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Dr. A Nulkar

Psychiatrist, Pune

100 at clinic
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Dr. A Nulkar Psychiatrist, Pune
100 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. A Nulkar
Dr. A Nulkar is a popular Psychiatrist in Rasta peth, Pune. He is currently associated with KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. A Nulkar and consult privately on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 40 years of experience on Lybrate.com. You can find Psychiatrists online in Pune 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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Hindi

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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Hai i'm addicted spasmoproxyvon since last 6 years. I'm addicted of this pill. Now I want to leave it but i'm unable to leave. Kindly suggest.

MD - Psychiatry
Psychiatrist, Mumbai
Spasmoproxyvon contains an opioid which makes it a addictive. Substitution and tapering this under supervision of psychiatrist is recommended.
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I lose my lover last week and since then feel very depressed and prefer keeping to myself all the time. Pls help me.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I lose my lover last week and since then feel very depressed and prefer keeping to myself all the time. Pls help me.
Hi there ~ Coping with Grief and Loss Losing someone or something you love or care deeply about is very painful. You may experience all kinds of difficult emotions and it may feel like the pain and sadness you're experiencing will never let up. These are normal reactions to a significant loss. But while there is no right or wrong way to grieve, there are healthy ways to cope with the pain that, in time, can renew you and permit you to move on. What is grief? Grief is a natural response to loss. It’s the emotional suffering you feel when something or someone you love is taken away. The more significant the loss, the more intense the grief will be. You may associate grief with the death of a loved one—which is often the cause of the most intense type of grief—but any loss can cause grief, including: Divorce or relationship breakup Loss of health Losing a job Loss of financial stability A miscarriage Retirement Death of a pet Loss of a cherished dream A loved one’s serious illness Loss of a friendship Loss of safety after a trauma Selling the family home The more significant the loss, the more intense the grief. However, even subtle losses can lead to grief. For example, you might experience grief after moving away from home, graduating from college, changing jobs, selling your family home, or retiring from a career you loved. Everyone grieves differently Grieving is a personal and highly individual experience. How you grieve depends on many factors, including your personality and coping style, your life experience, your faith, and the nature of the loss. The grieving process takes time. Healing happens gradually; it can’t be forced or hurried—and there is no “normal” timetable for grieving. Some people start to feel better in weeks or months. For others, the grieving process is measured in years. Whatever your grief experience, it’s important to be patient with yourself and allow the process to naturally unfold. Myths and facts about grief MYTH: The pain will go away faster if you ignore it. Fact: Trying to ignore your pain or keep it from surfacing will only make it worse in the long run. For real healing it is necessary to face your grief and actively deal with it. MYTH: It’s important to be “be strong” in the face of loss. Fact: Feeling sad, frightened, or lonely is a normal reaction to loss. Crying doesn’t mean you are weak. You don’t need to “protect” your family or friends by putting on a brave front. Showing your true feelings can help them and you. MYTH: If you don’t cry, it means you aren’t sorry about the loss. Fact: Crying is a normal response to sadness, but it’s not the only one. Those who don’t cry may feel the pain just as deeply as others. They may simply have other ways of showing it. MYTH: Grief should last about a year. Fact: There is no right or wrong time frame for grieving. How long it takes can differ from person to person. Source: Center for Grief and Healing Are there stages of grief? In 1969, psychiatrist Elisabeth Kübler-Ross introduced what became known as the “five stages of grief.” These stages of grief were based on her studies of the feelings of patients facing terminal illness, but many people have generalized them to other types of negative life changes and losses, such as the death of a loved one or a break-up. The five stages of grief: Denial: “This can’t be happening to me.” Anger: “Why is this happening? Who is to blame?” Bargaining: “Make this not happen, and in return I will ____.” Depression: “I’m too sad to do anything.” Acceptance: “I’m at peace with what happened.” If you are experiencing any of these emotions following a loss, it may help to know that your reaction is natural and that you’ll heal in time. However, not everyone who grieves goes through all of these stages—and that’s okay. Contrary to popular belief, you do not have to go through each stage in order to heal. In fact, some people resolve their grief without going through any of these stages. And if you do go through these stages of grief, you probably won’t experience them in a neat, sequential order, so don’t worry about what you “should” be feeling or which stage you’re supposed to be in. Kübler-Ross herself never intended for these