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Dr. Gulabani

Psychiatrist, Pune

600 at clinic
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Dr. Gulabani Psychiatrist, Pune
600 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gulabani
Dr. Gulabani is an experienced Psychiatrist in Rasta peth, Pune. You can visit him/her at KEM Hospital - Pune in Rasta peth, Pune. You can book an instant appointment online with Dr. Gulabani on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 29 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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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
600 at clinic
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My brother is suffering from schizophrenia. He is under treatment since last 3 years. Now he is complaining of weakness and he want to discontinue tablets saying that these are not needed for me. Last year also he discontinued for 3 months and disease was relapsed then again he restarted treatment. My question is what we should do, treatment is going long and long and he don't want to take saying that I'm ok. 80% of the symptoms are gone. Answer me. Thanking you.

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana
Thank you for your question. If your brother want to quit treatment than you have two options now to continue his treatment without his knowledge. Depending on the remaining symptoms: one option is liquid form or dispersible medicine which is tasteless, colorless and odorless . You can continue this medication in minimal dose.
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I have a social anxiety disorder please I need some tablets bcoz I lost my confidence and getting some fear.

M.Phill
Psychologist, Chennai
I have a social anxiety disorder please I need some tablets bcoz I lost my confidence and getting some fear.
Cognitive behavioural therapy will be helpful. Pay attention to your breath. Challenge negative thinking and unrealistic expectations. Challenge your fear of others by making face to face contact with friendly people. Use sensory input relaxing and uplifting music to calm urself.
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C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Quit smoking

Follow 5 As (Ask, Advise, Assess, Assist, Arrange)

Assessing tobacco use status during healthcare visits increases the likelihood of smoking-related discussions between patients and clinicians, as well as increases smoking cessation rates.
All smokers should be advised to quit smoking. Even brief advice to quit has been shown to increase quit rates.
For smokers who are willing to quit, manage them with combination of behavioral support and pharmacologic therapy
Behavioral intervention generally consists of brief clinician counseling in the office, but smokers should also be referred to a free telephone quit line
Smokers who fail to quit on an adequate trial of first-line pharmacotherapy may benefit from second line pharmacotherapy.
Also attempt to intensify behavioral counseling.
Patients who successfully quit but experience relapse be treated with a pharmacologic agent that previously helped the patient to achieve abstinence and was tolerable
Enhancing treatment by adding another pharmacologic agent or more intensive behavioral support can also be considered.
Smokers can also be advised about the health risks of secondhand smoke exposure to their household members and urged to commit to keeping their home and car smoke-free, especially if children are present.

5As of quitting Smoking

Ask: Implement an office wide system that ensures that, for every patient at every clinic visit, tobacco-use status is queried and documented. Repeated assessment is not necessary in the case of the adult who has never used tobacco or has not used tobacco for many years, and for whom this information is clearly documented in the medical record.

Advise: Strongly urge all tobacco users to quit in a clear, strong, personalized manner. Advice should be clear - "I think it is important for you to quit smoking now and I can help you" "Cutting down while you are ill is not enough" It should be "As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your health now and in the future. The clinic staff and I will help you" and it should be personalized. Tie tobacco use to current health/illness, and/or its social and economic costs, motivation level/readiness to quit, and/or the impact of tobacco use on children and others in the household.

Access: Determine the patient's willingness to quit smoking within the next 30 days; If the patient is willing to make a quit attempt at this time, provide assistance; If the patient will participate in an intensive treatment, deliver such a treatment or refer to an intensive intervention; If the patient clearly states he or she is unwilling to make a quit attempt at this time, provide a motivational intervention and If the patient is a member of a special population (adolescent, pregnant smoker), provide additional information specific to that population.

Assist: Provide aid for the person to quit.

Arrange: Schedule follow-up contact, either in person or by telephone. Follow-up contact should occur soon after the quit date, preferably during the first week. A second follow-up contact is recommended within the first month. Schedule further follow-up contacts as indicated.

Congratulate success during each follow-up. If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence. Remind the person that a lapse can be used as a learning experience. Identify problems already encountered and anticipate challenges in the immediate future.

