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Dr. Vasant Mundre

Psychiatrist, Mumbai

1100 at clinic
Dr. Vasant Mundre Psychiatrist, Mumbai
1100 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Vasant Mundre is a popular Psychiatrist in Mahim West, Mumbai. You can meet Dr. Vasant Mundre personally at Hinduja Hospital - Mahim in Mahim West, Mumbai. Book an appointment online with Dr. Vasant Mundre on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. 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.

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Veer Savarkar Marg, Mahim West, Mahim. Landmark:Near Bombay Scotish School, MumbaiMumbai Get Directions
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What is best remedies for depression other than medicine. Complete remission is possible forever?

DHMS (Hons.)
Homeopath, Patna
What is best remedies for depression other than medicine. Complete remission is possible forever?
Hi, only remedial recourse will not suffice your depression. You need to follow the under noted tips to over come your. Depression please. Go for meditation to reduce your stress, depressions. Go for a brisk walk in d morning. Your diet b easily digestible on time. Homoe medicine: @ ignatia 30-6 pills, thrice @ kali phos 6x, 4 tabs, thrice a day take, care.
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I lost my concentration very much and I'm feeling too much depressed while studying, working and in all areas just because of loss of my best friend due to ego and other minute talk between us. Previously I was too much of enthusiastic. However I can't be that much of enthusiastic as how I was before and I feel I'm losing everything. Please help me to get back my mind ready, freshen and to make me enthusiastic.

M.A. Counseling Psychology
Psychologist, Mumbai
I lost my concentration very much and I'm feeling too much depressed while studying, working and in all areas just be...
Hello lybrate-user, loss of a close friendship can be quite painful& affect our daily functioning. It would be helpful if you are able to either patch things up with that friend or allow yourself to grieve that loss. You can appreciate the time you spent with the person & accept that things don't turn out happily every time. If you continue to have difficulty to function, it would be helpful to consult a psychologist who can help you to process your loss.
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Hello Doctor, recently two of my relatives have gone through divorce due to which even my elder sister is sceptical to get married. What are the possible reasons behind failure of marriages in recent times and how to work on them? Please suggest in detail. Thanks, in advance.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Dear lybrate user, I understand your concern. A couple has the most intimate relationship. When two people get married, they are not aware that the other person is coming from a completely different background and a different family and hence is likely to have a different perception about everything in life. Unfortunately, both - the husband and the wife, think that their own perceptions, values and beliefs is" the correct" way and the other person is having wrong perception and values etc. They both need to understand each other's perceptions and also should be able to communicate to each other. Unfortunately, again, none of our academic courses teach us effective communication. Because of this, both the partners fail to communicate their needs, expectations, likes-dislikes, views etc to their spouse in assertive way. Many times both think that the spouse should" understand" their feelings, which does not happen. Now a days most of girls are working and they don't want shoulder the additional responsibility of being a mother and a cook, sweeper, cleaner etc at home. The times have changed but our society's outlook towards women has not changed. Our society still expects a wife to be very submissive and not to have her own rights or likes. Unless our society changes its views towards women, we will have problems in keeping the marriages intact. One more major reason for failed marriages in our country, is, undue interference by the parents (both sides). The parents need to respect the couple's privacy and they need to be within their boundaries. Because of our traditional upbringing even the husband/wife think that they still need to listen to their parents in every respect, which aggrivates the matter. To solve this problem" pre-marital" counselling is the best solution. A counsellor can help both (husband-wife), to understand their own personalities, their respective needs, values and expectations. Even the in-laws should have pre=marital counselling so that they also know their respective roles and responsibilities. Actually every boy and girl in our country needs to have pre-marital counselling even before they decide to marry a particular person. This will help them to find a suitable match for themselves and thus reducing future problems.
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Do People Really Suffer from Mood Disorders?

DNB, DPM, MBBS
Psychiatrist, Delhi
Do People Really Suffer from Mood Disorders?

Do people really suffer from mood disorders?

Mood disorders are common psychological problems that affect a vast portion of the human populace all over the world every year. These occur when there is a shift or imbalance in a person's psyche which affects his or her daily function and interpersonal relations in varying degrees. Each individual is affected by these conditions in a different capacity and responds to them in a distinct manner.

Mood disorders generally manifest themselves as fluctuations in a person's temperament. It is triggered by various factors. These mental illnesses range from mild to severe, the latter requiring urgent psychological counseling and treatment. A mild condition may even develop into a painful and chronic one without any form of remedial intervention.