stages to be a rigid framework that applies to everyone who mourns. In her last book before her death in 2004, she said of the five stages of grief: “They were never meant to help tuck messy emotions into neat packages. They are responses to loss that many people have, but there is not a typical response to loss, as there is no typical loss. Our grieving is as individual as our lives.” Grief can be a roller coaster Instead of a series of stages, we might also think of the grieving process as a roller coaster, full of ups and downs, highs and lows. Like many roller coasters, the ride tends to be rougher in the beginning, the lows may be deeper and longer. The difficult periods should become less intense and shorter as time goes by, but it takes time to work through a loss. Even years after a loss, especially at special events such as a family wedding or the birth of a child, we may still experience a strong sense of grief. Source: Hospice Foundation of America Common symptoms of grief While loss affects people in different ways, many experience the following symptoms when they’re grieving. Just remember that almost anything that you experience in the early stages of grief is normal—including feeling like you’re going crazy, feeling like you’re in a bad dream, or questioning your religious beliefs. Shock and disbelief – Right after a loss, it can be hard to accept what happened. You may feel numb, have trouble believing that the loss really happened, or even deny the truth. If someone you love has died, you may keep expecting him or her to show up, even though you know he or she is gone. Sadness – Profound sadness is probably the most universally experienced symptom of grief. You may have feelings of emptiness, despair, yearning, or deep loneliness. You may also cry a lot or feel emotionally unstable. Guilt – You may regret or feel guilty about things you did or didn’t say or do. You may also feel guilty about certain feelings (e.g. Feeling relieved when the person died after a long, difficult illness). After a death, you may even feel guilty for not doing something to prevent the death, even if there was nothing more you could have done. Anger – Even if the loss was nobody’s fault, you may feel angry and resentful. If you lost a loved one, you may be angry with yourself, God, the doctors, or even the person who died for abandoning you. You may feel the need to blame someone for the injustice that was done to you. Fear – A significant loss can trigger a host of worries and fears. You may feel anxious, helpless, or insecure. You may even have panic attacks. The death of a loved one can trigger fears about your own mortality, of facing life without that person, or the responsibilities you now face alone. Physical symptoms – We often think of grief as a strictly emotional process, but grief often involves physical problems, including fatigue, nausea, lowered immunity, weight loss or weight gain, aches and pains, and insomnia. Coping with grief and loss tip 1: Get support The single most important factor in healing from loss is having the support of other people. Even if you aren’t comfortable talking about your feelings under normal circumstances, it’s important to express them when you’re grieving. Sharing your loss makes the burden of grief easier to carry. Wherever the support comes from, accept it and do not grieve alone. Connecting to others will help you heal. Finding support after a loss Turn to friends and family members – Now is the time to lean on the people who care about you, even if you take pride in being strong and self-sufficient. Draw loved ones close, rather than avoiding them, and accept the assistance that’s offered. Oftentimes, people want to help but don’t know how, so tell them what you need—whether it’s a shoulder to cry on or help with funeral arrangements. Draw comfort from your faith – If you follow a religious tradition, embrace the comfort its mourning rituals can provide. Spiritual activities that are meaningful to you—such as praying, meditating, or going to church—can offer solace. If you’re questioning your faith in the wake of the loss, talk to a clergy member or others in your religious community. Join a support group – Grief can feel very lonely, even when you have loved ones around. Sharing your sorrow with others who have experienced similar losses can help. To find a bereavement support group in your area, contact local hospitals, hospices, funeral homes, and counseling centers. Talk to a therapist or grief counselor – If your grief feels like too much to bear, call a mental health professional with experience in grief counseling. An experienced therapist can help you work through intense emotions and overcome obstacles to your grieving. Coping with grief and loss tip 2: Take care of yourself When you’re grieving, it’s more important than ever to take care of yourself. The stress of a major loss can quickly deplete your energy and emotional reserves. Looking after your physical and emotional needs will help you get through this difficult time. Face your feelings. You can try to suppress your grief, but you can’t avoid it forever. In order to heal, you have to acknowledge the pain. Trying to avoid feelings of sadness and loss only prolongs the grieving process. Unresolved grief can also lead to complications such as depression, anxiety, substance abuse, and health problems. Express your feelings in a tangible or creative way. Write about your loss in a journal. If you’ve lost a loved one, write a letter saying the things you never got to say; make a scrapbook or photo album celebrating the person’s life; or get involved in a cause