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KEM Hospital - Pune

Psychiatrist Clinic

#489, Rasta Peth, Sardar Moodliar Road, Pune Pune
1 Doctor · ₹100
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KEM Hospital - Pune Psychiatrist Clinic #489, Rasta Peth, Sardar Moodliar Road, Pune Pune
1 Doctor · ₹100
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about KEM Hospital - Pune
KEM Hospital - Pune is known for housing experienced Psychiatrists. Dr. A Nulkar, a well-reputed Psychiatrist, practices in Pune. Visit this medical health centre for Psychiatrists recommended by 78 patients.

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09:00 AM - 11:30 AM

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#489, Rasta Peth, Sardar Moodliar Road, Pune
Rasta peth Pune, Maharashtra
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Dr. A Nulkar

Psychiatrist
100 at clinic
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Intermittent Explosive Disorder - Know Signs Of It!

Master In Psychotherapy& counselling, PG Diploma In Counselling & Behaviour Management, Diploma in Marital and Relationship counselling
Psychologist, Kolkata
Intermittent Explosive Disorder - Know Signs Of It!

Do you or someone you know lash out in aggressive verbal and violent behaviour at the slightest provocation? This could be a symptom of a behavioural disorder called Intermittent Explosive Disorder or IED. Intermittent Explosive Disorder is characterized by repeated, sudden bursts of anger which are disproportionate to the situation. These outbursts also have no discernable reason behind them. These outbursts can have a negative impact on your relationships, work and finances. If left untreated, this chronic condition can continue for years.

The exact cause for IED is unknown, but research shows that a number of environmental and biological factors play an important role in triggering such behaviour. Genes may also play a role in triggering this behaviour as such aggressive behaviour is found to run in families. Children and teenagers are most commonly affected by this condition. Children who have been exposed to violent behaviour in their early childhood years are more likely to exhibit such behaviour as they grow older. There are various symptoms exhibited by the people suffering from other psychological disorders such as bipolar disorder, ADHD or antisocial personality disorder; some of the symptoms to look out for are:

  1. Bursts of anger that last 30 minutes or less
  2. Chronic irritability
  3. Racing thoughts
  4. Tightness of the chest
  5. Tremors and tingling sensation
  6. Physical aggression

People suffering from this condition often feel relief or fatigue after such an episode. However, later they are filled with feelings of guilt and embarrassment. If such episodes occur repeatedly, it is best to consult a doctor. By conducting a thorough physical and psychological examination the doctor will be able to diagnose your condition and treat you accordingly.

There is no one set course of treatment that applies to all cases of this condition. Treatment usually involves medication and psychotherapy. Medication in these cases may include antidepressants and mood stabilizers. This medication should not be stopped unless your doctor advises this. Also, do not use alcohol or any mood altering drugs along with it.

When it comes to psychotherapy, the patient may benefit from individual or group therapy. It aims to identify situations that trigger such behaviour and teach the patient how to manage their anger. Practising relaxation techniques such as deep breathing and yoga can also help keep you calm. Psychotherapy also enhances the patient's ability to communicate with others and find alternate ways of getting out of a frustrating situation.

1 person found this helpful

Mental Health And Illness

MBBS, DNB - Psychiatry
Psychiatrist, Delhi
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The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being.

253 people found this helpful

How To Manage Depression?

Diploma In Psychological Medicine, MBBS
Psychiatrist, Varanasi
How To Manage Depression?

For human beings, the body is considered the temple, one that they strive to keep fit and in shape. In fact, the plethora of ailments, which people complain of suffering from, almost always deal with their physical health. In this over engagement to restore the physical health, the well being of the mental health is never considered. However truth remains that the health of the mind is equally if not more important and must be given its share of priority. With the growing age and times, depression has emerged as a gnawing problem, one that is plaguing individuals indiscriminately and one that must be eradicated as soon as possible. 

