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Dr. Thomas John

Psychiatrist, Mumbai

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Dr. Thomas John Psychiatrist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Thomas John
Dr. Thomas John is one of the best Psychiatrists in Santacruz East, Mumbai. You can visit him at Thomas Health Care Center in Santacruz East, Mumbai. Book an appointment online with Dr. Thomas John and consult privately on Lybrate.com.

Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 29 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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94, Muttithodathil,Sunder Nagar,Kalina,Santacruz East,Landmark:Opp. Municipal Park. , MumbaiMumbai Get Directions
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Is memory loss is a part of aging or is connected to other mental issues relating to some infection cause by the infected viruses or mental illness?

PGDRP, MPhil, PGDGC
Psychologist
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Is memory loss is a part of aging or is connected to other mental issues relating to some infection cause by the infe...
Memory loss is part of aging but post 60, it is related to life stressful sitiuations only, we will not able to focus on one thing, because of that thing does not register in our mind and we started thinking we are having memory loss and it causes anxiety, which further impaired our thinking, memory, concentration and ability to learn.

I am 25 year male from rajasthan. I am in very stress regarding the pg preparation thinking always about the future. My health is always weak. I am unable to cope up with my immunity. Doesn' t take rest properly. I am in a little bit habbit of talking to myself. Is it a psychiatric problm or a normal things. I am in a habbit of thinking deeply at one thing until it get achieved.

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
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Exam related panic attacks and anxiety disorder are mental disorders. You must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. Therefore no medicines are required. Mental disorder can be successfully treated with the help of awareness, meditation, psychotherapy techniques, life style changes etc. Please post a private question to me with every detail. I will help you. Take care.

Why sitting at home causes psychological problems, I am sitting home from 4 months in my home but I am feeling very pathetic I feel like doing suicide, Please teach me how to think and control mind. I am tired of negative thoughts ,the thing is negative thoughts come and I start thinking and I don't know how to control it.

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
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Why sitting at home causes psychological problems, I am sitting home from 4 months in my home but I am feeling very p...
Dear lybrate user. I can understand. The duty of the mind is to think. Once you sit at homemand do nothing and let the mind free, naturally it will wander around negative territories. Therefore, I suggest not to sit idle. Engage in education, physicalmactiv7ties, oitdoor and indoor games, entertainment, socialization etc. Creative and busy mind do not wander into negative territory. Take care.

I lost somebody close to me and I feel depressed and prefer keeping to my self all the time.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I lost somebody close to me and I feel depressed and prefer keeping to my self all the time.
Hello dear. I can understand. Your feeling & mood are obvious. But you have to move on. Thats d life. & that person would have never like that you live in depression my advises to you are * take life lightly * main problem is how you are reacting matters & incidence of your life & day to day * you can see half filled glass of water by two way: half is still empty (nagative attitude) or half full (positive) * take balance diet * give time for yoga * constipation should removed * you can take brahmi sankhpuspi etc ayurveda medicine

Hi I am 33 years old I have a problem of anxiety, depression, very poor concentration, dullness, confusion, forgetfulness, irritation etc. These are the problems which I am facing from past 19 years when I was in 8th class I am unable to over come all these problems I am not able to work not able to do business nothing how should I over come this. I have consulted 2 to 3 psychiatrists but I am unable to continue their treatment after all research I came to know that these have no solution through medicine's the only thing is to have physical activities. So please you are the experts doctors I hope that I may get a good solution sir and I am going to implement in my life because I am daily getting through this site and I saw many solutions for patients who are suffering from different problems.

