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Stress Related Breathing Problems

I am a student of second prof mbbs. From last two months I am suffering from depression. I don't have any interest in study. I can't memorize anything. I can't seat peaceful at a place. Drug history- betacap and tryptomer 10 mg for 3 months then grenil f for last two months for prophylaxis of migraine.

I am a student of second prof mbbs. From last two months I am suffering from depression. I don't have any interest in...
You sound like you have an anger-related depression. Apart from the medication I strongly advise you to go for psychotherapy. 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, spend time in nature or gardening, 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 calisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. As regards the concentration you may work on the following: 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, 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 are 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. You may also attempt to do a short term but very effective course called, ‘learning how to learn’ on google.
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2 years back I diagnosed with mixed anxiety & depression. Since then I am struggling to recover. Taken allopathy for more than a year, then condition somewhat improved, after resuming duty as I work in rotating shifts in a company, then my brain started weakening, after each night shifts my mental ability declined gradually. Now no medicine is working out for me so suicidal thoughts coming to mind as I think in a very short time I would be a mentally disabled person. How should I cope up? allopathy has worked for me temporarily. My Dr. tried changing medicine but no result. Pls help me out.

2 years back I diagnosed with mixed anxiety & depression. Since then I am struggling to recover. Taken allopathy for ...
Anger management: 10 tips to tame your temper anger: there is a saying "frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. Giving up: giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. Loss of confidence: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that if we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "it is worth it! and by following through, it not only gets the job done, but it builds self-confidence. Stress: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. Depression: depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. Other reactions: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'you are wrong to react like this' you can say, 'i understand what you are feeling. Is there a way we can resolve this situation? 2.Understand/recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/find ways to let it go: not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. Problemanger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified. Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations: 1.Sit down and have a glass of water, slowly. This will help you to calm down a little. 2.Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time. 3.Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises. 4.Now understand what is making you angry. Understand your own anxiety and fear related to the issue. 5.Let the other person know how you are “feeling”. Start your statements, “i feel hurt/insulted/let down/neglected etc. When you do this”, instead of saying “you hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive. 6.Focus on the current issue, don’t bring in past situations. 7.Tell the other person, what you want or expect, instead of telling what you do not want. E.g. Instead of saying “i don’t want you to go out now”, say “i would like you to stay at home today”. 8.Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions. 9.Make an eye contact and be firm but polite while communicating your point of view. 10.Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that. 11.Understand what change you want. 12.Have realistic expectations from others and also from yourself. If you wish to discuss about any specific, problem you can consult me by clicking consult option frustrationlife is full of frustrations. From the minor irritations of losing something to the major problem of continued failure towards a desired goal. Since many of the things we truly want require a degree of frustration, being able to manage frustration is required in order to allow us to remain happy and positive even in trying circumstances. Understanding frustration frustration is an emotion that occurs in situations where a person is blocked from reaching a desired outcome. In general, whenever we reach one of our goals, we feel pleased and whenever we are prevented from reaching our goals, we may succumb to frustration and feel irritable, annoyed and angry. Typically, the more important the goal, the greater the frustration and resultant anger or loss of confidence. Frustration is not necessarily bad since it can be a useful indicator of the problems in a person's life and, as a result, it can act as a motivator to change. However, when it results in anger, irritability, stress resentment, depression or a spiral downward where we have a feeling of resignation or giving up, frustration can be destructive. What causes frustration? Frustration is experienced whenever the results (goals) you are expecting do not seem to fit the effort and action you are applying. Frustration will occur whenever your actions are producing less and fewer results than you think they should. The frustration we experience can be seen as the result of two types of goal blockage, i.e. Internal and external sources of frustration. Internal sources of frustration usually involve the disappointment that get when we cannot have what we want as a result of personal real or imagined deficiencies such as a lack of confidence or fear of social situations. Another type of internal frustration results when a person has competing goals that