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Dr. Soumitra Pathare

Psychiatrist, Pune

700 at clinic
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Dr. Soumitra Pathare Psychiatrist, Pune
700 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. Soumitra Pathare
Dr. Soumitra Pathare is an experienced Psychiatrist in Ruby Hall Clinic, Pune. You can meet Dr. Soumitra Pathare personally at Dr.Bandishti Clinic - Dhole in Ruby Hall Clinic, Pune. Book an appointment online with Dr. Soumitra Pathare and consult privately on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 38 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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Ruby Hall Clinic

#40, Sasoon Road, B S Dhole Patil Path Near Ruby Hall Clinic, Choice Apartments C Wing 4th Floor, Above Mont Blanc Opposite Millenium Star BuildingPune Get Directions
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My mind is not constraint on doing any thing, so I can not focus on my job and other daily work. Suggest me please what I do and what not to do.

BHMS
Homeopath, Faridabad
Hi. Homoeopathic medicines are very effective for increasing concentration and if done with yoga, will give you great results! But practice the following poses if you don’t have any medical condition or pregnancy or else take an advice from your concern doctor and then only perform these. 1. Shashankasana: Sit in Vajrasana with hands on the thighs. The upper body is straight and relaxed. Inhaling raise both arms above the head. Exhaling keep the back straight and bend upper body and arms forward from the hips, until arms and forehead touch the floor. The buttocks remain on the heels. Breathing normally remain in this position for a while. Relax the whole body, especially the shoulders, neck and back. Inhaling keep the back straight and raise the upper body and arms. Exhaling return to the starting position. Practice the exercise 3 times in total. Remain bending forward for sometime and consciously perceive the movement of the breath on the spine. 2. Virasana: Sit in Vajrasana. Hands rest on the thighs and the body is relaxed. Bring the left foot beside the right knee with the sole of the foot flat on the floor. Place the left elbow on the left knee and rest the chin in the hand. Right hand rests on the right thigh. Tuck the toes of the right foot under. The right knee remains in contact with the floor. Transfer the weight onto the right heel. Concentrate on a fixed point in front. Breathing normally remain in this position for as long as comfortable. Return to the starting position. Repeat on the other side. 3. Sit in Vajrasana. Body is straight and hands rest on the thighs. Relax the whole body. Inhaling stretch the arms above the head, then bring them behind the back and grasp the left wrist with the right hand. Exhaling bend the body forward from the hips, keeping the back straight, until the forehead touches the floor. The buttocks remain on the heels. Breathing normally concentrate on the whole body and relax. Remain in this position for as long as comfortable. Inhaling slowly bring the body upright. At the same time stretch the arms above the head. Exhaling return to the starting position. Medication: Take homoeopathic medicine - Anacardium 200/ once daily.
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CCEBDM, Certificate in Diabetes care, PGDCCardiology, MD - Physician
General Physician, Indore
Avoid Smoking
3 people found this helpful

I am anxious, depressed and schizophrenic. I get excited quickly. It is a symptom of which illness?

MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
It can be a symptom of any one of the illnessed you have mentioned, you need to specify what your problem is so that we can answer more speocifically.
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Depression

MBBS
General Physician, Himatnagar
Depression
Depression is very common and everyone feels fed up, sad, unhappy, miserable at times. Sometimes we know that there is a cause for our depression - maybe we have just broken up from a relationship, maybe someone we were close to has died, we may have failed exams, we may be ill - but other times there doesn't seem to be one cause - it may be a build up of problems, feeling unable to cope with life and we are not really sure why.

#people can get a variety of symptoms when they feel very depressed#

-general feelings of unhappiness which don't go away.

-having no interest in life.

-finding it difficult to concentrate and make even easy decisions.

-having no feeling of enjoyment in life.

-not wanting to go out or mix with people but spending a lot of time on your own.

-feeling very tired and having no energy.

-finding it difficult to sleep and waking up frequently during the night.

-having no appetite and eating very little

-losing self confidence and feeling worthless.

-being very irritable, anxious, impatient.

-feeling very negative about life.

-having suicidal thoughts.