What are the most common types of mood disorders?

There are many distinctive categories of mood disorders that can affect a person. The most commonly occurring ones are as follows:

- major depressive disorder

- bipolar disorder

- dysthymia

- cyclothymia

- seasonal affective disorder (sad)

Major depression is the most frequently occurring type of mood disorder. It causes mental and emotional turmoil, as well as physical anguish. Those affected by it may experience a single episode in isolation or multiple episodes over a period of time. The milder version of this condition is known as dysthymia.

Bipolar disorder is a comparatively rare condition that causes alternating states of extreme mania and depression. It is also known as manic-depressive illness. The mild version of this is called cyclothymia.

Seasonal affective disorder or sad is a depressive disorder that is known to affect those living in colder climes. It is caused generally by the lack of warmth and light, the onset of which begins in late autumn and lasts till the end of winter.

What causes a mood disorder?

Mood disorders are very difficult to diagnose as they can be caused by an assortment of triggers and the symptoms are not always apparent. This is particularly true in the case of dysthymia and cyclothymia.

Some of the usual factors that lead to mood disorders are:

- chronic stress and anxiety

- anomalies in the functioning of the nervous system

- prolonged periods of isolation

- genetics

- childhood abuse and trauma

- ineffectual coping mechanisms

- insufficient nourishment/malnutrition

In most cases, a combination of multiple factors usually leads to the development of mood disorders and other mental illnesses.

'consult'.
Related Tip: 5 Mood Uplifting Foods You Must Keep Handy

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I am 28 years old. I am talk about my father he is 58 years old. He always every night take lots of alcohol and fight with everyone. I want my father no more take alcohol. Please give me some advice or my father take BP medicine also. Please help me. Thank you.

M.D,Psychiatry
Psychiatrist, Amritsar
Start Tab Topirol 50 mg and Tab Larpose 2 mg at night.Give him Tab Sizodon MD 0.5 mg twice a day.Report after 7 days.
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M.P.T.(Ortho)
Physiotherapist, Gurgaon
Hot and cold therapy has a tendency to reduce pain, assist with tissue healing, control swelling, and increase flexibility if used appropriately after an injury.
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I am 21 and I have a boyfriend from college. We are very happy now. But something's from past gets in mind once in a while. My boyfriend has a girl best friend who is not too close to people. Last year my boyfriend went to a college tour. She got too close and cozy to him during it. He dint bother as he is always open to friends. When they returned I heard of them and got really angry with him. I thought she was emotionally close to him. But she also started to be physically close, holding hands while walking, sitting etc. And even talking of it. So after I heard of it and got angry he said it was not anything bad and he just allowed best friends as they should be. Later the month when that girl was more talking to another friend, my boyfriend got sad thinking that their friendship was fading. He got angry to her little .when she asked why, he said he didn't wanted to lose her best friendship and that he was possessive of her love and care she gave him. She convinced him that no one could take his place. He wanted her friendship back and they talked that way being emotional sent and all. When I told him to limit his friendship with her he said he wouldn't leave her friend as he is equally important to him as I am .I an his girl friend and she is his best friend. That hurted me to hear that he was too attached with his best friend . Later I got depressed and once I saw his chats with her during their friendship re union and all, I hated him .and got sad. He also got sad for making me sad. And said he didn't wanted to be selfish. His friends are friends. Nothing more. And he wanted them. Later due to my complaining he reduced his friendship. She also understood. Now we are hapy. But I thought I was mean even though I was hurt. So I told him he could be best friends again. He was happy to hear. I want to forget that memory of those days when they occur sometimes now. I want to forgive her and let her out of mind.

B.A. Psychology, M.A. Psychology, Ph. D - Psychology
Psychologist, Delhi
I am 21 and I have a boyfriend from college. We are very happy now. But something's from past gets in mind once in a ...
The past looms over us - especially the bad memories. No need to be guilty of being selfish - in all relationships, clear boundaries need to be laid down right from the beginning, so that there are no misunderstandings later on. So, what you did was absolutely right. As for the memories disturbing you, focus on where you want to take your relationship from here - it is always our choice what we want to remember from the past - if you remember the sweet memories they will grow bigger in your mind. To forgive her, all you have to do is relax, take a few deep breaths, close your eyes and while releasing your breath, say to yourself i'm free, I free you. And forgive her. The anger will only come back, if you think about that episode negatively, if you see it like any other incident, then it will not hurt you.
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Kbhi kbhi mera mind bahak jata hai unbalance feel hota h Man me apne aap vichar change hone lagte hai Aesa lagta hai ki pagal na ho jau lekin kuch der bad theek ho jata hai Aesa kyo ho raha hai pls koi treatment ya suggestions bataiye. Thankss.

