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Dr. Vishal Harpale

Psychiatrist, Pune

350 at clinic
Dr. Vishal Harpale Psychiatrist, Pune
350 at clinic  ·  ₹ online
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vishal Harpale
Dr. Vishal Harpale is an experienced Psychiatrist in Magarpatta, Pune. You can visit him at Noble Hospital in Magarpatta, Pune. Book an appointment online with Dr. Vishal Harpale and consult privately 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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Hindi

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#153, Magarpatta City Road, Hadapsar. Landmark: Next To Magarpatta Bus Stop, PunePune Get Directions
350 at clinic
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I am 24 years old I want to quit chewing pan masala but I am not able to do. What should i do?

Reparenting Technique, BA, BEd
Psychologist
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Chewing pan is really harmful especially because it is known to cause oral cancer and oral sub mucous fibrosis (SMF). Since it is an oral habit there are many substitutes that can be used to replace the oral stimulation. Of course since it is a stimulant you cannot get the same effect and that is worth the loss to give up this very addictive habit. A dense fibrous tissue is deposited in the sub mucosal layer of the soft palate and cheek, causing disabling symptoms like trismus. It contains betel nuts, tobacco, lime, catechu and permitted spices and flavors. The first four substances damage the sensitive mucosa, causing constant irritation and micro trauma to the mucosa. Chemicals present act as a toxin. The phenol in the betel nut, with its caustic burning effect, destroys the mucosa, causing oral ulcers. The betel nut also contains tannins, which act as astringents, precipitating protein and damaging the mucosa. Altogether, this substance known to be physiologically addictive. You can use replacements like nicotine chewing gum (if you want the stimulant effect, especially in the beginning) or ordinary chewing gum, hard candy and any other orally satiating substance, especially when the urge is very strong. You would have got conditioned to the habit to different times of the day and different situations. You must particularly avoid those occasions and occupy yourself with something else attractive. You should get into regular exercise, eat healthily, and get a good night’s rest every day. Visit a dentist and clean up your teeth and gums to wipe out all the reminders and damages of the habit. You may also get a thorough oral check up and treatment for any damages incurred.

Hi I've been taking citalopram for 5 days now for extreme anxiety with no improvements. My doctor rang me this morning & asked me to go in at 11 she said'because we're not getting anywhere But I'm so worried now because isn't 5 days too short to know whether it's working or not? I'm scared she's.

FECSM ( spain), Fellow of European Society of Sexual Medicine., School of Sexual Medicine, DPM, MBBS
Sexologist
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Hi I've been taking citalopram for 5 days now for extreme anxiety with no improvements. My doctor rang me this mornin...
Hello lybrate-user, what I understood is that you may be diagnosed for some kind of anxiety disorder and been prescribed citalopram. Citalopram is ssri i. E. Selective serotonin re-uptake inhibitor. Usually serotonin defficinecy causes anxiety and depressive disorders. Citalopram helps to maintain serotonin level. However it takes 3-4 weeks to start proper action for these kind of drugs. So be patient and wait for this drug to work. Keep follow up with your doctor, she may increase the dose also depending on your response. Along with medication try some other relaxation techniques also. Good luck.
1 person found this helpful

I have recently started drinking occasionally. After drinking, my face becomes red. I also feel burning sensation in my chest after having a drink. In the very next morning, I also feel soreness in my chest, when I touch it. Do I have low tolerance for alcohol? What to do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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Alcohol causes vasodilatation, that means a kind of accumulation of blood in peripheral blood vessels. That may cause flushing, red face etc. Burning sensation in chest could be due to gastritis i. E. Increased acid production in stomach in response to alcohol.

I do not want to do masturbating, I don't like but I can't control when that type of feeling and I can't concentrate on my studies properly. My mind is totally diverted whn that type of feeling comes. What can I do?

Reparenting Technique, BA, BEd
Psychologist
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I do not want to do masturbating, I don't like but I can't control when that type of feeling and I can't concentrate ...
Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives. It is your guilt that is plaguing you to distraction. Your concentration has nothing to do with masturbation!
5 people found this helpful

How much alcohol can someone over 50 safely drink and does our tolerance change with aging?

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
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Dear lybrate-user. Alcohol is poison. Alcohol damages your liver even if you take a single drop per day. Please quit alcohol. Take care.

I feel very depressed after upsetting relationship and just can't be happy after various efforts. Is that a disorder.

