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Dr. Prashanth Deshmukh

Psychologist, Pune

500 at clinic
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Dr. Prashanth Deshmukh Psychologist, Pune
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Prashanth Deshmukh
Dr. Prashanth Deshmukh is an experienced Psychologist in Aundh, Pune. He is currently practising at Brain Well Clinic in Aundh, Pune. Book an appointment online with Dr. Prashanth Deshmukh and consult privately on Lybrate.com.

Lybrate.com has top trusted Psychologists from across India. You will find Psychologists with more than 29 years of experience on Lybrate.com. You can find Psychologists 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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Brain Well Clinic

office no. 5, 3rd fl, West-End, Opp. D-mart, New D.P. Road, Aundh Gaon-Aundh, PunePune Get Directions
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I am 47 years old. I'm a BP patient and I do consume alcohol. I'm observing that my hands tend to shake. For instance, when I'm having my food with right hand they shake and even my head shakes a little when I'm in anger or during adrenaline. First I thought of not asking this question because I found it a little embarrassing but I'm posting this question because my kids and my wife observed it. Please help.

BHMS
Homeopath,
Dear Mr. Lybrate-user, your problem is quite common in cases of long standing addiction of alcohol. You need to stop taking alcohol immediately. However I can understand that is not so easy to quit such an addiction. It will need a lot of will power to abstain yourself from alcohol. Here I am stating few rules which will effectively help you. Firstly:- reduce the amount of alcohol you consume daily. Secondly:- do not drink alcohol too quickly. A 30 ml peg of alcohol needs upto 30 minutes to get absorbed in our body. Third:- mix 60 drops of homoeopathic mother tincture acid sulph q in the water with which you will prepare your peg. Follow the aforesaid rules daily. Within 15 days your craving for alcohol will be reduced.
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One of my cousin is suffering from mpd multiple personality disorder is there any treatment available for it? she is 24yrs old suddenly she start shouting n her voice changes she use to say blah blah kind of things then after sometime she become normal later complain of heavy headache n neck-ache and she dont remember what happen to her? what exactly it is n how to cure it please suggest.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
One of my cousin is suffering from mpd multiple personality disorder is there any treatment available for it? she is ...
This is a very serious condition but can be treated with both counseling and medication. The therapy will need to be very intense and long term. The medical consultation may be intermittent but the one-to-one counseling will be very demanding on both the professional and the counselee and must be pursued until the end. Apart from this there has to be adequate family investment of time, patience, money, and energy; and all of this must be done with utmost love. The MPD identifies with several personalities, and each one not much aware of the other. There is however one over-ruling personality and if that is brought into focus and if that personality can trust or develop the trust with the therapist your cousin can work out a way of accepting and working with the other personalities for favorable outcomes. Believe me though this is really quite tedious and sapping. Both the family and the therapist must be quite dedicated till the end. There may be a lot of relapses but that is to be expected but no one is to give up because every inch of progress has to be somehow retained and preserved like gold. If there is any doubt regarding the family?s commitment, then you may have to put her in a rehabilitation center that has experience working with MPDs.
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Addiction