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
Kbhi kbhi mera mind bahak jata hai unbalance feel hota h Man me apne aap vichar change hone lagte hai
Aesa lagta hai ...
Dear user. I can understand. Your mind's job is to think. If you allow you to think without having control over it, it will always wander into negative territories. You should train yourself to keep your thoughts under your control. Cognitive therapy will help you in this case. Take care.
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I'm suffering from smoking habits of since 4 years ,I want get rid out of smoking. Kindly help me on this issue.

MBBS, DPM
Psychiatrist, Bangalore
Dear , Please try to stop smoking at the earliest. It has many health benefits in the long run. When you stop suddenly, you may get withdrawal symptoms like restlessness, irritability, lack of concentration, increased hunger, sleep disturbance, headache, impatience, anxiety, depression, etc. If you have them, please don’t get back to smoking, take nicotine gum or lozenge or patch. They are available in all medical shops. You don’t need a prescription from doctors. Use 2 mg gum if you smoke less than 25 cigarettes/day. Use 4 mg gum if you smoke more than 25 cigarettes/day. First 6 weeks, use 1 gum every 1 – 2 hours. Reduce it in week 7 – 9 to one gum every 2 – 4 hours. In week 10 – 12, reduce it further to 1 gum every 4 -8 hours. By 3 months, you will be able to stop both cigarettes and gum fully without any withdrawal symptoms. Please feel confident that you can do it and give yourself some gift for doing it like vacation or books or new mobile. Smoking is a chronic relapsing condition like diabetes and B.P. So please don’t worry if you restart smoking. Start all over again to stop. You will learn the situations that make you smoke and avoid them. Please think of health benefits and money saved often. Plan how to avoid relapsing situations, like smoking friends, along with alcohol, stressful feeling or depression. Delay, drink, deep breathe, distract and discuss are the helpful tips. Increase of non smoking zones, gift yourself for stopping smoking. Even chewing cinnamon may delay. Please remember that the urge to smoke comes and goes like waves. Delay and see whether it goes away. It will be like a passing cloud.
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I am 40 years old woman I am negative and dreamer , my confidence level is low .how can I improve myself and increase efficiency?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 40 years old woman I am negative and dreamer , my confidence level is low .how can I improve myself and increase...
Your level of self-confidence can show in many ways: your behavior, your body language, how you speak, what you say, and so on. Look at the following comparisons of common confident behavior with behavior associated with low self-confidence. Which thoughts or actions do you recognize in yourself and people around you? So here are our three steps to self-confidence, for which we’ll use the metaphor of a journey: preparing for your journey; setting out; and accelerating towards success. Step 1: Preparing for Your Journey The first step involves getting yourself ready for your journey to self-confidence. You need to take stock of where you are, think about where you want to go, get yourself in the right mindset for your journey, and commit yourself to starting it and staying with it. In preparing for your journey, do these five things: Look at What You've Already Achieved Think about your life so far, and list the ten best things you've achieved in an "Achievement Log. Perhaps you came top in an important test or exam, played a key role in an important team, produced the best sales figures in a period, did something that made a key difference in someone else’s life, or delivered a project that meant a lot for your business. Put these into a smartly formatted document, which you can look at often. And then spend a few minutes each week enjoying the success you’ve already had! Think About Your Strengths Next, use a technique like SWOT Analysis Add to My Personal Learning Plan to take a look at who and where you are. Looking at your Achievement Log, and reflecting on your recent life, think about what your friends would consider to be your strengths and weaknesses. From these, think about the opportunities and threats you face. Make sure that you enjoy a few minutes reflecting on your strengths! Think About What's Important to You, and Where you Want to Go Next, think about the things that are really important to you, and what you want to achieve with your life. Setting and achieving goals is a key part of this, and real confidence comes from this. Goal setting is the process you use to set yourself targets, and measure your successful hitting of those targets. See our article on goal setting Add to My Personal Learning Plan to find out how to use this important technique, or use our Life Plan Workbook to think through your own goals in detail (see the "Tip" below). Inform your goal setting with your SWOT Analysis. Set goals that exploit your strengths, minimize your weaknesses, realize your opportunities, and control the threats you face. And having set the major goals in your life, identify the first step in each. Make sure it’s a very small step, perhaps taking no more than an hour to complete! Start Managing Your Mind At this stage, you need to start managing your mind. Learn to pick up and defeat the negative self-talk which can destroy your confidence. See our article on rational positive thinking Add to My Personal Learning Plan to find out how to do this. Further useful reading includes our article on imagery Add to My Personal Learning Plan – this teaches you how to use and create strong mental images of what you'll feel and experience as you achieve your major goals – there’s something about doing this that makes even major goals seem achievable! And Then Commit Yourself to Success! The final part of preparing for the journey is to make a clear and unequivocal promise to yourself that you are absolutely committed to your journey, and that you will do all in your power to achieve it. If as you’re doing it, you find doubts starting to surface, write them down and challenge them calmly and rationally. If they dissolve under scrutiny, that’s great. However if they are based on genuine risks, make sure you set additional goals to manage these appropriately. For help with evaluating and managing the risks you face, read our Risk Analysis and Management Add to My Personal Learning Plan article. Either way, make that promise!
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I am having felizs5 mg for a year before that I used to have 15 mg and then 10 mg respectively as doses reduced by my doctor when I begin to take felizs5 mg alternate days as to get rid of this medicine I begin to have withdrawal symptoms, like increased anxiety, nausea, uneasiness etc. I WANT TO KNOW whether anyhow can I be able to leave this medicine ever and what side effects of it I can have later on. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am having felizs5 mg for a year before that I used to have 15 mg and then 10 mg respectively as doses reduced by my...
If you still have anxiety you need one or other medication and try natural anxiety control methods like yoga and meditation. You can consult me on this site consult option or see the doctor whois treating you.
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I have been able to control my smoking habit, I been been able to curb it from 8 in a day to 3 in a day. Honestly I do wanna quit it or bring it down to 2 in a day, What I wish to know is how much does it affect it I consume 3 in a day, will it be equally destructive as it was before?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It will be less destructive to smoke less but the habit continues and that is what is a problem. When you are addicted, reduction is not much of an achievement. There is no such thing as a ‘little addiction’. So any attempt must be complete, abrupt, and immediate. Even a delay by 24 hours can sabotage the resolve. With epilepsy to boot, smoking a packet a day is a deadly addiction. But it is not easy because there is a lot of conditioning associated with it and these can be spread over the whole day and night! Since you want to quit I recommend that you seek the help of a counselor and do it with support. You need to identify with why you smoke: there is an oral need, the nicotine effect, the psychological effect of covering up some other issue, for style, to impress, etc. You may discover that the reasons may be unimportant at this stage because you have become too addicted and the habit has become compulsive. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need, for a little while. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i. E. At least for the first 21 days. Above all, announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Perseverance with it until you are completely over it, is the key. You are still young and all the ill-effects of the habit can be restored and you can regain a lot of the losses: monetarily too.
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I drink heavily on fridays and then I don't drink all week I only drink once in a week but around 350 ml of whiskey so is it too bad or are 6 days enough for my body to recover.Please help sir .