Some of the ways to combat this fatal ailment are: 

  1. Exercises: Everyday a bit of exercise not only keeps the body fit and healthy, but also goes a long way in easing and calming the mind. You need not indulge in strenuous exercises, but must make it a conscientious habit to work out a bit daily.
  2. Talk to people: Though depression makes one inexorably quiet and silent, the first thing that is prescribed as a remedial measure is talk to people. Engaging in conversations with people, telling them what exactly is troubling you are proven ways to combat depression.
  3. Meditate: There is no better way to treat mental ailment than meditating.  When you suffer from depression, your body undergoes severe conflict. Meditating not only calms the mind, but also soothes away the worries.
  4. Develop a support system: Depression is almost always followed by an unfathomable sense of loneliness. Talking to others does help, but at the same time try to develop a support system. Find an individual, be it parents, relatives or friends and confide in him or her. Not sharing what you are going through is never a solution and only exacerbates the fatality of the situation.
  5. Change the daily routine: Monotony is never exciting and it is only time, before the humdrum of life gets to you. Changing the daily routine and incorporating something new and exciting go a long way in recuperating you from the mental dullness and fatigue.

Depression - How To Handle It Effectively?

MSc - Psychotherapy & Counselling, PGD-PPHC, BASLP
Psychologist, Karnal
Depression - How To Handle It Effectively?

Sometimes everything around you seems to be all blue. Depression can make you feel like you are drowning deep into sadness while everyone else is out on the surface, breathing the air of happiness. It becomes extremely difficult for you to get along with everything going on around you. Depression can wreck you and squeeze every ounce of happiness out of you. But it is extremely important for you to able to deal with it and start living a normal happy life again. It is extremely important for you to get a grip of your depression so that you can move on from it.

Here are a few tips on how you can handle it:

  1. Believe you are not lonely: It is very easy to think that you are all alone in the pit of depression when you are depressed. But you have to remember that you are not lonely. What usually happens is you isolate yourself thinking that it will be extremely stressful if you have to share your depression with anyone else. You have to get rid of the feeling that apart from you, everyone else is extremely happy; because that is incorrect. Every person has been depressed and disturbed at one point of time. They are happy now because they overcame their depression. That is what you have to learn from them and do. Acknowledge that they are concerned about you.
  2. Talk: This is very important if you want to let go of your depression. Talk it out with a therapist or a friend or anyone you are comfortable with. Know that they will hear whatever you have to say. All you have to do is speak. Talk about everything which is affecting you; talk about why you are depressed, about what you want to do. Talking will help you get some closure and insight.
  3. Cry: Cry it out. It is better out than it is inside. Find a private, convenient place and cry your heart out. It will make you feel lighter and will take a burden off your heart.
  4. Succumb to art: Whether that is painting, writing poetry, or playing music, any kind of art will help you bring your thoughts out. It is believed that depression and creativity usually go hand in hand. Utilize your condition to the fullest and you will be surprised to get a masterpiece out of it.

You have to remember that being depressed is just a phase. You will eventually be able get the upper hand on it and live a happy life.

Lymphoma - How To Cope With It?

MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Lymphoma - How To Cope With It?

Suffering from any degenerative or terminal disease like lymphoma can be really tough. It takes a huge toll on your mental health. Whether you are suffering from it or someone close to you, the impact is extremely painful and going through each day is a fight in itself. But, you must struggle. Just to minimize your anguish a little bit more, here are some ways to cope with the lymphoma:

  1. Be open about your disease: Try to talk about your disease with other people as much as possible. Talk about what you are going through. How it is making you feel, how painful it is. Share all of your feelings. Don’t be ashamed or feel bad about your disease.
  2. Deal with fear and scare: There is no point in minimizing the fact that you will be afraid and scared. But try to calm yourself down. Think about your options for treatment and consult your doctor about them. Learning about the possible treatments will make you feel safe.
  3. Try to engage in physical activities: As much as your body permits try to engage yourself in physical activities like walking, simple exercises, yoga, and other physical activities. It will help to keep your stress level in check.
  4. Get out: Don’t confine yourself to your home as it may lead to depression. Engage in daily activities like going to a grocery store, a shopping mall, a club or just for a stroll in the park. Calling your friends or your family and going out for a coffee can help a great deal.
  5. Think about financial matters: Dealing with a long-term disease can be really stressful not only emotionally but also financially. This makes it extremely important to plan your finances well. If you have health care insurance, try to go over with your agent on how much you will be covered and save money accordingly.
  6. Handle your work life: About work, talk with HRD at your office and tell him/her about your medical condition and how well you are prepared to deal with the work designated for you.
  7. Don’t push people away: In most cases, due to prolonged illness, the patients become hopeless and tries to push people close to them away. They find it extremely difficult to cope with the disease, so try to keep your loved ones as close to you as possible. If someone comes forward with a helping hand, accept it.
  8. Managing side effects: The side effects of the treatment can affect you as well. Try to go over them with your doctor before starting your treatment.
  9. Facing infertilityConceiving children can be a problem during this period. If you are planning to have children, consult a fertility doctor and check your options.
  10. Deal with relapse: If you have cancerous cells, you must be prepared for a relapse. However, it will be easier to deal with a relapse as you know what to expect and which way to go.
     

Depression In Children - Ways To Manage It Well!

Pediatrician, Gurgaon
Depression In Children - Ways To Manage It Well!

Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

Symptoms:
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:

  1. Social withdrawal
  2. Irritability
  3. Feeling of worthlessness
  4. Difficulty in concentrating
  5. Reduced ability to function during events
  6. Continuous feelings of sadness
  7. Physical complaints

Causes:

  1. Depression in children can be caused due to the combination of a multitude of reasons.
  2. Children from a family history of depression are more likely to be suffering from depression.
  3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
  4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
  5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

Treatment:
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.

In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:

  1. Changes in eating, sleeping or activities
  2. Isolating oneself even from family
  3. Talking of suicide, feeling helpless or hopeless
  4. Increased risk taking behavior
  5. Substance abuse
  6. Giving away possessions

Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.

Bipolar Disorder - All You Should Be Knowing!

Psychiatrist, Delhi
Bipolar Disorder - All You Should Be Knowing!

We all have mood swings but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually, last for a few days or even a few weeks. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering Bipolar Disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition. Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

  1. Change in self-esteem
  2. Unusual talkativeness or quietness
  3. Being increasingly prone to distractions
  4. Decreased need for sleep
  5. Agitation
  6. Recklessness in terms of spending decisions, relationships etc

It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder:

  1. Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
  2. Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
  3. Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
  4. Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.

Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.

Procrastination - 5 Tips To Overcome It!

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Procrastination - 5 Tips To Overcome It!

The activity of delaying or putting off something is known as procrastination. Even the best individuals battle with it consistently. However, some people accomplish something that the majority of us do not- they push past it. They do not permit it to influence their work. They develop brilliant and beneficial techniques to break past mental obstructions and remain productive.

Here are a few ways with which you can beat procrastination:

  1. Try to start: Starting something can be very difficult. However, in case that you can get over that part, you will have some level of energy. Even your brain will probably goad you to continue dealing with the task. This happens because of a mental phenomenon called the Zeigarnik impact. It says that unfinished tasks will probably stay in your memory. This is exactly why planned things and to-do lists consistently appear in your mind until you finish them.
  2. Separate huge tasks into smaller assignments: Enormous tasks can frighten you, so you put them off. By taking that huge task and separating it into smaller assignments, you can decrease your burden make a start. This could include concentrating on one part of the research to begin with.
  3. Ask yourself “why?”: It is easier to inspire yourself to accomplish something you value. In case you are attempting to complete something, why not spend a couple of minutes asking yourself precisely why you need to do it and why it is so important to you. Weighing out the positives and negatives of the task and its benefits for you, can make you decide and perform better.
  4. Attempt to take a break: For those who procrastinate out of having worked too much, it does not mean you have to complete the task at once. This is known as the "sunk cost bias." The "sunk cost bias" influences players, speculators, and even a procrastinator. They feel that the task will need to be completed now and cannot be completed in the future. In some cases, a task simply does not mean you have to work on it more and more after hours.
  5. Go easy on yourself: To beat procrastination, you should be strict with yourself. However, that is not what science says. In case that you have procrastinated till now, you will probably begin on time going ahead. You need to show yourself some sympathy for your previous laziness instead of thrashing yourself about it.

