc. So, if you have erection problems, consult doctor. He/ she will counsel you and give you the best treatment. Now if the problem is with ejaculation (like early loss of semen or very low semen), that issue can also be solved in the same way.
What’s about infertility problems? Stress and infertility are inter-related, as described before. Now, if there is problem with fertility, please remember few facts. Even in totally healthy couples, the chance of pregnancy after regular intercourse in fertile period (in the middle of menstrual cycle, usually) is only 20%. Though it appears disappointing, majority of couples conceive in course of time. So, couples are requested to report to doctor only if they tried regularly for one year without any protection. Then your doctor will assess you and try to find out the problem. And again, treatment of infertility is also depending on chance. Hat means we have to increase the chance above the natural chance (which is 20%). So, even one treatment fails, there is enough scope, so no need to lose hope. In other words, there is no need to increase the stress.
So, stay healthy, keep your mind healthy by avoiding stress and keep your family relationship totally stress-free.
Anemia and lightheadedness Hi I have now been taking iron tablets 3 tines a day for 3 weeks although I do feel a bit better I still have almost constant lightheadedness and dizziness each day which makes me feel I could pass out any minute and is causing a lot of anxiety for me. I was at my doctor today who said this.
Pain is there for a Reason. Pain is the way our bodies speak to us.
Its a constant reminder of a malfunction happening inside of us.
Pain is good. Its that reflex withdrawal from something too hot.
Its that Spasm that restricts your movement when you don’t,
Its a Protective Mechanism to ensure better lives,
Its the exaggeration of every sensation you feel,
Letting you know that its too much.
Ya that’s pain and its good.
Pain is a signal for us, Humans to stop.