BHMS
Homeopath, Gurgaon
Alcohol is always bad. So, you need not to drink at all, if you want to have peace of mind and become successful in your life. Thanks.
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I am going to start a new relation. What should I do to keep a healthy relation with him?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You see, we are into relations all throughout lives. Yet, for the least of reasons, when it comes to marriage we are ready to throw in the towel. I am glad that you are seeking to know how to keep the relationship healthy. Yes, communication is important. But there are two important considerations that matter a lot before you take the plunge: compatibility and adjustability. The former is almost a fixed aspect of both of you and it includes education, language, communication, community, caste, religion, socio-economic status, personality etc. The more the similarity, the better. The second consideration, that of adjustability, is more important and plays a very important role to determine whether your relationship will remain healthy or not. If compatibility is good, less adjustability is required. But as in most cases, there will be disparity, and this will tax adjustability considerably. If you are not able or willing to adjust, all hell will break lose. This is what you must examine while you are courting each other. Is he willing to make the adjustment around you, and are you able to and willing to adjust for the sake of the relationship. If you know there are stark difficulties, then better to close that prospect. Everything involves some aspect of culture eventually: he may be used to going out with his friends for drinks often. Now if you cannot adjust with this, then this will be a definite area of conflict. There are too many possibilities and this space will not suffice to give elaborate responses. Both of you will generally act positively before marriage but soon after the nuptials one or both of you will tend to control the other and there lies the danger. So it is very difficult to determine the true nature of an individual at the onset. But it is worth the try. So test everything to be fully satisfied, and this is best achieved by good and open communication. For your information, there are three areas that stand out as contributing to divorce: sex, in-laws, and finances. Discuss these areas and get to know the other’s mindset. Better to be safe than sorry. I have a very important suggestion to give you: please seek premarital counseling where many of these facts will be explained and taught to both of you, if you get a qualified counselor to do it.
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
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I m27 yrs old I had a gf we decided to get married due to some reason she broke up with me now I m into whole lot of depression.