interfere with one another. The second type of frustration results from external causes that involve conditions outside the person such as physical roadblocks we encounter in life including other people and things that get in the way of our goals. One of the biggest sources of frustration in today's world is the frustration caused by the perception of wasting time. When you're standing in line at a bank, or in traffic, or on the phone, watching your day go by when you have got so much to do, that's one big frustration. External frustration may be unavoidable. We can try to do something about it, like finding a different route if we are stuck in traffic, or choosing a different restaurant if our first choice is closed, but sometimes there is just nothing we can do about it. It is just the way life is. Our goal in dealing with external sources of frustration is to recognize the wisdom of the serenity prayer. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference. One can learn that while the situation itself may be upsetting and frustrating, you do not have to be frustrated. Accepting life is one of the secrets of avoiding frustration. Responses to frustration some of the "typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Learning to deal with frustration it is unrealistic to believe you can rid yourself of frustration forever, but you can learn to do things to minimize your frustrations and to make sure you do not engage in unhealthy responses to frustration. You will need to learn to distinguish between what you hope will happen, what will probably happen, and what actually happened. Life inevitably has its ups and downs -- its moments of relaxation and times of tension. When you learn to truly accept this reality, you come one step closer to being able to deal with frustration in a healthy way. There are several types of problems that we encounter in everyday living: those which you know can be solved, those which you are not sure if they can be solved or not, those you know are totally out of your control, and those you are so confused about that you do not even know what the problem is. You need to be able to accurately assess your abilities to alter situations that prevent you from solving your problems and reaching your goal. Then you will be able to assess which of the types of problems you have encountered, and you will then be able to develop a realistic plan. Learning to take things in stride will also help you to be more content and happy which, in turn, will help you to more easily overcome anger and frustration. If you are upset, sad, anxious, or depressed you will have less patience and tolerance for everything and everybody. Treatment of frustration frustration and anger are fundamental emotions that everyone experiences from time to time. From a very early age, people learn to express frustration by copying the behaviour they see modelled around them, and by expressing frustration and angry behaviour and seeing what they can get away with. We all suffer from frustration, and being able to effectively deal with frustration is a very important skill to develop. Each person needs to learn how to control frustration, so that it does not control them. The following is a brief overview of types of frustration management programs and resources that have proved helpful in understanding and controlling frustration and anger. I have found several approaches to treatment that have been effective for my clients including: individual and group therapy for anger management. A therapist who can observe and analyse your behaviour from an impartial perspective, can help you with your reality testing. A therapist knows many effective frustration and anger management strategies and will be able to help you develop a personalized set of strategies for changing both your thinking and behaviour. Depending on your needs, your therapist may work with you on breathing or meditation exercises to reduce frustration, safe and appropriate emotional and physical techniques to release frustration, communication, or cognitive restructuring (a method for disputing and changing the way you think). Relaxation and exercise simple relaxation tools such as deep breathing and relaxing imagery can help calm down feelings of frustration and anger. Breathing deeply, from your diaphragm, will help while breathing from your chest won't relax you. While breathing, you can slowly repeat a calm word or phrase such as "relax, "calm down" or "take it easy. Non-strenuous exercise, like yoga, can relax your muscles and make you feel much calmer. Strenuous and vigorous exercise can also help you to work off frustration and angry feelings. Frustration can have a highly damaging impact on our frame of mind. It can turn a positive person into a person who sees nearly everything as a problem. It can slow you down, inhibit your progress, and at times completely immobilize you. We can become so wound up with our frustration that we do not, and cannot, think or act rationally. Our frustration can often exacerbate a situation and create a vicious circle. If we are convinced that our actions are not working, no matter how hard we try, we are much more likely to reduce, rather than increase, our chances of success. Remember, you cannot eliminate frustration. In spite of all your efforts, things will happen that will cause you frustration and anger. Life is filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. If you feel that your degree of frustration is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counselling to learn how to handle it better. Please contact me privately on this site or another therapist.
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Hi doctor, I am suffering with work anxiety. Lack of sleep, shortness of breath and left shoulder pain are my symptoms. Should I consult cardiologist? Any tips on how to manage stress levels?

Hi doctor, I am suffering with work anxiety. Lack of sleep, shortness of breath and left shoulder pain are my symptom...