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Addiction

ADDICTION


Decades ago addiction was a pharmacologic term that clearly referred to the use of a tolerance-inducing drug in sufficient quantity as to cause tolerance (the requirement that greater dosages of a given drug be used to produce an identical effect as time passes). With that definition, humans (and indeed all mammals) can become addicted to various drugs quickly. Almost at the same time, a lay definition of addiction developed. This definition referred to individuals who continued to use a given drug despite their own best interest. This latter definition is now thought of as a disease state by the medical community.
Physical dependence, abuse of, and withdrawal from drugs and other miscellaneous substances is outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR). Unfortunately, terminology has become quite complicated in the field. To wit, pharmacologists continue to speak of addiction from a physiologic standpoint (some call this a physical dependence); psychiatrists refer to the disease state as dependence; most other physicians refer to the disease as addiction. The field of psychiatry is now considering, as they move from DSM-IV to DSM-V, transitioning from "dependence" to "addiction" as terminology for the disease state.
The medical community now makes a careful theoretical distinction between physical dependence (characterized by symptoms of withdrawal) and psychological dependence (or simply addiction). Addiction is now narrowly defined as "uncontrolled, compulsive use"; if there is no harm being suffered by, or damage done to, the patient or another party, then clinically it may be considered compulsive, but to the definition of some it is not categorized as "addiction". In practice, the two kinds of addiction are not always easy to distinguish. Addictions often have both physical and psychological components.
There is also a lesser known situation called pseudo-addiction.{(Weissman and Haddox, 1989}} A patient will exhibit drug-seeking behavior reminiscent of psychological addiction, but they tend to have genuine pain or other symptoms that have been undertreated. Unlike true psychological addiction, these behaviors tend to stop when the pain is adequately treated.
The obsolete term physical addiction is deprecated, because of its connotations. In modern pain management with opioids physical dependence is nearly universal. While opiates are essential in the treatment of acute pain, the benefit of this class of medication in chronic pain is not well proven. Clearly, there are those who would not function well without opiate treatment; on the other hand, many states are noting significant increases in non-intentional deaths related to opiate use. High-quality, long-term studies are needed to better delineate the risks and benefits of chronic opiate use.
Not all doctors agree on what addiction or dependency is, because traditionally, addiction has been defined as being possible only to a psychoactive substance (for example alcohol, tobacco and other drugs) which ingested cross the blood-brain barrier, altering the natural chemical behavior of the brain temporarily. Many people, both psychology professionals and laypersons, now feel that there should be accommodation made to include psychological dependency on such things as gambling, food, sex, pornography, computers, work, exercise, cutting, and shopping / spending. However, these are things or tasks which, when used or performed, cannot cross the blood-brain barrier and hence, do not fit into the traditional view of addiction. Symptoms mimicking withdrawal may occur with abatement of such behaviors; however, it is said by those who adhere to a traditionalist view that these withdrawal-like symptoms are not strictly reflective of an addiction, but rather of a behavioral disorder. In spite of traditionalist protests and warnings that overextension of definitions may cause the wrong treatment to be used (thus failing the person with the behavioral problem), popular media, and some members of the field, do represent the aforementioned behavioral examples as addictions.
In the contemporary view, the trend is to acknowledge the possibility that the hypothalmus creates peptides in the brain that equal and/or exceed the effect of externally applied chemicals (alcohol, nicotine etc.) when addictive activities take place [citation needed]. For example, when an addicted gambler or shopper is satisfying their craving, chemicals called endorphins are produced and released within the brain, reinforcing the individual's positive associations with their behavior.
Despite the popularity of defining addiction in medical terms, recently many have proposed defining addiction in terms of Economics, such as calculating the elasticity of addictive goods and determining, to what extent, present income and consumption (economics) has on future consumption.
Varied forms of addiction
Physical dependency
Physical dependence on a substance is defined by the appearance of characteristic withdrawal symptoms when the substance or behavior is suddenly discontinued. While opioids, benzodiazepines, barbiturates, alcohol and nicotine are all well known for their ability to induce physical dependence, other categories of substances share this property and are not considered addictive: cortisone, beta-blockers and most antidepressants are examples. So, while physical dependency can be a major factor in the psychology of addiction and most often becomes a primary motivator in the continuation of an addiction, the initial primary attribute of an addictive substance is usually its ability to induce pleasure, although with continued use the goal is not so much to induce pleasure as it is to relieve the anxiety caused by the absence of a given addictive substance, causing it to become used compulsively. A notable exception to this is nicotine. Users report that a cigarette can be pleasurable, but there is a medical consensus [citation needed] that the user is likely fulfilling his/her physical addiction and, therefore, is achieving pleasurable feelings relative to his/her previous state of physical withdrawal. Further, the physical dependency of the nicotine addict on the substance itself becomes an overwhelming factor in the continuation of most users' addictions. Although 35 million smokers make an attempt to quit every year, fewer than 7% achieve even one year of abstinence (from the NIDA research report on nicotine addiction).[citation needed]
Some substances induce physical dependence or physiological tolerance - but not addiction - for example many laxatives, which are not psychoactive; nasal decongestants, which can cause rebound congestion if used for more than a few days in a row; and some antidepressants, most notably venlafaxine, paroxetine and sertraline, as they have quite short half-lives, so stopping them abruptly causes a more rapid change in the neurotransmitter balance in the brain than many other antidepressants. Many non-addictive prescription drugs should not be suddenly stopped, so a doctor should be consulted before abruptly discontinuing them.
The speed with which a given individual becomes addicted to various substances varies with the substance, the frequency of use, the means of ingestion, the intensity of pleasure or euphoria, and the individual's genetic and psychological susceptibility. Some alcoholics report they exhibited alcoholic tendencies from the moment of first intoxication, while most people can drink socially without ever becoming addicted. Studies have demonstrated that opioid dependent individuals have different responses to even low doses of opioids than the majority of people, although this may be due to a variety of other factors, as opioid use heavily stimulates pleasure-inducing neurotransmitters in the brain. The vast majority of medical professionals and scientists agree that if one uses strong opioids on a regular basis for even just a short period of time, one will most likely become physically dependent [citation needed]. Nonetheless, because of these variations, in addition to the adoption and twin studies that have been well replicated, much of the medical community is satisfied that addiction is in part genetically moderated. That is, one's genetic makeup may regulate how susceptible one is to a substance and how easily one may become psychologically attached to a pleasurable routine.
Eating disorders are complicated pathological mental illnesses and thus are not the same as addictions described in this article. Eating disorders, which some argue are not addictions at all, are driven by a multitude of factors, most of which are highly different than the factors behind addictions described in this article.