M.Sc - Psychology
Psychologist, Delhi
I m27 yrs old I had a gf we decided to get married due to some reason she broke up with me now I m into whole lot of ...
Break up can be a traumatic experience, it can effect one's life in multiple ways. The depression which it causes won't go on its own and should be treated.
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Hello Doctor, I'm Suffering A lot of Emotional breakdown Every simple thing make me depressed And more over I Start thinking about it frequently Which Diverts my Concentration From my Daily Routine works. Can You pls suggest some Tips For Stubborn Heart and To have Peace of mind. Very Graceful If I hear a reply.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Hello Doctor, I'm Suffering A lot of Emotional breakdown Every simple thing make me depressed And more over I Start t...
Loss of interest, decreased concentration and attention, feeling low and disturbed sleep or appetite are some of the signs of depression. Consult a psychiatrist who will assess you in detail. If you are feeling suicidal or hopeless, seek professional help immediately. Try some relaxation techniques like yoga, meditation and deep breathing. Indulge in hobbies. Spend time with people close to you.
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Sir I have a problem watching videos in youtube in that heroine beats innocent hero by using whip (korada)(ex: film khaidi no 786) or villian beats innocent woman in the form of flogging (tied to pole). I am always searching whipping, spanking, or canning scenes in movies after watching within a fraction of sec. I will MASTURBATING by feeling fantasy of my schoolgirl thinking that I am a slave (servant) of her she giving coral punishment to me, After masturbating I feel guilty lot of time I am wasting unnecessary things how to overcome to it.

MD - Psychiatry
Psychiatrist, Thane
Sir I have a problem watching videos in youtube in that heroine beats innocent hero by using whip (korada)(ex: film k...
Dear lybrate-user, You seem to have a sexual fetish. It is not a serious illness by itself unless you feel compelled to act on your fantasy. That would be a problem. Also your fantasy seems to cause you guilt and you are not comfortable with it. I would also need to know how this is affecting other areas of your life. CBT (cognitive behaviour therapy) should help you overcome your problems. Kindly consult a psychiatrist for CBT regarding your fetish. Several treatment sessions could be required and a close follow up is essential till you overcome the problem. As such consulting a local doctor is advisable. However for your information I've been able to help one patient based in the US who had similar problems and who could overcome it with help from me. He is now happily married.
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I think there is no solution in my life, reason my family member think that I am arguing with them, if some thing hurts me so I have to tell them instead of understanding my problem they say it is not worth to talk to you/ speak with you, so I had stop carry of my self, I eat lots of junk food, I am not getting proper sleep, I feel crying always, know a days I feel my eye sites become poor, as I am working lady, and also know how to control my anger, evey small thing irritate me. I don't understand what to do. Can you help me?

MBBS, MD - NEUROPSYCHIATRY
Psychiatrist, Bangalore
Yes definitely we can help you. I would have been happy had you told me, your age, marital status and who care your family members. Anyway, it seems you had a recent set back and you want to lower your burden by sharing with your close confidants. That is exactlycwhat we also suggest. You need to see a therapist who will help in ventilation. You also have features of depression. This is why you have craving for food and disturbed sleep. Your Neural psychiatrist will decide you about whether you need a medicine as well. I think you need. Also if you get any thoughts about ending your life, please seek help immediately. Please revert to me telling what steps you have taken.
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I am very depressed and filled with anxiety and frustration which is being worsened day by day. Living each day is becoming difficult for me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am very depressed and filled with anxiety and frustration which is being worsened day by day. Living each day is be...
At your age, this claim is serious because there may be unresolved childhood issues that need attention. 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, related to anger, 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 scorching 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 every day and learn to be contented 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.
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