You have anxiety neurosis and it is not a problem for the cardiologist. A psychologist will help you better. Anxiety is a very normal emotion, which gives rise to feelings of nervousness every now and then. An anxiety disorder is a serious medical condition in which people experience a high degree of distress and mental trauma, which hinders a normal life. People suffering from this medical condition experience high levels of anxiety and nervousness almost all the time. Here are the cardinal symptoms that indicate you're suffering from an anxiety disorder. 1. Troublesome & excess worry - this condition prevails if you worry about the day to day activities too much on a regular basis. It is identified when you start taking too much stress about very common and routine things, related to life or work which tends to affect you in an adverse way. A noticeable sign of excessive worry can be too much fatigue. 2. Lack of sleep/irregular disturbed sleep - problems in falling asleep at the right time and problems in maintaining an uninterrupted sleep are two signs that indicate you have an anxiety disorder. 3. Baseless / irrational fears - this symptom is not generalized; instead, it is specific and subjective in relation to a particular thing or situation. The fears that are experienced under this category are sudden and unexpected in nature and there is no fixed rationale behind these fears. One may ear of death or accident or fall from a plane and so on. 4. Muscle pain - muscle discomfort and pain are one of the leading physiological causes of an anxiety disorder. The pain felt is chronic and pervasive, and is very common among people facing situations of anxiety. If you are exposed to constant periods of anxiety, you will experience fatigue, muscle pains and lethargy or unwillingness to work. 5. Unexplained indigestion - problems related to the digestive system are also a sign of anxiety disorder. In this case, you may face constant digestive problems accompanied by a common disorder called ibs (irritable bowel syndrome). Ibs refers to an anxiety situation in the digestive tract, which is characterized by a sudden urge to defecate on eating, stomach aches, cramping, bloating, gas, constipation, and/or diarrhoea. Apart from the above-mentioned symptoms, other symptoms of an anxiety disorder include stage fright, self- consciousness, panic attacks, memory flashbacks, perfectionism, compulsive behaviours, self- doubt, and such others. 5. Say an encouraging statement. Positive, accurate statements can help to put things into perspective. See these examples: “anxiety is just a feeling, like any other feeling.” and “this feels bad, but I can use some strategies to cope with it.” 6. Stay connected to others. Social support is vital to managing stress, today, call a loved one, scheduled to go to lunch with a close friend. Talking with others can do a world of good. Another option is to get together and engage in an activity that improves your anxiety, such as taking a walk, sitting on the beach or going to a yoga class. 7. Avoid alcohol and caffeine. Managing anxiety is as much about what you do as what you don’t do. And there are some substances that exacerbate anxiety. Caffeine/alcohol is one of those substances. The last thing people with anxiety need is a substance that makes them feel more turned on, which is exactly what caffeine/alcohol does. 8. Avoid mood changing drugs. “while drugs and alcohol might help to reduce anxiety in the short term, they often do just the opposite in the long term,” even the short-term effect can be harmful. Experts have treated countless clients whose first panic attack occurred while they were taking drugs such as marijuana, ecstasy or lsd. “panic attacks are bad enough if you are straight and sober, so imagine how bad they are if you are high, and can’t get untied until the drug wears off.” 9. Do something you enjoy. Engaging in enjoyable activities helps to soothe your anxiety. For instance, today, you might take a walk, listen to music or read a book, 10. Take a break. It’s also helpful to build breaks into your day. As it is said, this might be a “simple change of pace or scenery, enjoying a hobby, or switching ‘to-do’ tasks.” “breaking from concerted effort can be refreshing.” 11. Solve problem it is suggested considering how you can address the stressors that are causing your anxiety. Today, make a list of these stressors and next to each one, jot down one or two solutions. 12. Read a book. There are many valuable resources on anxiety, which teach you effective coping skills. Some recommended are dying of embarrassment for people with social anxiety; the bdd workbook for body dysmorphic disorder; the imp of the mind and the ocd workbook for obsessive-compulsive disorder. And it is suggested, "stop obsessing" for adults with ocd (and up and down the worry hill for kids with ocd). For people with panic attacks, it is suggested don’t panic: taking control of anxiety attacks. For a general overview of cognitive-behavioural therapy for anxiety, 13. Engage in calming practices. “meditation, yoga, or other calming practices can help minimize anxiety in both the short and long term.” sign up for a yoga class or watch a yoga video online. Meditate right now for just three minutes and do for yoga 14. Consult a therapist. Sometimes anxiety can be difficult to manage without professional help, many organizations include databases of providers who specialize in anxiety (along with helpful information). 15. Accept your anxiety. If you really want to effectively manage your anxiety, the key is to accept it, “this might sound strange. But anxiety, “in and of itself,” isn’t the real problem. Instead, it’s our attempts at controlling and eliminating it, not accepting these unwanted inner experiences is the actual source of self-induced suffering.” accepting anxiety doesn’t mean “resigning" ourselves to a life of anxious misery. It simply means that we are better off recognizing and fully accepting the existence of anxiety and other uncomfortable emotional states that are inevitable, but transitory. So if you experience anxiety today, simply observe it. “think of it like a wave of the ocean; allow it to come in, experience it, and ride it out.” anxiety can feel overwhelming. It can feel like chains around your feet, weighing you down. But by taking small steps – like the ones above – you can minimize your anxiety and cope effectively. Have a peaceful life ahead.