I have smoked for 32 years (1 packet per day) I come to know that smoking affects on growth of person. Now how to reverse bad effects of smoking of 32 years. And how to improve growth of body.

C.S.C, D.C.H, M.B.B.S
General Physician,
There is no way to reverse the effects but if you stop smoking you can achieve the health of a non smoker. Have healthy food and lead a healthy lifestyle.
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Is smoking a cigarette once a week harmful. I smoke once a week and I can't stay with out that. But I feel scared about my life. I feel like I can't breath properly because of smoking though I have cold. And is because concentrating more on how I breathe makes me feel I can't breathe properly?

BHMS
Homeopath,
Find out your cause of stress. Do not worry about past you can not change it. Reduce stress about your future because your future depend upon your present hardworking in right direction. If problem persist take homoeopathic medicine it will surely help you.
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I'm not studying well, I wake up too late @9 am still Im sleep to Early@12 am & I'm find excuses for studying. I make my study plan but that not followed properly. Sir please give me some advice to overcome this problems.

BHMS
Homeopath, Gurgaon
I'm not studying well, I wake up too late @9 am still Im sleep to Early@12 am & I'm find excuses for studying. I make...
Try to become optimistic, make yourself aware about the importance of the present time. Eat fresh balanced diet. Eat fruits. Do regular exercise.
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Now a days I feel like no body love. Anyone don't care about me. I am so much depressed. Actually I have given drop ths years for entrance preparation. So I have to stay at home. And I feel like its like a jail for me. Its feel like I can't breath. Just I feel like to any where from my home. And always my head becomes too hot n my headache starts. Sometime I can't bear it. N if anyone scold me I get angry n fight with everyone in the house.

MD - Homeopathy, BHMS
Homeopath, Kolkata
Now a days I feel like no body love. Anyone don't care about me. I am so much depressed. Actually I have given drop t...
It is the mental state of teen age. You should focus on your study as taking it as playing. The problem might be shared with your parent, they will rescue. At the same time from your statement it may be that you are anemic and also craved for salty food. If it is then there has enough scope of treatment in homoeopathy which is also required for correction of your mental state of disappointment. Urgently contact as JEE/NEET is ahead.
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Risk Factors for Depression

BHMS
Homeopath, Mumbai
Risk Factors for Depression

Risk factors for Depression:
• Depression in a close relative
• Major life stress 
• Recurrent stresses
• Bullying
• Broken relationship
• Child abuse
• Family break-up
• Substance abuse (e.g. alcohol, marijuana)
• Social isolation—due to race or sexuality
• Sexual maladjustment
• School failure
• Health problems
• Unemployment

1 person found this helpful

Sir ,i m 27 years old married man I feel I am very weak sexually. I am facing premature ejaculation and erectile dysfunction since last 1.5 yrs during first trip my penis get excited bt after first trip, my penis does not get excited please suggest me the best medicine .i m vegetarian and have no bad habits like smoking and alcohol.

