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Dr. D. M. Dhawale

MBBS

Psychiatrist, Pune

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Dr. D. M. Dhawale MBBS Psychiatrist, Pune
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. D. M. Dhawale
Dr. D. M. Dhawale is a trusted Psychiatrist in Sadashiv peth, Pune. He has completed MBBS . You can visit him at Poona Hospital & Research Centre in Sadashiv peth, Pune. Book an appointment online with Dr. D. M. Dhawale and consult privately on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 30 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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MBBS - - -

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Poona Hospital & Research Centre

Plot No 27, Sadashiv Peth. Landmark: Near Alka Talkies, PunePune Get Directions
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Poona Hospital And Research Centre

# 27, Sadashiv Peth, Landmark: Near Alka Talkies Landmark : Near Alka TalkiesPune Get Directions
  4.3  (13 ratings)
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I am suffering from chronic depression. I was diagnosed with obsessive psychotic spectrum and on the treatment for the same. I take 50 mg quetiapine for sleep. But its making me dizzy all day. I cannot discontinue it as I get nightmares and headache throughout the day. I started it at a dose of 200 mg but I have tapered it to a dose of 50 mg. Please help. I have my mbbs final exam in 20 days. I can not seem to cope up with the stress and the psychosis and the obsessions right now.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
I am suffering from chronic depression. I was diagnosed with obsessive psychotic spectrum and on the treatment for th...
Since you are already on medication I suggest you talk to your treating Psychiatrist and convey your current symptoms to them. It is possible that some changes in medication dosages will help improve the symptoms. As they are familiar with your history it is always better to have a discussion with them regarding this situation.  Do not experiment on your own with the medication and dosages as these trials will cause worsening of your symptoms and may result in significant side effects. It is not advisable to make any changes in medication on your own. Consult your treating Psychiatrist and follow what is prescribed.
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My father has irregular heartbeat problem .24 hrs holter monitoring report shows irregular heartbeat problem and 2.5 sec pause in heartbeat. Doctor suggesting for pace maker .but he has high blood pressure and anxiety problem .can you telling me alternative way out for irregular heartbeat problem .it's will be relief for us.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My father has irregular heartbeat problem .24 hrs holter monitoring report shows irregular heartbeat problem and 2.5 ...
Please understand that If the holter shows a 2.5 sec pause in normal sinus rhythm it means that his normal conduction system is not working properly or he was on some heart rate controlling drug like beta blockers, if he was not on any such medication then his normal pacemaker is faulty. This pause means that for 2.5 sec his heart stops beating due to lack of current, this is a significant duration and it can cause fainting episodes and lead to fall and injuries, then that is an indication of pacemaker. I have not seen the holter of your father so I do not know if this pause is in nornmal rhythm or in AF (atrial fibrillation), in case this pause is in AF rhythm then we will need to evaluate him before deciding need for pacemaker. Before pacemaker and angiography should also be done. Hypertension and anxiety are not a contraindication to put an holter. If the conduction system becomes faulty then it can only be treated by a pacemaker, no medication can reverse this problem.
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Psychiatric Illness In Family - Understanding Its Effects!

MBBS, MD Psychiatry, DPM Psychological Medicine
Psychiatrist, Kolkata
Psychiatric Illness In Family - Understanding Its Effects!

Mental illness affects the patient as well as the immediate family. Once the affected member has been diagnosed with a mental illness, his family members find it difficult to accept this situation. They are in a state of denial. This state later gives way to feelings of frustration, resentment, anger and helplessness.

To overcome these feelings, it is important for the family to move beyond the mental illness of its relative and not away from him. The family members must accept the reality that someone among them is ill and it is their duty to help him recover from his mental illness.

Effect of social stigma

  1. Unfortunately, mental illness draws social stigma. Many relatives of mentally ill people who are afflicted do not discuss their predicament with others. The reason is not too hard to discover- large sections of society think that mental illness is something very horrible. Very few people know that psychiatric disorders are treatable and they are as good or bad a disease as others.
  2. Strangely, while the society comes out in support of people suffering from cancer and other life-threatening diseases, in cases of mental illness it adopts a position of aloofness. The underlying thought in the minds of people is that there must be something wrong in the family of the mental illness patient.
  3. The net result is that the family withdraws from the society and gets into a shell. Guests are not invited over on social occasions and it often happens that the family gets into depression.
  4. Coping with frustration and helplessness
  5. Psychiatrists also point out to another range of emotions affecting the family members of a mentally ill person- feelings of frustration, helplessness and anger.
  6. Imagine a situation where a schizophrenic child is unable to perform even normal tasks, such as eating food. The parent will try to convince the child to have her food but the mentally ill child cannot perform even that basic function. Unless the parent understands that this is not a normal child, she will continue to try to feed it. The child will, on the other hand, resist. This will continue till the time when the parent gets frustrated and angry at her child’s behaviour. The parent will wonder why her child is not having the food by herself.
  7. This situation will not arise if the parent and other family members accept that the child is ill and needs medical intervention.
  8. This feeling can later lead to a sense of resentment and anger. Family ties can be ruptured because the members would begin to think that their social activities depend upon the medical condition of their sick family member who needs constant attention.