General Physician (AM)
Alternative Medicine Specialist
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Try to be positive in life, you yourself described relationship as UPSETTING then why feel remorse? try having KaliPhos 30X Biochemic Tissue salt 4 pills 4 times a day for around 15 days. Wish u a speedy recovery
2 people found this helpful

I am suffering from pain in my body in every morning and pain in my leg.what to do

Diploma in Orthopaedics
Orthopedist
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I am suffering from pain in my body in every morning and pain in my leg.what to do
Check your Vit. D level in blood. Do regular yoga in the morning. Take adequate sound sleep for atleast 7 hrs..

Early in the morning I will wake up. And my brain starts thinking about previous day. I get depressed at that time.

Drama Therapy - AUTISM, Early Childhood Special Education, Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy
Occupational Therapist
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Early in the morning I will wake up. And my brain starts thinking about previous day. I get depressed at that time.
Be positive. Look for what future holds for you. Every morning say to yourself - each day is better than each passing day. Do some early morning physical workout like jogging or yoga and move on for a fresh start. At times, lack of enough physical activity also causes depression like feeling.

I feel scared while travelling alone. My mind is not conscious at that time. Please advise.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist
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I feel scared while travelling alone. My mind is not conscious at that time. Please advise.
Hi there ~ Feeling scare while traveling alone may not be unusual however if you feel different and not able to function as in do other things during that time, please consider social phobia and read on. People with social phobia tend to: Be very anxious about being with other people and have a hard time talking to them, even though they wish they could Be very self-conscious in front of other people and feel embarrassed Be very afraid that other people will judge them Worry for days or weeks before an event where other people will be Stay away from places where there are other people Have a hard time making friends and keeping friends Blush, sweat, or tremble around other people Feel nauseous or sick to their stomach when with other people. Social phobia is generally treated with psychotherapy, medication, or both. Psychotherapy.
1 person found this helpful

I'm having pain around my eyes (forehead) since four days and not able to study. Please help. Also, I'm a hypertension patient.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I'm having pain around my eyes (forehead) since four days and not able to study. Please help. Also, I'm a hypertensio...
Hi Take ½ glass of carrot juice + Add ½ glass of spinach juice + Mix well + Drink this juice to cure headache 1-1 drop of cow ghee in both nostrils at night time before sleep.
1 person found this helpful

Recently married person I'm 30 years old. Before marriage 6 months I was under depression during that time my penis and the balls are very small. After marriage I was try to intercourse with my partner but I am not satisfy because of early ejaculation that also less quantity of sperms producing. How to improve my self. What kind of foods and medicine can help to come back my original activities?

Masters in Clinical Psychology
Psychologist
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Recently married person I'm 30 years old. Before marriage 6 months I was under depression during that time my penis a...
Hi lybrate-user, for many men anxiety and pressure to perform is a major contributor to premature ejaculation. Relax and remember that your partner probably cares about more than the timing of your orgasms, and that premature ejaculation doesn't mean you can't still be good in bed. Take climaxing out of your expectations. Instead of viewing intercourse only as a means of achieving orgasm, reframe it as relaxing, pleasurable time with your partner that you'll enjoy regardless of ejaculation. Discuss this new mindset with your partner, so that he or she can stop pressuring you, intentionally or not. If you notice yourself getting too excited, turn your thoughts to something distant, abstract and unsexy, such as math, rush hour traffic or baseball. Only dwell on it long enough to give yourself a short break from arousal, maybe 5 to 10 seconds, then refocus your attention on your partner. Avoid thinking of a topic that is going to make you stressed or cause you to lose your arousal entirely. Edging, or orgasm control, is the practice of maintaining a high level of sexual arousal while delaying ejaculation. It takes practice, but it gets easier over time. Here are two methods recommended by the national institutes of health to stop premature ejaculation: stop-and-start method: have intercourse as usual until you feel yourself coming uncomfortably close to orgasm. Immediately and abruptly cease all stimulation for 30 seconds, then start again. Repeat this pattern until you're ready to ejaculate. Squeeze method: have intercourse as usual until you feel like orgasm is seconds away. Abruptly stop other stimulation and gently squeeze your thumb and forefinger around the part of the penis where the glans meets the shaft (or your partner could do this). After squeezing for a few seconds, pause all stimulation for another 30 seconds before resuming intercourse. Repeat this pattern until you're ready to ejaculate. All the best.
1 person found this helpful

My 15 yr old daughter recently treated for anorexia nervosa is currently under medication e.G fluoexitine and resperidon and also having counselling.How to stop her physical exercise habit and also to increase some apetite?