#what can I do to help myself#

-don't bottle things up - find someone to talk to about how you are feeling.
Make sure you get plenty of exercise and plenty of fresh air. You will find that even if you do a quick walk every day and a short period of other exercise each day you will start to feel physically and emotionally stronger and more able to cope.
-make sure you eat a healthy balanced diet - eat little and often and don't skip meals. If you are not eating properly you will feel more depressed and listless.
-try and keep busy - to keep your mind occupied.
-do things you enjoy to relax, treat yourself and take care of yourself.
-try and get to bed at a regular time. If you find it difficult to sleep listen to the radio/tv/read and you may find you drop off to sleep more easily.
-don't resort to unhealthy ways of dealing with your problems like drinking, taking drugs, cutting, eating disorders.
-ask for help when you need it.
-try to stop thinking in a negative way - when you think a negative thought try and replace it with a positive one.
-if you need a hug ask someone you trust - this can make you feel that someone really does care how you are feeling.
26 people found this helpful

My problem is lack of confidence. During the presentation or function, where center is me, my heart beating very fast and my hands getting shake. you can't speak clearly too. Situation become irritating for me. I want to be out from this problem. Please suggest.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
My problem is lack of confidence. During the presentation or function, where center is me, my heart beating very fast...
You seem to be anxious when on stage and this could be coming from a lack of self confidence. On stage or in presentations, it's not about how much you remember. It's about how you reproduce what you know. So it's important to know about the content of your presentation. If once in a way you refer to the contents. The people will not think i'll of you. Everyone can forget something on stage. It's common. Instead of focusing on yourself. Look at the audience and make eye contact. Engage them in your presentation. You can also work upon your body language and gestures and practice in front of a small group of known people so that you can become at ease. If your hands are shaking, hold a pen/pencil or the desk with your hands. Don't stuff them in your pockets as it's not considered as very respectful of the audience. Any thoughts that you have about your inability to do well. Need to be worked through in counselling. If you are the kind of person who becomes anxious in other situations as well, then it will be important for you to take counselling sessions and learn tips tools and techniques to manage and cope with stressful situations. Stage fear is a very common fear and many people are afraid to be centre stage but it stil needs to be done as it's part of their job.
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When I attempted question in examhall or room after attempted 10 question I loss my concentration and I can't do next question (tough or easy). Please tell sir what I am do?

BHMS
Homeopath,
You need to increase your concentration power. Try to stay away from your mobile phone as much as you can. Do some regular exercise or running which will increase the flow of blood to your brain. Be stress free. Try to practice meditation. 10-15 mins of meditation will do magic if you can do it regularly.
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How to increase memory and mind concentration and tell me some good habits for brain.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food.
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I drink three pegs daily does this cause any problem in future to me please advice.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Chronic intake of alcohol will defntly cause adverse effects on your health gradually. The important organ that will be effected by alcohol is majorly liver, which is vital organ of body. So, its better to make it reduced gradually the quantity wise& frequency wise.
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Sir I did not find any concentration on my work Also I mastuburate once in 15 days what I do I losing my grades and a feeling depression comes 1 in a weak I feel alone. What I do?

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Sir I did not find any concentration on my work Also I mastuburate once in 15 days what I do I losing my grades and a...
Dear lybrate-user, There is no relation between poor concentration and masturbation. Masturbation is just a way to release sexual excitement. Although poor concentration is a symptom of depression along with other symptom. You need an evaluation from psychiatrist. Good medicine with best results are available now. Consult psychiatrist we will certainly help you. Till then share your feeling with good friend or family member. Do brisk walking in the morning for 30 min. Try to maintain your sleep and wakeup time. These lifestyle changes will help you.
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Hi I an 38 and I have unbearable body pain throughout the day. When I wake up from sleep, I am exhausted. Pain felt especially in the back, shoulders and now in the calves as well. It's just s difficult to do any task, even brushing my teeth seem like a hard task. Please help.