Masters in Clinical Psychology
Psychologist
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Hi   I am 33 years old I have a problem of anxiety, depression, very poor concentration, dullness, confusion, forgetf...
Hi, firstly medicines are really effective please find a good doctor and stick to them and complete the course of medication to avoid relapse. Secondly, you need psychotherapy consult a psychologist for same. If you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. First and foremost, don't let your anxiety cause you to make poor decisions about anxiety treatments. The reality is that most" rapid" treatments don't work. You'll find many people that claim that they have an extract or a medicine that can cure your anxiety immediately, and unfortunately it's never the case - it's people taking advantage of you in your time of need, and hoping the placebo effect will be enough to cure your anxiety. Even prescription medications have a" false" component. Prescription medicines can give you some help with anxiety, but that help is only temporary, and your mind and body can actually become dependent on these medications. As soon as you stop taking them, your anxiety may not only come back - it could even be worse than before. Curing your anxiety is a process - it's a process that can happen, for everyone, but those that hope they can get instant anxiety help are going to be disappointed, and possibly taken advantage of. Your symptoms define your anxiety if you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. Imately effective treatment. Setting up a long term plan - making realistic goalsi possible to reduce your anxiety every day. There are countless tips to learn to manage it. But you need to do two things: you need to make sure that you're giving yourself realistic goals. You need to make it a long term plan. You can get anxiety help now - help that will genuinely reduce your experience with anxiety. But it will only reduce it so much. You'll still need to keep at it, and commit to it in a way that will guarantee short and long term results. Realistic goals will ensure that you don't give up. You're bound to have setbacks, because life isn't stress free. A long term plan will also make sure that you keep at it - you'll not only have something to do next, you'll also know what to do next. For example, let's look at several strategies you can do right now that will reduce your anxiety: start jogging jogging isn't just for your health. Jogging releases endorphins, which are neurotransmitters that improve mood. It also tires muscles, and there is evidence that extra energy in muscles becomes converted to a feeling of anxiety. Sleep better getting more sleep will fight anxiety right away. Far too many people are allowing themselves to be sleep deprived, but sleep is one of the most important and easy tools your mind has for coping with stress. Breathing training many anxiety symptoms, particularly for those with anxiety attacks, are a result of inadequate breathing techniques. Anxiety can actually train your body to breathe poorly, leading to hyperventilation and a variety of related symptoms. Exposure therapy exposure is a cognitive behavioral technique that trains you to get used to things that used to cause you anxiety. For example, if you often get anxiety when you feel dizzy, you spin around in a chair and use a variety of techniques to calm your mind. Lifestyle changes many lifestyle changes that you will need to make in order to live with anxiety also require long term changes. For example, who you spend time with may need to change, as will how you react at your workplace. These strategies take longer, and require more effort and planning on your part. They're also not immediately successful, and there are often setbacks. Realistic goals and an effective and healthy plan can reduce the effects of these setbacks. You'll also need to be okay with admitting to yourself that you have an anxiety problem that needs to be solved. If you continue to try to fight the truth about your anxiety, you'll struggle to overcome it. Anxiety and stress are very real problems that affect people every day, and there's nothing wrong with you if you suffer from them. As soon as you can come to terms with your anxiety, you'll be on the right path towards treating it. Consult me for psychotherapy of depression, confusion, irritation etc.

I am a student of12th, I am getting depressed all time of day, I have lost my self respect and confidence, I am getting weaker and weaker, what should I do to get out from this and improve myself?

Reparenting Technique, BA, BEd
Psychologist
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I am a student of12th, I am getting depressed all time of day, I have lost my self respect and confidence, I am getti...
This is a very tricky age because it is the last time that you will get to resolve any issues from childhood that will come up looking for a resolution. So, in effect, this is a sign of something that is needing some attention: it could do with unexpressed anger. If you are aware of it, you may deal with it with a counselor. If not, talk to your parents and take them along to a counselor to explore this angle and resolve the depression. At your age this claim is serious. If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, 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, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself 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 yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: 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. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.

How to reduce smoking?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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Stop smoking Only by using strong will power and avoiding all situations where you feel like smoking, avoiding friends who smoke and diverting mind by reading or chewing a gum and taking a walk when you crave for a smoke can all help. You can chew nicorette gum which is nicotine replacement. There are medicines available. You can ask me privately. Www.Lybrate.Com/drsajeev.

I know that its a silly question but still with some hope I want to ask that I am in relation from 4years. But now I do not know what happened to her she is ignoring me. So please tell me what to do should I forget her or should I continue?