Sir, I have a problem some time very lazy feel because I have tension in examination. In this condition my brain is large pain and I am not reading 30min highest so please help me.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
Sir, I have a problem some time very lazy feel because I have tension in examination. In this condition my brain is l...
Hi…This problem is due to irritation and inadequate nutrition of the brain. So follow few basic things …. 1) drink only 100-150 ml of water during meals …. 2) don’t drink water one hour before meals and one hour after meal… 3) avoid oily, spicy, salty, junk, fast, fermented and stale foods… 4) avoid coffee and tea… 5) try to sleep upto 10.30 pm … 6) do anuloma viloma pranayam regularly early in the morning… A) eat 30-40 black currants and 1 tsf of jaggery during meals… B) take 250 ml of fresh butter milk during meals. C) instill 3-4 drops of CHANDANADI TAILA in each nostril at the time of sleeping Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS.
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Sir My mom is suffering from schizophrenia past 20 years she talk to herself and not talking sleep at night and very moody and frustrated.

D.P.M, MBBS
Psychiatrist, Mumbai
Supriya, I can understand your worries regarding your mother's illness. Schizophrenia is a chronic illness however with medication it is possible to keep the symptoms under control and lead a normal life. It is essential you bring your mother for a consultation so that appropriate medication can be started for her, or her medication adjusted if she isn't responding to the current one.
2 people found this helpful
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Phobia Of Exams - Solutions That Can Really Help!

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Phobia Of Exams - Solutions That Can Really Help!

Exams are really tough times for most students irrespective of the level of their preparation. It is natural to get anxious before and during the exam time. Anxietyis a natural state in which people are either uneasy or fearful, depending on the situation that is making them anxious.

Generally, students suffer from anxiety and fear when exam time approaches:

  1. Forms of ailment: Depending on the medical studies conducted throughout the world, anxiety is divided into the following types: 
  2. Generalized Anxiety Disorder: People suffering from Generalized Anxiety Disorder usually feel nervous and anxious. They even experience fear in conducting routine tasks and worry a lot about the same. Students suffering from this anxiety tend to worry a lot during exam time even after knowing that they are fully prepared to take the exam. Usually, the sufferers here are unable to control their worrying.
  3. Phobias: Phobia refers to the feeling of excessive fear for any particular thing or object or action. Phobia clearly interferes with the normal functioning of the individual and causes the sudden flow of adrenaline through his or her body. People suffering from any kind of phobia tend to avoid the cause or reason for their fear. Students mostly suffer from social phobias when it comes to exams and their performance. 
  4. Panic Disorder: Panic Disorders are characterized by quick and intense fear. People suffering from this kind of anxiety disorder are prone to experience panic attacks - the situation that involves periods of intense fear and discomfort along with rapid heartbeat, nausea, shortness of breath and dizziness. Panic Disorder causes its sufferers to develop the anxiety of having panic attacks which further increases the problem.
  5. Obsessive Compulsive Disorder: People suffering from Obsessive Compulsive Disorder usually feel compelled to act in a certain way which doesn't appear normal to others. The kind of obsessions people feel due to this ailment include checking if a door is locked repeatedly or washing hands again and again, and so on.

Students usually suffer from generic anxiety disorders before and during the exam. An apt amount of anxiety leads to great results as it makes the person serious about his or her goals and focus on the same.

Symptoms:
Anxiety is something that everyone suffers from at one or the other point in their life. The levels of suffering can be different from person to person. The major symptoms of anxiety are listed below: 

  1. Shortness of breath
  2. Dizziness and unsteadiness
  3. Trembling or shaking
  4. Heart palpitations
  5. Choking
  6. Sweating
  7. Numbness
  8. Hot flushes or chills
  9. Fear of going out of control
  10. Nausea and abdominal distress

Solution:
Homoeopathy provides amazing treatment in the form of drugs for anxiety and phobia. There are multiple drugs in Homoeopathy for treating anxiety, some of which are listed below. Students can go for any of them and get rid of the exam fear so that they can perform well in their exams: 

  1. Aconitum Napellus
  2. Arsenicum Album
  3. Argentum Nitricum
  4. Gelsemium
  5. Ignatia Amara
  6. Lycopodium

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

 

