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Book Clinic Appointment with Dr. Avani Sarvaiya Tiwari
Treatment of Depression
Treatment of Anxiety
Treatment of Alcohol Addiction Disorder
Treatment Of Male Sexual Problems
Treatment of Eating Disorders
Treatment of Anxiety and Depression
Treatment of Overeating Disorders
Treatment Of Anxiety Attacks
Treatment of Panic Disorders
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Treatment of Schizophrenia
Treatment of Bipolar Disorder
Anger Management Therapy
Treatment of Stress
Treatment of Behaviour & Thought Problems
Treatment of Autism
Quit Smoking Techniques
Cognitive Behavioral Therapy
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Hi I am 32 and married .My concern is about controlling anger and having negative thinking about the matters related to my spouse. This is leading to misunderstandings and quarrels between us which is in turn effecting my health and peace if mind. Please advise what can be done to avoid such temperament .
I just don't enjoy the things I used to, and I don't feel much like visiting friends or family. Is this part of aging?
My 17yrs daughter is feeling like lots of questens are continuesly coming in her mind and she not able to led normal life what should I do?
I fell not well my exams are close and soon I also much depress what can I do for fresh mind tell me.
I am 25 years and into sales profile. I like sales but unable to meet targets. My seniors neglect me at times which makes me feel low. I also try to study for higher studies but unable to get simple things now. I was a bright student in academic so very much confused and tensed about my potential. I want to interact with people but am introvert at the same time. Can't think of topics to initiate talk with people easily.
Hello doctor, actually I am habitual for mastrubutation and I want to get out from this situation. Please help me to out from this.
I am suffering from depression from few years,cause not having better job,i have very much depressed now.I take depsonil tablet,everyday 3 time,but not ok.Please help?
My brother is 30 year old unmarried suffering from schizophrenia decease can you tell me best medicine for him.
For last 3 months I am feared that I am going to have heart attack and all this started when my friends brother had a bypass surgery. From that moment I am over thinking and ultimately I faced aciditic reflux problems which again triggered my fear. All test which I have undergone said that an healthy even myself I know I am better but the gear and anxiety comes regularly and difficulty I face I relate it with heart attack. Kindly suggest me solution to overcome my fear and to concentrate on my life style.
Please suggest me how to tackle school refusal problem in my seven year old son. He is good at studies, sports and a very active child but does not want to go school. This problem has been there since he was going to nursery. He says he wants to be with mummy papa and doest not like school. Although he never complains about teachers.
I have stammering problem like repeating words. Also called NATTHI. SO is there any solution for that problem.
I am 23 year old male. I have suffered from following problem÷ 1>I went to neuro physician for some problem but he abused me highly addictive clonazepam for 6 months. Out of frustration I left his treatment. My life turned hell due to his treatment. 2>My elder cousin abused me mentally for 7 years straight but I kicked him off my life. 3>I wanted to get admissions in b tech but my parents did not allowed me to. 4>I faced backlog in my semester exams due to negligence of my patents. They did not understood my problem and I was made to suffer again. My professor used to personally insult me in front of whole class of graduates. My parents did not bother too. After many hellish experiences of life. whom to ask for cure?
Hello Dr. I'm suffering from depression taking medicine since 3 years now on very low dose 1/4 tab of quitepine 25 5 mg of cipralex alternative days can when I stop this I get severe headache and sleepless what should I do for stop this medicine and normal lifestyle.
I am in a very poor mental condition. My results of class 12 final exams are bad and I have failed to keep up to the expectations of my parents and teachers. I blame myself for this. No one else is to blame. My family life is bit complicated. My mother single handedly bought me up. I was a topper of my school. But then suddenly I suffered some depression in class 10 but recovered after that. But my entire class 11 and 12 studies were very poor as I was distracted all the time. I am addicted to smartphone for I have no friends. I have not visited any place since 2010. It is not possible for us to travel. It is better if I do not talk about my father. He have beaten me and harassed me since childhood. I and my mother do not have money so are dependent on my father. Only for money. Apart from that we have no relation with my father. I cannot concentrate on anything. I always feel like crying. I think sooner or later I have to give up. I cannot take this embarrassment any longer. I cannot find any meaning in life. The last few days have been a living death for me. I am writing this out of utter helplessness.
My mom has mental health problems from last 12 years. She's not recovered yet. Psychiatrist treatment done several times. But she is not well enough. Now I want cure her totally. Does neurologist help me for her mental illness. Please help me. And suggest the best for me.
Hi. I am mother of 5 month old boy. I feel very depressed. I cry a lot. Even while talking about something thinking or watching a emotional video makes me cry. I have problems in my personal life. I am not sure if I am depressed in medical terms or I am just upset coz of problems. I have to join my job from next week after maternity. I don't want to be away from my son. Though he will be cared by his grandparents. I think I can't take any medicines for now as I am breastfeeding my son.
I am a heavy drinker. Now I want to get rid of this and want my health back. Symptoms are sweating more than normal, loss of appetite, dramatic weight loss, tingling and numbness in tips of fingers and toes, reddish palm and foots, some times shaky dont even drink water with one hand, felling cold in ac room. Please help.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders.
There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
- Bipolar I Disorder: Defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
- Bipolar II Disorder: Defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
- Cyclothymic Disorder (also called cyclothymia): Defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
- Other Specified and Unspecified Bipolar and Related Disorders: Defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.
Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.
The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals.
You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both, your relationships and work. When it isn't so extreme, it is called 'hypomania'. In case a person has become maniac, you may notice the following things:
- Very happy and excited
- Irritated with other people who don't share your optimistic outlook
- Feeling more important than usual.
- Full of new and exciting ideas
- Moving quickly from one idea to another
- Hearing voices that other people can't hear.
- Making plans that are grandiose and unrealistic
- Very active, moving around very quickly
- Behaving unusually
- Talking very quickly - other people may find it hard to understand what you are talking about
- Making odd decisions on the spur of the moment, sometimes with disastrous consequences
- Recklessly spending your money
- Over-familiar or recklessly critical with other people
- Less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong, although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues and with other people's feelings.
The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:
- Feelings of unhappiness that don't go away
- Feeling that you want to burst into tears for no reason
- Losing interest in things
- Being unable to enjoy things
- Feeling restless and agitated
- Loss of self-confidence
- Feeling useless, inadequate and hopeless
- Feeling more irritable than usual
- Thinking of suicide.
- Can’t think positively or hopefully
- Finding it hard to make even simple decisions
- Difficulty in concentrating.
- Losing appetite and weight
- Difficulty in getting to sleep
- Waking earlier than usual
- Feeling utterly tired
- Going off sex
- Difficulty in starting or completing things, even everyday chores
- Crying a lot or feeling like you want to cry, but not being able to
- Avoiding contact with other people.
- Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
- Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
- Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.
Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.
Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.
Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.
Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).
Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.