Self-control is an important quality many successful individuals have. Having self-control permits you to carefully understand why you are procrastinating and can likewise, work towards it. When you understand why you are doing so, it will be easier for you to make a plan to beat it. This will allow you to see the underlying cause of your problem as well.

1 person found this helpful

I am suffering from anxiety disorder and mood disorder. I don't enjoy any joyful moment anytime I am just overthink very high over thinking and negative thoughts which brought me unhappy always. I am taking the tablets like sripan tablets and nexito plus. Suggest me Dr. it will help me or not or if not then tell me something more.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
I am suffering from anxiety disorder and mood disorder. I don't enjoy any joyful moment anytime I am just overthink v...
You need to continue with the medication. But along with that I suggest that you attend a lot of counselling too in tandem. You have not been dealing with your fears for a long time, perhaps. All unexpressed feelings will find some other way of expressing itself in the body. These will lead to psychological problems of various kinds. You need to be trained in dealing with emotions and retain it as an ongoing process in life. Meet a counselor and get some guidance in this regard. In the meantime, please follow an exercise regiment, eat well and keep good company. Every time you feel fear talk to someone about it. Do some deep breathing, with your left nostril shut, and you will immediately calm down. If it gets too much, place your index finger on your shut lips and puff up your cheeks tightly with air and hold it for some time. The back pressure of the air will press the vagus nerve at the rear of the throat and immediately reduce the heart rate to calm you down.
1 person found this helpful

Emotional Meltdown - How To Prevent It?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Psychaitry
Psychiatrist, Navi Mumbai
Emotional Meltdown - How To Prevent It?

Is depression eating you up from within? Are you facing severe emotional meltdown? Emotional disturbances can ruin your life and this is why you have to look for the best preventive ways. You can have a consultation with any counsellor so that you can share your problems. Your counsellor will definitely help you to get some potential way out. 

Best ways for preventing emotional meltdown:

  1. Detecting the signs: The actual signs of emotional meltdown need to be detected and then only you can get rid of the same. Both your facial expressions and behavioural changes are to be observed carefully as these will help you to detect the signs. If you are remaining silent for most of the times, then there is something going on in your mind for sure. 
  2. Early intervention: You should rely on your intuition or sixth sense so that you can sense the troubles you are going to face. You should have a good observation power so that you can sense things easily. Remain quiet and calm so that you can take the right decisions. 
  3. Living well: You need to choose a completely healthy way of living, otherwise you will never get freedom from emotional troubles. Do not think much about past incidents, rather you should look forward so that you can go ahead. You should develop only positive mentality in order to discharge your duties in a perfect manner. Remain happy and keep everybody happy and then only you will be able to get the actual essence of life. Healthy eating and good habits are also needed so that your life can become more lively and refreshing. 
  4. Have proper communication: If you think that your friends or family members are pretty reliable, then you can openly communicate with them. This would help you to get mental relief and relaxation.  If you open up your emotions and share them with anybody, then you will feel relaxed and your mind will be calm at all times. 
  5. Have counselling: It is not always possible to share all your secrets with your loved ones and this is the reason you have to look for the most reliable option. You can go for thorough counselling, and this can help you to get rid of depressing thoughts and other mental troubles. In this case, you have to look for the best counsellor in your locality so that you can disclose all your hidden secrets.
1 person found this helpful
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