or organization that was important to him or her. Look after your physical health. The mind and body are connected. When you feel good physically, you’ll also feel better emotionally. Combat stress and fatigue by getting enough sleep, eating right, and exercising. Don’t use alcohol or drugs to numb the pain of grief or lift your mood artificially. Don’t let anyone tell you how to feel, and don’t tell yourself how to feel either. Your grief is your own, and no one else can tell you when it’s time to “move on” or “get over it.” Let yourself feel whatever you feel without embarrassment or judgment. It’s okay to be angry, to yell at the heavens, to cry or not to cry. It’s also okay to laugh, to find moments of joy, and to let go when you’re ready. Plan ahead for grief “triggers.” Anniversaries, holidays, and milestones can reawaken memories and feelings. Be prepared for an emotional wallop, and know that it’s completely normal. If you’re sharing a holiday or lifecycle event with other relatives, talk to them ahead of time about their expectations and agree on strategies to honor the person you loved. Using social media for support Memorial pages on Facebook and other social media sites have become popular ways to inform a wide audience of a loved one’s passing and to reach out for support. As well as allowing you to impart practical information, such as funeral plans, these pages allow friends and loved ones to post their own tributes or condolences. Reading such messages can often provide some comfort for those grieving the loss. Of course, posting sensitive content on social media has its risks as well. Memorial pages are often open to anyone with a Facebook account. This may encourage people who hardly knew the deceased to post well-meaning but inappropriate comments or advice. Worse, memorial pages can also attract internet trolls. There have been many well-publicized cases of strangers posting cruel or abusive messages on Facebook memorial pages. To gain some protection, you can opt to create a closed group on Facebook rather than a public page, which means people have to be approved by a group member before they can access the memorial. It’s also important to remember that while social media can be a useful tool for reaching out to others, it can’t replace the face-to-face connection and support you need at this time. When grief doesn’t go away It’s normal to feel sad, numb, or angry following a loss. But as time passes, these emotions should become less intense as you accept the loss and start to move forward. If you aren’t feeling better over time, or your grief is getting worse, it may be a sign that your grief has developed into a more serious problem, such as complicated grief or major depression. Complicated grief The sadness of losing someone you love never goes away completely, but it shouldn’t remain center stage. If the pain of the loss is so constant and severe that it keeps you from resuming your life, you may be suffering from a condition known as complicated grief. Complicated grief is like being stuck in an intense state of mourning. You may have trouble accepting the death long after it has occurred or be so preoccupied with the person who died that it disrupts your daily routine and undermines your other relationships. Symptoms of complicated grief include: Intense longing and yearning for the deceased Intrusive thoughts or images of your loved one Denial of the death or sense of disbelief Imagining that your loved one is alive Searching for the person in familiar places Avoiding things that remind you of your loved one Extreme anger or bitterness over the loss Feeling that life is empty or meaningless The difference between grief and depression Distinguishing between grief and clinical depression isn’t always easy as they share many symptoms, but there are ways to tell the difference. Remember, grief can be a roller coaster. It involves a wide variety of emotions and a mix of good and bad days. Even when you’re in the middle of the grieving process, you will have moments of pleasure or happiness. With depression, on the other hand, the feelings of emptiness and despair are constant. Other symptoms that suggest depression, not just grief: Intense, pervasive sense of guilt Thoughts of suicide or a preoccupation with dying Feelings of hopelessness or worthlessness Slow speech and body movements Inability to function at work, home, and/or school Seeing or hearing things that aren’t there Can antidepressants help grief? As a general rule, normal grief does not warrant the use of antidepressants. While medication may relieve some of the symptoms of grief, it cannot treat the cause, which is the loss itself. Furthermore, by numbing the pain that must be worked through eventually, antidepressants delay the mourning process. When to seek professional help for grief If you recognize any of the above symptoms of complicated grief or clinical depression, talk to a mental health professional right away. Left untreated, complicated grief and depression can lead to significant emotional damage, life-threatening health problems, and even suicide. But treatment can help you get better. Contact a grief counselor or professional therapist if you: Feel like life isn’t worth living Wish you had died with your loved one Blame yourself for the loss or for failing to prevent it Feel numb and disconnected from others for more than a few weeks Are having difficulty trusting others since your loss Are unable to perform your normal daily activities I hope this helps.
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5 Things That Indicate The Pattern Of Drug Abuse!