M.Sc - Dietitics / Nutrition, BSc Home Science
Dietitian/Nutritionist
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Anorexia is a form of under nutrition to the body. She has to take iron supplements to increase her appetite and then protein, multivitamins and other nutrients which are missing for a prolonged period of time should be given in increased doses to make up optimum nutrition level however after the body starts to accept them.
1 person found this helpful

I feel low and depressed all the time for petty things?how can i get rid of it?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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You have depressive disorder. Find out what caused it and resolve of accept the insult to self. If not need to start on mediction. First thing you need to try doing CBT. Cognitive Behaviour Therapy. You can attend psychiatrist, Meanwhile start on an antidepressant like Bupropion which will not affect your libido or other emotions.

How to avoid alcohol?

MBA (Healthcare), Ph. D - Psychology, M.Sc - Applied Psychology, MS Psychology, Bachelor of Occupational Therapy (BOT), Diploma in Psychological Medicine
Psychologist
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Try to drink juice and milk. Live happy to decrease stress. Keep working. Maintain distance from alcoholic friends. It will solve it.

What are the effects of cigarette smoking and alcohol drinking? Thank you for your answer.

Reparenting Technique, BA, BEd
Psychologist
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In combination they can trigger off cirrhosis of the liver. Each has a lot of dangerous effects if taken alone too and that list is too much to write here. The combination is really very harmful. I advise you particularly to give up smoking and drink in moderation, if you can do so. Otherwise give it up immediately.
1 person found this helpful

Hi Is smoking is injurious?

PhD (Psychology), MSc Psychology, MS
Psychologist
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Dear, smoking person inhales 4000+ carcinogenic chemicals other than nicotine when he smoke. Over and above he is also promoting passive smoking. Yes. Smoking is very much injurious to health. Leave it. Take care.
1 person found this helpful

I am suffering from depression problem from last couple of months, please tell me what should I do?

MBBS, MD - Psychiatry, CE (New York)
Psychiatrist
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I am suffering from depression problem from last couple of months, please tell me what should I do?
Hello. If you have depressive symptoms, you must take proper treatment for it. Usually depression is easily treatable with medications and psychotherapy. Please remember the longer you ignore the treatment, the difficult it gets to treat depression. Now, very good medications are available which do not cause any habit formation or dependence. Also you may take counselling sessions which will further help. Find a good psychiatrist nearby.
3 people found this helpful

My husband is 26 years old, He is constantly taking alcohol on every sundays sometimes twice a week. He also smokes at least 1 or 2 cigarette per day. Would it affect his health If so how to stop it?

Reparenting Technique, BA, BEd
Psychologist
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His level of drinking sounds okay unless he gets drunk and makes a scene every weekend. The smoking is never advised at all. If you talk to him about your concerns without nagging him, it is possible to seek his cooperation and get him to give it up easily. If he comes from a family background of alcoholics and addicts, then he may develop an addiction over a period of time and succumb to heavy drinking and smoking. Unfortunately many wives, with good intentions no doubt, actually drive a man to further drinking and into addictions too by being overly concerned and nagging that the man then challenges the controlling, and defiantly finds a resort in abuse levels of indulgence. So be very cautious, and with an amicable approach discuss the matter rationally and come to a consensual decision. In fact two drinks a day for a man is even good. The smoking is definitely not healthy for him, for you and the family. Since he is not smoking too many cigarettes, he should be able to give it up without much ado.

Hi I am scared of of faceing people i know. I can talk very well with strangers but not with people i know. I am super self conceous and think alot. Everybody around me dislikes me make fun of me but i try to act normal with them but it drains me out. Feeling really lost,exausted,sad,sick,mentally unstable,hear noises and now i dont get along with anyone.Please suggest me something.

Masters in counseling psychology, Counseling psychologist, Rational Emotive Behavioral Therapist
Psychologist
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You are having self esteem issues due to the criticism of others.Learn be assertive wherein you should be confident of yourself and not take others opinions as truth. Avoid such people who can only give you negativity and stress, if you cant learn to be assertive. Stop people from criticizing you by clearly mentioning that it is not acceptable. You need to set limitations. And most important have self belief. Learn to evaluate your positive points and concentrate on them.
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