BHMS
Homeopath, Faridabad
Hi I an 38 and I have unbearable body pain throughout the day. When I wake up from sleep, I am exhausted. Pain felt e...
Hello, please check whether you have body temperature or not .This might be because of weakness also , so take Biofungin , 2 tsp twice daily and BC no. 27 , 5 tabs thrice daily. Bellis per. Q, 10 drops with water twice daily. Revert me after 10 days.
1 person found this helpful
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Hi I was diagnosed with panic disorder and mild depression in 2011 post which I was on medication of paxidep 75 mg and olean 7.5 mg. Gradually moved to serta 25 and paxidep 25 mg and finally was on paxidep 25 mg for a good 3.5 years when I hardly faced any problem. Then I weaned to 12.5 of paxidep and moved to escitalopram 10.5 with an sos of clonazepam. I was initially doing well on escitalopram when problems of panic attack started reoccurring and doctor moved me back to 12.5 mg of paxidep as that medicine worked best for me. I was fine on it for a month but started experiencing mild anxiety again and now since 2 dys I am on paxidep 25 mg. My problem is I worry a lot, have irrational fears and when a thought is stuck in my head it remains stuck. And mostly I worry about health. When I am in the best of health I can take a lot of stress. But recently someone said I must be suffering from bipolar disorder and that is worrying me a lot. Do you think my symptoms are that of bipolar or general anxiety. I dint have any manic episodes or deep depression when like the first time. I keep researching all the time. Also I want to know how long would it take for me to adjust to increased dose of paxidep, since I am experiencing drowsiness, loss of appetite, nausea, and break in sleep in the night.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Hi I was diagnosed with panic disorder and mild depression in 2011 post which I was on medication of paxidep 75 mg an...
Dear Suryatapa, You have an anxiety disorder. Mild depression is common in patents with anxiety disorder. There is no features of bipolar disorder in your case so bipolar disorder is highly unlikely. You can take paxidep in night time to avoid daytime drowsiness. You can take other medicine for improvement in sleep. It will take min 2 week to get improvement on high dose of paxidep. All d best
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Hi I am a 31 year old male. I really want to stop smoking and cleanse my body from the toxins. Can you please suggest what I should have naturally to do so.

BHMS
Homeopath, Faridabad
Hello,Smoking is injurious to health. Smoking can have serious effects on your life. The longer you smoke, the more damage you do to your body.If you want to quit smoking then take the below treatment:- take tabacum 200, 5 drops once in a week and arnica 30 ch, 5 drops once daily.Daphne indica 1x, 2 tabs twice daily. Revert me after 1 month.
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Sir my gf is 25 years old. She is virgin. She has a problem when her periods ends after 10 or 15 days some fluid comes out from her vagina regularly. Sir we both are in tense because of this. Now sir what is the solution for it?

MBBS
General Physician, Chandigarh
Sir my gf is 25 years old. She is virgin. She has a problem when her periods ends after 10 or 15 days some fluid come...
These vaginal secretion are normal and important to maintain healthy reproductive life don't worry for that.
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Mam I am 14 years 10 months old boy and before 1 years was live with my family but now 1 years later I does not live with my family due to study purpose and before 1 years I was very good in study my IQ is very high and I have very sharp and concentrated mind but now I am in huge depression and stress. Sometimes do as like mad person and I always want to live alone and does not want to talk with any students, I lost all my talent. So please suggest me medicine for retain my talent or mind.

C.S.C, D.C.H, M.B.B.S
General Physician,
Mam I am 14 years 10 months old boy and before 1 years was live with my family but now 1 years later I does not live ...
Tips to Improve Your Learning Study Tip 1: Underlining Underlining is one of the simplest and best known study tips. It’s easy to highlight the most significant parts of what you’re reading. One key sentence per paragraph and a few important phrases here and there. You can only retain a certain amount so it’s best to retain the most important information. Study Tip 2: Make your own note and taking notes is one of the most widespread study skills out there. Essentially the aim of note-taking is to summarise lectures or articles in your own words so you can easily remember the ideas. Study Tip 3: Mind mapping A good Mind map can save you many hours of study and further consolidate your knowledge for your exams. Mind Maps are an extremely versatile tools. They can be used for brainstorming, outlining essays or study topics and for general exam preparation, ExamTime offers the ability to create Mind Maps quickly and easily which makes them the ideal tool when it comes to exams. Study Tip 4: Flash cards:- Using these are a particularly effective method of learning when trying to assimilate different facts, dates, formulas or vocabulary. Subjects such as History, Physics, Maths, Chemistry, Geography or any language are made much easier if you incorporate Flashcards in to your study. Study Tip 5: Case Studies Sometimes it can be difficult to grasp the implications of some theories. This is where studying case studies can be a big help. Case studies can help you visualise a theory and place it in a more familiar and realistic context. This is especially useful in business or law subjects. Study Tip 6: Quizzes are an excellent way to review study notes in the weeks and days before an exam. Quizzes can show where your strengths and weaknesses are, so it allows you to focus your efforts more precisely. Moreover, if you share your Study Quiz with your classmates and test each other as much as possible you can discover even more details and areas you may have overlooked. So before any exam, make sure you create and share a bunch of different Quizzes with your Friends. Study Tip 7: Brainstorming This is another study technique that is ideal for studying with friends and/or classmates. Brainstorming is a great way to expand every possible idea out of any topic. Just get a bunch of friends together and shoot the breeze, there are no wrong answers when brainstorming – just talk and capture the ideas, you can review afterward. Study Tip 8: Mnemonic Rules Mnemonics are especially useful when memorising lists and sets. Mnemonics rules basically work by associating certain concepts with other concepts that are more familiar to us. There are many different ways to make mnemonics and these can be individual to the person. Study Tip 9: ORGANISE your study One of the most effective study skills is also one of the most often overlooked; this is organising your study. Creating a TIME TABLE gives you goals and a time in which to achieve them. Having a study timetable as you study is greatly motivational Study Tip 10: Drawing Many people find it easier to recall images rather than text that is why they are better able to memorise concepts if they associate them with pictures or drawings. If you find answer helpful please click on “helpful” tab for knowing my efforts are useful CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs. If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself.
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Sir, some of my colleagues are back biting about me .when I came to know about them on talking about me I become very upset and It makes me rest less and entered into depression. Doctor I need your suggestion how to come out from this depression. Please kindly reply me