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
Sir ,i m 27 years old married man I feel I am very weak sexually. I am facing premature ejaculation and erectile dysf...
You can take ayurveda medicine 1 Gadar forte cap two bd 2 sahar shaktiprash powder one tra spon two times daily 3 ss oil use penis massage 4 cap evion 400 mg one od 100 / results in a one month and totsl time treatment for two months no side effects enjoy sexual life bigger and harder sex power and penis size increase in 2.3 inches this medicine available in your city my advice do exercise 30 minutes daily Eat Healthy food and almond ssfron and fruits juice please avoid alcohol and fast food and porn move and regular basis massturbation regular basis hand jobs harmfully effect on the health.
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Sir, since last three years I feel palpitation in my left upper elbow specially while resting/sleeping where as all cardiac tests are okay, underwent anxiety treatment for three months but all in vain, no specific stress, is it tennis elbow or something else, which specialist I should consult, please suggest.

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
Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety.. Take care.
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Capacity to be alone

MA
Psychologist, Pune
Capacity to be alone
We often confuse being alone with being lonely. It is important to have the capacity to be alone and be content with being with yourself. Only if you are happy doing things on your own can you give happiness to others. Find time for yourself in the day where you do things that make you happy. Many times we are so caught up in daily routines, spending time with others that we forget the" self. Nurture your self and you will be able to spread positive energy to others. A lonely person can never be alone and wants to be constantly surrounded by someone or the other but an individual who chooses to be alone is not lonely.
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I am software developer. I'm not understand how to talk with people in an professional life my confidence is too low. Technically I'm good but I doesn't understand what to talk with people so I'm getting silent. So people says "you are too silent" .is I have psychological problem.

MD- Ayurveda
Ayurveda, Ujjain
I am software developer. I'm not understand how to talk with people in an professional life my confidence is too low....
No it's not physiological problem You have to need personality development, do meditation ,join laughing class or do group discussion join any class in witch u have intrested ,meat to everyone by heartily improper your confidence after some time u fill changes in your life make new friends and expend the time your close friends or family members
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Ayurvedic Tips to Manage Stress and Anxiety!

MD- Ayurveda
Ayurveda, Guwahati
Ayurvedic Tips to Manage Stress and Anxiety!

Stress has become a common problem in day to day life for a lot of people. Too much stress can result in premature aging and accumulation of free radicals within the body. Stress can also cause premature hair fall, wrinkles, exhaustion and frequent frustration. Ayurvedic therapies can counter stress and combat its physical toll on the body. Here is a list of few easy-to-follow Ayurvedic therapy techniques, which are extremely effective against stress:

  1. A stress-free start: It makes sense to start the day without any stress in mind. Ayurveda states that a full bowel movement is of paramount importance to start an effective day. Abhyanga, an oil message before having a bath, proves to be extremely effective. This should be followed by a 10-minute break so that the body can soak the oil. Lukewarm or hot water should be used to take bath. Some other yoga therapies such as pranayama, transcendental meditation, etc. can be practiced to get a head start on the day.
  2. Abhyanga: Abhyanga or an oil massage is a good stress resilient. In case there is a time crunch, neck, hand and feet region should be massaged to fetch great results. A moisturizing oil massage in these areas has a soothing effect on the body and mind.
  3. Meditation: It is a known fact that meditation by far is the best Ayurvedic therapy to counter stress. Over 600 studies have shown that meditation has a positive effect on stress. It can successfully cut down the cortisol hormone in the blood and the level of lactic acid in the body by increasing the level of serotonin. A 15-minute meditation schedule on a daily basis can do a world of good for people who are living a stressed life.
  4. Therapeutic aroma: It has been proven many times in the past that therapeutic aroma can successfully relieve stress in the short term. The choice of fragrance can be from the flower at home, aroma locket, aroma oil, perfume and so on. These aromas will not only give a feel-good factor throughout the day, but also ensure that the level of cortisol remains at an acceptable stage.
  5. Keeping hydrated: Keeping hydrated throughout the day is of prime importance to lead a stress-free life. Plenty of water along with time-to-time green tea relieves the nerve and has a soothing effect on the body. It is also necessary to forego beverages such as alcohol and coffee for long-term health benefits.
  6. Soothing music: Music has a profound impact on the nervous system, mind and on the overall human emotion. It creates a feel-good factor and relieves stress throughout the day. If you wish to discuss about any specific problem, you can consult an Ayurveda.
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I have high level of stress with a small thing my stress goes up what should I do for decrease it without using medicine.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have high level of stress with a small thing my stress goes up what should I do for decrease it without using medic...
Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Take sarpgandha vati twice a day.
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There is a situation with me that whenever I am in a panic situation my mind seem to stop working i. E there is a pain in my head and I had social fear too. I want to know if it is an anxiety disorder and if anyone can help me.