6115 people found this helpful

I lost someone last year and I am in depression. You will give me some idea for relief depression.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
I lost someone last year and I am in depression. You will give me some idea for relief depression.
What you are going through is greaving. Loosing loved one is not easy to deal with emotionally. I am sorry for your loss. When you are greaving, your mind is continuously engaged in sad and disturbing thoughts and feeling of loss and perhaps guilt. When sadness over powers you it is difficult to feel any other feelings. Even feeling happy makes you feel guilty and uneasy. Slow but effective way to over cone sadness is to engage yourself in some neutral activities such as cleaning. Walking or readjng a light book. Once you try that for few days you may be ready for following things. There are few things I would like you to try. 1. When you feel sad. Feel the feeling of sadness fully. You may close your eyes and let that sadness flow through your mind and body. If tears flow let them flow. Cry it out. Feeling what you feel fully and totally is healing. Once you feel your sadness fully. You might feel the lightness in your heart. Feel that too and say out loud. How wonderful! and engage your mind remembering some good qualities and good times you spent with the person you are missing. 2. Regular simple breath awareness meditation also help manage your loss. 3. You may also l write daily 3 to 5 things you are grateful to every morning. These things could be as simple as having a bed to sleep and food to eat. Affirm what you write and add new thing in your list for 7 to10 days. If you are not feeling any change over next 2 weeks or if you lack motivation to initiate and maintain above activities feel free contact me and we could work together for few weeks to months to reverse your cycle and help you appreciate what you have. Hope this helps wishing you very best.
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I can't remember anything for long time My memory is looking not working so what I do?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Memory can be trained to some extent if you practise . Research-based strategies to boost your memory and keep it strong 7 Strategies for Remembering 1. Become interested in what you're learning. We're all better remembering what interests us. Few people, for example, have a difficult time remembering the names of people they find attractive. If you're not intrinsically interested in what you're learning or trying to remember, you must find a way to become so. 2. Find a way to leverage your visual memory. You'll be surprised by how much more this will enable you to remember. For example, imagine you're at a party and are introduced to five people in quick succession. How can you quickly memorize their names? Pick out a single defining visual characteristic of each person and connect it to a visual representation of their name, preferably through an action of some kind. Remember: Memory is predominantly visual. 3. Create a mental memory tree. If you're trying to memorize a large number of facts, find a way to relate them in your mind visually with a memory tree. Construct big branches first, then leaves. Branches and leaves should carry labels that are personally meaningful to you in some way, and the organization of the facts ("leaves") should be logical.. 4. Associate what you're trying to learn with what you already know. It seems the more mental connections we have to a piece of information, the more successful we'll be in remembering it. This is why using mnemonics. Write out the items to be memorized over and over and over. 5. When reading for retention, summarize each paragraph in the margin. This requires you to think about what you're reading, recycle it, and teach it to yourself again. Even take the concepts you're learning and reason forward with them; apply them to imagined novel situations, which creates more neural connections to reinforce the memory. 6. Do most of your studying in the afternoon. Though you may identify yourself as a "morning person" or "evening person" at least one Study. suggests your ability to memorize isn't influenced as much by what time of day you perceive yourself to be most alert but by the time of day you actually study—afternoon appearing to be the best. 7. Get adequate sleep to consolidate and retain memories. Not just at night after you've studied but the day, you study as well. Far better to do this than to stay up cramming all night for an exam.
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My two year old son thinks his foster parents are his parents but I'm his biological mother he was in foster care since he was born but I seen him two out the week he been home for a year and I tried to let the foster parents still be around being generous but since day one my son never talked to me or his father he can talk very well in sentence and everybody else but and the foster parents but he haven't seen them six months now but he still won't talk to me his mother or father he thinks the lady is mother like for real.

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, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear Lybrate user. I can understand. Don't force the child as it irritates the child. Child do not have any cognition which leads to perception and understanding. Child is inclined to where he gets love and affection. Provide love and affection to the child as much as possible. Whenever he calls you by other names, correct him gently and ask him to call you mom. But do not force. Please wait, everything will be alright. I suggest online counseling to you. Take care.
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For e.g. I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MSCP
Ayurveda, Bangalore
For e.g. I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time...
1. There is no harm in keeping to yourself but you should be engaged when you are alone. Do things that you love doing - painting, sewing , writing 2. Avoid using phones/laptops/tablets and ipads - I know in a digital it is impossible to survive without these. But make sure your screen time (the time you spend in front of these gadgets) does not exceed two hours. Because a addiction to these gadgets is one of the major causes of depression these days. 3. Physical activity - this is the best remedy for depression. Again pick a physical activity that you love doing - like cycling, badminton, walking, yoga. Practice it for 40 minutes daily 4. You are a young girl and you need t shape your future well.ensure you attend school regularly and spend enough time on studies we all lose our loved ones at some point in our life. But that should never hamper our health and happiness because the ones we have lost would have never wanted to see us depressed If you need more help, feel free to consult
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