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Sir, some of my colleagues are back biting about me .when I came to know about them on talking about me I become very...
You need to verify this with a reliable source. If you can't, then you could be becoming paranoid. If it is true, then you must find out the truth behind why people are backbiting about you in particular. When you find out the details, then work on those issues. If there is any truth, you must inform the HR Department and have them take some action of investigation. In terms of depression you could do some of the following: You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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I lost somebody since there I feel very depressed and tension what are the symptoms.

B.A. Hons . Psychology, MA Psychological Counseling, EDM Psychological Counseling, Trauma Specialist, MPhil Clincal Psychology
Psychologist, Hyderabad
I lost somebody since there I feel very depressed and tension what are the symptoms.
Dear Lybrate user, you are under going Grief, which is a natural response to 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. 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. Turn to friends and family members /Draw comfort from your faith /Join a support group/Talk to a therapist or a counselor. Good luck.
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Curing Phobia, Fear And Anxiety With Hypnotherapy!

MS - Counselling and Psychotherapy, Master of Arts in Clinical Psychology, Bachelor of Arts - Psychology and English Literature
Psychologist, Coimbatore
Curing Phobia, Fear And Anxiety With Hypnotherapy!

Jumping at the sight of a cockroach is normal, but some people won't even step into the room if they see one. Such people are said to suffer from a phobia of cockroaches. A phobia can be defined as the irrational fear of an object or situation, though it may not pose any real danger. A phobia often develops during childhood and gets aggravated as the person gets older.

Hypnotherapy has proven to be an effective form of treatment for phobias and fear. Hypnosis identifies the root cause or event that is the underlying cause of the phobia. A Hypnotherapist then attempts to change the person's reaction to the phobia trigger.

Some common phobias Hypnotherapists deal with are:

  • Fear of heights
  • Claustrophobia
  • Fear of insects and small animals
  • Fear of flying
  • Fear of technology

To do this a Hypnotherapist must ensure that the mind of the person is in a calm and relax state. This is because the root cause of a phobia is often a repressed memory. Thus, it can be accessed only when a person is in a state of heightened relaxation or trance. In this state, the mind is very receptive to suggestions. Once the memory has been addressed, it can be brought back to the conscious awareness. Addressing this conscious memory allows the therapist to make the patient feel less threatened by this trigger. The patient can then begin to form new thoughts and responses to the object or situation. This process is also known as Hypnotic regression.

A person normally needs 3-4 sessions of Hypnotherapy to be rid of a phobia. However, the number of sessions required varies from person to person and it may take additional sessions to cure a chronic phobia.

No. of sessions required depends on a number of factors such as:

  • How long the person has had the said phobia
  • His personality
  • How severely his life is affected by the phobia
  • How determined he is to free himself of the phobia

When you decide to work with a Hypnotherapist to get rid of your phobias, it is essential that you make the right choice in terms of the Hypnotherapist. You should ensure that you are being treated by a licensed professional Hypnotherapist. Also, make sure that you can trust the person and are comfortable in his or her presence. Take your time finding someone who you can open yourself up to and get started on conquering your fears. If you wish to discuss about any specific problem, you can consult a psychologist.

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Bipolar Affective Disorder - Know Its Phases!

MBBS, MD - Psychiatry
Psychiatrist, Bhopal
Bipolar Affective Disorder - Know Its Phases!

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

  1. Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
  2. Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  3. Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  4. Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.

The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

  • Very happy and excited
  • Irritated with other people who don't share your optimistic outlook
  • Feeling more important than usual. 