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

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Why do I have constant fear of heart attack? In morning I feel alot stressed and anxious but as the day progresses it eases abit and at night again it strikes back. I get anxious because of the physical symptoms I get throughout the day. I am fine and suddenly I get anxious about the symptoms I get.

MBBS
General Physician, Mumbai
Why do I have constant fear of heart attack? In morning I feel alot stressed and anxious but as the day progresses it...
Dear lybrateuser, -At your age you should not feel anxious & worried about your heart -do regular meditation ,deep breathing & yoga in the morning, you can alternate these on different days, also very useful is to do aerobic exercises like brisk walking, jogging, swimming,do these on three days & do weight lifting exercises on other two days -along with the above routine have a healthy & nutritious diet so that you will feel stronger & more confident & thereby remove your fear & anxiety -distress by listening to music, following a hobby, keep a pet.
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Hello sir I am suffering anxiety from last 2 years & taking allopathy medicine but not proper cure Pls help me I want to leave allopathy medicine I have berthing problem time of stress.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hello sir I am suffering anxiety from last 2 years & taking allopathy medicine but not proper cure Pls help me I want...
It is not enough to take medications alone, you must also combine therapy along with that. So seek a good counselor and get treated psychologically too. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: The former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality course too. Anything that develops you personally will be of great assistance in building resilience.
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Hi Doctor, Mujhe kuchh jyada hi sex ke khyal aate hai bina hand practice ke to need hi nhi aati hai. Kya ye koi bemari hai ya phir psychological problem hai. Please help me. Iska sehat me kya asr padta hai. Kya is cheej ka memory power SE bhi koi connection hai. Ty.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi Doctor,   Mujhe kuchh jyada hi sex ke khyal aate hai bina hand practice ke to need hi nhi aati hai. Kya ye koi bem...
There is no convection between general health, power or memory with masturbation or" hand practice" as you say it. However the irresistible urge that makes you masturbate everyday to get sleep may be a kind of psychological dependence on the act. Inorder to get rid of this you need to follow some suggestions. Find alternative ways and healthier methods of relaxation and inducing sleep like meditation or relaxation exercises before sleep. Eat healthy and light dinner with fruits atleast 1-2 hours before going to bed. Avoid smoking and alcohol. Exercise daily preferably in morning hours only. If you still feel difficult to get out of the habit you may need further treatment and counseling.
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My mind is not clear. I have heart brake say I am not expressive guide me. I am easily fall in love with any one. I have not concentrate on exam also what should I have to do. Pain and memory is always wandering.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My mind is not clear. I have heart brake say I am not expressive guide me. I am easily fall in love with any one. I h...
You have to get mind control by meditation an yoga and be practical in approach to others and all cannot love each other
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I want you to help me out with a problem that I am enduring right now. I have been married for 10+ years with two kids. My husband has been suffering from erectile dysfunction for quite sometime and we had gone to a sexologist who suggested some routine tests and a penile doppler but the doctor had said that everything was normal with him but gave him Sifasi 5000 IU and asked him to inject it once in three days and also gave Arginitric to consume daily. This happened two months ago and he has been taking the meds off and on. The problem is that he still has the same problem and is anxious most of the time. He has lost interest in everything and he does not like to spend time with either me, the kids or his dog though he claims most of the time that I do not spend time with him. Last week he lied to me and spent time from morning till night with a colleague of his with whom he worked five years back (unmarried girl) and had gone to a film, restaurant and ECR and when he returned home at 10 p.m. I questioned him to which he said I did not have any right to question him. We had a fight and from then he is not talking to me. I want to know what his problem is and why he did such a thing all of a sudden. My kids and I are very upset because of his weird behaviour. Please help.

MD - Psychiatry, MBBS
Psychiatrist, Patna
he is having performance anxiety that gradually increased upto the level of reduced self esteem and confidence. definitely he needs your support and psychiatric medication.
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