MBBS, DPM
Psychiatrist, Ranchi
5 Things That Indicate The Pattern Of Drug Abuse!

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic.

There are several patterns and stages of drug use that have been listed below:

  1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.
  2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.
  3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.
  4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.
  5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2597 people found this helpful

Sir, I am a class 12 student my problem is that I am not able to do self study I think of studying but always end up. Doing something else is it because of lack of determination what should 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, Palakkad
Dear lybrate user. I can understand. You said it. Laxk of determination never will help education. You need to be determined. To be determined you need a perfect achievable aim and decotion towards it. You need to cultivate passion towards education. I suggest online educational counselling. Take care.
1 person found this helpful
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Post Graduate Diploma In Rehabilitation Psychology, M A Clinical Psychology
Psychologist, Bhopal
You are unique ! Identify your own unique strength!
5 people found this helpful

My age is 24. My work is of sitting on a computer for long hours like daily 12 hrs and from last few days I'm not able to sleep properly due to stress anxiety and little bit headache. Sometimes my eyes also get swelling on it. Please help.

MS - Ophthalmology, FICO, FRCS - I & II
Ophthalmologist, Mathura
My age is 24.
My work is of sitting on a computer for long hours like daily 12 hrs and from last few days I'm not abl...
Dear lybrate-user all your symptoms are due to overuse of computer. This is called computer vision syndrome (cvs). You need to restrict yoyears computer use like taking break in between. Use antglare computer glasses. Your posture should be correct and your work ststion table n chair should be ergonomically designed. You sd also use refresh tear eye drops as rate of blinking is reduced leading to dry eye symptoms when you are working for long hrs on computer. Hope this answers your question.
1 person found this helpful
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I am 19 years old and suffering from high depression and I am unable to concentrate and even sleep as well? Please help me.

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
I am 19 years old and suffering from high depression and I am unable to concentrate and even sleep as well? Please he...
Dear , you should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression but they are short lived. Were you disappointed in the near past? please post a private question to me with every detail. I will help you. Take care.
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I have stomach problem like acidity, gas, constipation etc. It causes injury to my night sleep and also decrease my energy and power. My concentration is lost and mind power also decrease. So what is the reason for that and suggest me the ayurvedic medicines.

MBBS
General Physician, Faridabad
I have stomach problem like acidity, gas, constipation etc.
It causes injury to my night sleep and also decrease my e...
take meftal spas if pain abd, tab pan 40 empty stomach daily morning for 15 days, drink 3-4 litre of water daily, isabgol in a glass of water at night, if required get u/s whole abdomen done and back with report it will help. thanks
8 people found this helpful
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My mother has Alzheimer's disease, and I've noticed she is getting more confused. How can I help her?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Alzheimer's dementia is a progressive disease. There are practically no medications for cure of alzheimer's or reversing the damages caused by alzheimer's dementia. However there are certain medications which can definitely slower the rate at which memory loss and behavior problems surface. Also to treat and keep behavior and sleep problems under control certain medicines are helpful. In all, you may consult a psychiatrist with all her details and get a personalised treatment plan for her. Take care.
1 person found this helpful
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Hello sir/mam please tell me which treatment is permanently removed anxiety, nervousness, dizziness, etc I used clonazepam.

Post Graduate Diploma In Rehabilitation Psychology, M A Clinical Psychology
Psychologist, Bhopal
Hello sir/mam please tell me which treatment is permanently removed anxiety, nervousness, dizziness, etc I used clona...
Hi anxiety is a feeling we all get in a situation that is threatening or difficult. Some level of anxiety is important for our survival and to keep ourselves ready to face the upcoming situation and continue to work for it. The anxiety stops when you get used to the situation, when the situation changes, or if you just leave. Prolonged anxiety becomes a problem and it interferes with your performances and stops you to do things that you want to do. Consider coming for inperson or online counselling sessions which shall be very helpful for you to learn better coping skills in various situations, so that next time you face it you are better equipped to handle it.
4 people found this helpful
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