Sir/mam I am studying mbbs 5 th sem and about to complete in nxt month. I hv a problem of of tension I feel tensed for even a minute reason. I study hard and harder people appreciate my hard work but when it comes tio exams I will not able to memorize things which learn clearly ,feel tensed my heart starts throbbing, sweating ,shivering. I was one among top 10 rankers in my school and college I never had such prob during my schooling days but started in college days. I could not even bag a good rank inspite of good performance in college exams. After all I decided to meet psychiatry in my college they asked me thyroid profile wch was absolutely normal. One of pg suggested to use toficalm 50 mg twice daily can I use it .suggest some drug wch can abolish my tension stress without affecting CNS or wch I can use even during exams. One thing I forgot to tell I drink too much of tra during exams to stay awake and won't sleep. Please help me out.

Dr. Saul PereiraPsychologist46yrs exp

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This tablet is both for insomnia and to reduce short term anxiety. You should consult a doctor to see how much you can use and what extent you can use without experiencing any side effects based on your constitution. It is too close to your exams to give you advice that can be implemented right away but you can give it a shot even so. During your college days, you would have been in your late teens and because of hormonal changes and also because of an unresolved childhood issue there may have been some upheavals that would have disturbed you. That issue is still not resolved and will continue to disturb you if not attended to soon. So, meet with a counselor and discuss this in particular. In the meantime you can do some of the following recommendations to give you some reprieve: 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. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: •Green leafy vegetables (like spinach and salad greens): At least six servings a week •Other vegetables: At least one a day •Nuts: Five servings a week •Berries: Two or more servings a week •Beans: At least three servings a week •Whole grains: Three or more servings a day •Fish: Once a week •Poultry (like chicken or turkey): Two times a week •Olive oil: Use it as your main cooking oil. •Wine: One glass a day You avoid: •Red meat: Less than four servings a week •Butter and margarine: Less than a tablespoon daily •Cheese: Less than one serving a week •Pastries and sweets: Less than five servings a week •Fried or fast food: Less than one serving a week. 

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Dr. Haridas .KPsychiatrist19yrs exp

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lybrate-user, after going through your narrative, I feel that you are having Generalized anxiety disorder. This can be managed with yoga and pranayam, to a significant extent. If you consult or being referred to clinical psychologists, they will teach you relaxation training and cognitive behaviour therapy or mindfulness therapy. If your anxiety is still considerable, then you may be prescribed few drugs. I can understand how much it is affecting your academic performance and your self esteem. It can be definitely managed with yoga or by relaxation training etc. Please consult a psychiatrist. I wish you overcome your distress and do well in life. 

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