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist
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It is not a silly question dear rohit. It is good you came out of your cocoon seeking help. You are just 21 now, you have a relation from the age 16. I wonder how you pursue your studies or do your works (job if any). You have to thank god for giving you a chance to realize what you are and where you are. Think of your future, i. E. Studies or career and your family members. She may likely to have a better life by ignoring you. And, you may get better woman/married life. Your relationship is not a healthy one. It will only give a life full of problems.

I gave my exams and I am very depressed about the results and please suggest me to come out the tension and stress.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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I gave my exams and I am very depressed about the results and please suggest me to come out the tension and stress.
You are done giving your exam sang now you jaunt have to wait for results. You feel depressed because you are anticipating failure and as if something very wrong would happen. Let me tell you" you have no control on results" so your thinking is" not going to change results" also even if you fail" the world is not going to end" as you feel in your mind. When we can unconditionally accept success we should be welcoming failures also, and modify ourselves according to it and turn it into successes. If you still continue feeling sad and depressed you should be started on treatment.

My eyes r swelling day by day I am not drinking and smoking help me with this it lokks awkward.

BHMS
Homeopath
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My eyes r swelling day by day I am not drinking and smoking help me with this it lokks awkward.
Hello, Bags under eyes — mild swelling or puffiness under the eyes — are common as you age. Bags under eyes are usually a cosmetic concern and rarely a sign of a serious underlying medical condition. At-home remedies, such as cool compresses, can help improve the appearance of bags under eyes. For persistent or bothersome under-eye puffiness, cosmetic treatments are available. Bags under eyes can include - mild swelling, saggy or loose skin, dark circles. Causes: You may not like the way they look, but bags under eyes are usually harmless and don't require medical care. See your doctor if the swelling: Is severe and persistent Is accompanied by redness, itching or pain Affects other parts of your body, such as your legs As you age, the tissue structures and muscles supporting your eyelids weaken. The skin may start to sag, and fat that is normally confined to the area around the eye (orbit) can move into the area below your eyes. Also, the space below your eyes can accumulate fluid, making the under-eye area appear puffy or swollen. Several factors can lead to this, including: Fluid retention due to changes in weather (for example, hot, humid days), hormone levels or eating salty foods Not getting enough sleep Allergies or dermatitis, especially if puffiness is accompanied by redness and itching Heredity — under-eye bags can run in families Therapies: Various wrinkle treatments are used to improve the appearance of puffiness under the eyes. These include laser resurfacing, chemical peels and fillers, which may improve skin tone, tighten the skin and rejuvenate the look of bags under the eyes. Eyelid surgery (blepharoplasty) is an option to remove bags under eyes. Lifestyle and Home Remedies: The following tips can help you reduce or eliminate bags under eyes: Use a cool compress. Wet a clean washcloth with cool water. While sitting up, apply the damp washcloth to the skin under and around your eyes for a few minutes using mild pressure. Get enough sleep at night. For most adults, seven to eight hours a night is a good amount of sleep. Sleep with your head slightly raised. Add an extra pillow or prop up the head of your mattress. Or elevate the entire head of the bed a few inches. This helps prevent fluids from accumulating around your eyes as you sleep. Reduce allergy symptoms. Avoid allergens when possible. Try over-the-counter allergy medications. Talk to your doctor about prevention strategies if you develop under-eye reactions due to hair dyes, soaps, cosmetics or other allergens. Medication: Take Apis Mellifica 200/ twice daily for 3 weeks. But the result varies depending on conditions like whether the swelling is oedematous in nature, or there is collection of fat, or there is lax tissue, or if this is a hereditary feature or has some underlying medical condition.

My son is 16years old. Not studying at all. Hvng bad habits like smoking. How to get him out fm this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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He can get rid of thi habit with ssome very effective homoopathic treatment and management but the question is that if he also i willing to quit thismenace.If no then no one can help him.,not even you.

Can i take paxidepSR 12.5 & mirtaz7.5 indefinately. I have been taking since last 2 years & my panic attack problem has gone & I am feeling good with these drugs ?

MD - Psychiatry, MBBS
Psychiatrist
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Yes i can.These are the minimal dose of these drugs and will not cause any harm though it is better to try stopping mirtaz which in this case working as a sedative only. You can try, if it works than gud, if not than again restart it.