Thinking:

  • Full of new and exciting ideas
  • Moving quickly from one idea to another
  • Hearing voices that other people can't hear.

Physical:

  • Full of energy
  • Unable or unwilling to sleep
  • More interested in sex.  

Behaviour:

  • Making plans that are grandiose and unrealistic
  • Very active, moving around very quickly
  • Behaving unusually
  • Talking very quickly - other people may find it hard to understand what you are talking about
  • Making odd decisions on the spur of the moment, sometimes with disastrous consequences
  • Recklessly spending your money
  • Over-familiar or recklessly critical with other people
  • Less inhibited in general.

If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings. 

Depression

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

  • Feelings of unhappiness that don't go away
  • Feeling that you want to burst into tears for no reason
  • Losing interest in things
  • Being unable to enjoy things
  • Feeling restless and agitated
  • Losing self-confidence
  • Feeling useless, inadequate and hopeless
  • Feeling more irritable than usual
  • Thinking of suicide.  

Thinking:

  • Can’t think positively or hopefully
  • Finding it hard to make even simple decisions
  • Difficulty in concentrating. 

Physical:

  • Losing appetite and weight
  • Difficulty in getting to sleep
  • Waking earlier than usual
  • Feeling utterly tired
  • Constipation
  • Going off sex. 

Behaviour:

  • Difficulty in starting or completing things – even everyday chores
  • Crying a lot – or feeling like you want to cry, but not being able to
  • Avoiding contact with other people.

Causes:

  1. Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
  2. Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
  3. Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.

Treatment Methods:

  1. Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

  2. Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

  3. Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

  4. Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

  5. Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

Sir Before 10 days I decided to suicide but someone stops me. Actually I am tired of my life. But I know suicide is not the only option. But I can't live without him but my family not support us. Sir please tell me something to get rid of tensions because I don't want to take any wrong step.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am so glad that you are reaching out so soon. You are all of seventeen years and you have fallen in love and obviously parents will not approve and because of that you want to end your life. If you are like this no one will want to marry you! You have to give yourself several more years before being sure of your partner. You will be surprised how much you both will change and that someone more suitable may be waiting for you. You are indeed fragile. You are very young and have a full life ahead of you. You have turned a lot of anger towards yourself. You must identify that anger, its origins, and why you feel you need to turn it against yourself. Life is precious and beautiful depending on how you want to see it, and what circumstances you allow to disturb it. Sometimes when we are not able to get what we want, we need to adjust our wants to cope with the situation. People who cannot make these changes to suit the situation end up becoming maladjusted persons and can suffer more problems in life. It is our resilience that is a sign of good mental health. Surely you do not come into that category! Please talk to a counselor, either with your parents or without them too, and discuss your problems at length. That person may want you to meet with a psychiatrist, if it is really serious. Even so, do not give up on the counseling and cooperate with both the therapies, sincerely. At your age you will need to see a lot more of life and realize that you are not mature enough to take your life for want of proper understanding of your circumstances. A counselor will do the needful to explain these intricacies of life. Nothing is worth taking your life for. Your anger is making you have these thoughts and if it is not dealt with soon, you could end up depressed or you may already be depressed. Don’t be so rigid. Negotiate everything. There is always a way, if you are flexible. You must learn to love yourself and your life.
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Doctor I am suffering from anxiety for about 5-6 months due which in one portion of chest I feel a light numbness. Can you please tell me how to treat my anxiety problem?

MD - Psychiatry
Psychiatrist, Chennai
Doctor I am suffering from anxiety for about 5-6 months due which in one portion of chest I feel a light numbness. Ca...
Occasional anxiety is a normal part of life. You might feel anxious when faced with a problem at work, before taking a test, or making an important decision. But anxiety disorders involve more than temporary worry or fear. For a person with an anxiety disorder, the anxiety does not go away and can get worse over time. Restlessness or feeling wound-up or on edge being easily fatigued difficulty concentrating or having their minds go blank irritability muscle tension difficulty controlling the worry sleep problems (difficulty falling or staying asleep or restless, unsatisfying sleep) these are some of the symptoms. U seem to be having anxiety disorder, kindly consult a psychiatrist and get treated. It is not a heart problem, but a mind problem. Anxxiety and Panic occurs due to reduced serotonergic transmission in the mind. Since all organs have connections from the mind, when you have anxiety and panic there are changes in the BP/ and pulse rate. It is not a primary cardiac problem. So consult a psychiatrist and get your anxiety and panic treated.
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