MBBS
General Physician, Jalgaon
There is a situation with me that whenever I am in a panic situation my mind seem to stop working i. E there is a pai...
Please Don't worry Do meditation regularly Go for morning and evening walk daily with relaxed mind regularly Take salads and fruits more Take Tab prothiaden 30 1 at nt Badam pak by Patanjali 1 tsf twice a day Re Consult me on Lybrate after 15 days.
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I need advice on reviving my brain out of stress which caused low retention, low creativity & I know I was not like that.

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 need advice on reviving my brain out of stress which caused low retention, low creativity & I know I was not like t...
Dear Lybrate user, Welcome to Lybrate. Stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger the “fight-or-flight” response, causing hormones such as adrenaline and cortisol to surge through the body. A little bit of stress, known as “acute stress,” can be exciting—it keeps us active and alert. But long-term, or “chronic stress,” can have detrimental effects on health. You may not be able to control the stressors in your world, but you can alter your reaction to them. Physical exercise, creative activities, deep breathing, being away from the situation for sometime etc can help you tackle the stress. I need to know, what are the causes with which you are stressed? Once you know the reason, you will be able to adjust with it with some psycho therapy methods. Please let me know the details. Take care.
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I am student of chemistry I am a smoker but I can not left cigarette what can I do to left the cigarette.

MD - Psychiatry, MBBS
Psychiatrist, Pune
Tobacco cessation clinics are located at various places in india. Consultation with local psychiatrist will be more helpful to quit smoking. Treating doctor may use nicotine or non nicotine replacement therapy along with counseling.
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Dear Sir, I am 32 years old and working in a company. For the past few months I am facing an issue related to remembering name of people (both india as well as foreign nationals). I need to understand if its normal or progression towards some kind of disease.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
We have a peculiar situation in India, and I suppose some other nationalities may suffer a similar problem, especially with names. In the culture that one is brought up, names that are the norm here (like Shivaramakrishnan) are tongue-twisters for a western man. This is not some kind of disease but the dialect you are familiar to is more easily remembered. But because we are exposed to two or more types of names from different dialects, we will tend to struggle to remember because of the mental gymnastics involved. That will be some of the effect in your case, where we are so inclined to think in one language and convert it into another before articulating it, let alone remembering it. You may however have some problem if you struggle too much; then you are advised to write these names down and learn to memorize them by association with other easily remembered events, occasions etc. to be able to commit them to a permanent memory bank. You can do it by sparing a little effort, and over time the enigma would become simplified and you need not feel like you are suffering from any disease at all.
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I have suddenly developed blocked vocal cord from the last day. I am unable to speak properly. Neither my tonsils nor my pharynx is inflamed. Why can't I speak properly?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good Morning ~ If you have been shouting very much lately or speaking in loud voices you may have aseptic laryngitis which is usually the case of loss of voice. However, it is temporary and usually gets better with voice rest, steam inhalation and soothing lozenges. You can start speaking properly in a couple of days, if it persists beyond that please consult with an otorhinolaryngologist or an ENT specialist.
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My husband is in depression ,if take medicine then he is always sleeping and not in his life, always in tension.

International Certified Addiction Professional
Psychologist, Mumbai
My husband is in depression ,if take medicine then he is always sleeping and not in his life, always in tension.
lybrate-user, medicine is a very important part of recovery. Talk to your doctor and express all the concerns you have. He may change the medicine and/or dose of it. Talk to therapist and learn the behavioural and cognitive skills to tackle the depression. Developing insight and learning recovery activities is very important. Medicine, therapy and recovery activities will help to bring the desirable change. Take care.
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