I have got for few months and motions, red eyes and I can't lifting any body pains in my opinion is that so give any other information.

BHMS
Homeopath
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I have got for few months and motions, red eyes and I can't lifting any body pains in my opinion is that so give any ...
Take Belladonna 30, 3 drops, thrice daily. Use Schwabe's cmd2, eye drop. instill 2 drops in each eye twice daily. Wash your eyes with cold water twice daily. Revert me after 1 week.

Hello doctor I need help about my obsession or something like this I am fed up from always getting negative thoughts. And my anxiety level is very high. I am not able to get full sleep or anthying. What 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
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Hello doctor I need help about my obsession or something like this I am fed up from always getting negative thoughts....
Dear lybrate-user, welcome to lybrate. The duty of your mind is to think. You cannot control your mind's thinking. Once you just leave your mind without diversion, it always end up in negative territory. But certainly you can divert your thinking. You can make your mind to be always positive by engaging in creative activities, hobbies, games and passionate towards whatever you do. Thereby you can reduce your stress and tension also. Once you can do this, loss of proper sleep and stress also can be made normal. Please consult a psychologist for more advice. Take care.

Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician
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Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

Is it ok if person smokes as well as does enough physical work normal for his health?

MBBS, MD - Psychiatry
Psychiatrist
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Is it ok if person smokes as well as does enough physical work normal for his health?
Smoking is associated with significantly serious health problems like lung cancer, oral cancer, impotence, etc. The risk of cancer is even higher in those with family history of smoking. Smoking also causes harm to people around you as they become passive smokers. The best thing is to quit smoking immediately to promote good health. There is no connection between exercise and smoking; exercise will not reverse the harmful effects of smoking.

I am having social phobia! Please suggest me how to overcome, its getting severe and please don't reply by saying consult a psychiatrist or psychologist even I know that! since it is a common problem you will be helping many like me thanks in advance!

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
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I am having social phobia! Please suggest me how to overcome, its getting severe and please don't reply by saying con...
Dear Hafeezunnusa. Welcome to lybrate. Social phobia related treatment is a long process. It needs step by step intervention and desensitization therapy and cognitive and behavior therapy. These therapies cannot be provided through these answering methods. Therefore, you should consult a psychologist atleast online. Please understand, there is no alternative. Take care.

Due to some family issues from last year I am feeling very depressed in stressful. I got angry on people wth no reason. I just want loneliness. I do not know wat to do.

M.S. Counselling and Psychotherapy
Psychologist
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Due to some family issues from last year I am feeling very depressed in stressful. I got angry on people wth no reaso...
You want to be lonely because you are not interested in the usual things happening around you. You are feeling sad. Because of your family issues you are probably feeling angry, frustrated and stuck as well. And may be you are not able to express these feelings. All this is putting a lot of pressure on you. As you have not been expressing your anger in proper way and time, it is coming out any time, with slightest provocation. You need to talk to someone about your problem. Talk to your trusted friend or a trusted relative. Your friends or relatives will help you in taking a rational decision in this difficult situation. It is difficult for you to take rational decision when you are overwhelmed with emotions. If you do not have any trusted friend or relative, then please consult a counsellor, who will help you in exploring various options and will also help in taking rational decision and coping up.

I have weak Sex intention mentally but at least one of our lives and get 2 cards for the burnt roti the game and get 2 cards and other friends in real time. Please let me reply to this post.

BAMS, MD Ayurveda
Ayurveda
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I have weak Sex intention mentally but at least one of our lives and get 2 cards for the burnt roti the game and get ...
you can go for following remedy it will help you Natural home remedy using asparagus powder and milk: 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 This will surely help you.

My friend is suffering from a constant state of depression. He consulted a counselor but of no use suggest a remedy. Suggest a new way to start his life refresh.

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
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My friend is suffering from a constant state of depression. He consulted a counselor but of no use suggest a remedy. ...
Dear user, welcome to lybrate-user. Clinical depression or depressive disorder is a neurochemical disorder. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, life style changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. Once you make the necessary amendments in your life with the help of the above said therapies and life style changes, learn how to manage the depressive episodes without medicines and learn to relax, the medicines can be weaned off over a period of one year.
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