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I am suffering from depression so I taking medicine- rexipra-10 mg and mirtazapine -7.5 mg since october 2018 as prescribed by the doctor. Now I want to quit this medicine. please suggest me.

I am suffering from depression so I taking medicine- rexipra-10 mg and mirtazapine -7.5 mg since october 2018 as pres...
You cannot and must not quit medication just like that. It has to be supported by your doctor always. Normally, if you have been on medication and that too the optimum does and your brain gets accustomed to this dose and medication for at least 3 years without any relapses, you can reduced gradually. This has to be monitored by a doctor. If done unprofessionally, it can worsen your condition and withdrawal symptoms may get initiated. So be patient and work with your doctor. 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, spend time in nature or gardening, 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 counsellor 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 calisthenic 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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My problem is anger and depression. I do not know why I am getting angry. All time. And after that. Depression comes. It mostly affects my life. I tried my best to control this but not success. This problem I faced since 6 month. Please doctor kindly suggest me what to do.

Anger: there is a saying "frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. Giving up: giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. Loss of confidence: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that if we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "it is worth it! and by following through, it not only gets the job done, but it builds self-confidence. Stress: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. Depression: depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. Other reactions: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'you are wrong to react like this' you can say, 'i understand what you are feeling. Is there a way we can resolve this situation? 2.Understand/recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/find ways to let it go: not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. Problemanger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified. Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations: 1.Sit down and have a glass of water, slowly. This will help you to calm down a little. 2.Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time. 3.Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises. 4.Now understand what is making you angry. Understand your own anxiety and fear related to the issue. 5.Let the other person know how you are “feeling”. Start your statements, “i feel hurt/insulted/let down/neglected etc. When you do this”, instead of saying “you hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive. 6.Focus on the current issue, don’t bring in past situations. 7.Tell the other person, what you want or expect, instead of telling what you do not want. E.g. Instead of saying “i don’t want you to go out now”, say “i would like you to stay at home today”. 8.Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions. 9.Make an eye contact and be firm but polite while communicating your point of view. 10.Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that. 11.Understand what change you want. 12.Have realistic expectations from others and also from yourself. If you wish to discuss about any specific, problem you can consult me by clicking consult option frustrationlife is full of frustrations. From the minor irritations of losing something to the major problem of continued failure towards a desired goal. Since many of the things we truly want require a degree of frustration, being able to manage frustration is required in order to allow us to remain happy and positive even in trying circumstances. Understanding frustration frustration is an emotion that occurs in situations where a person is blocked from reaching a desired outcome. In general, whenever we reach one of our goals, we feel pleased and whenever we are prevented from reaching our goals, we may succumb to frustration and feel irritable, annoyed and angry. Typically, the more important the goal, the greater the frustration and resultant anger or loss of confidence. Frustration is not necessarily bad since it can be a useful indicator of the problems in a person's life and, as a result, it can act as a motivator to change. However, when it results in anger, irritability, stress resentment, depression or a spiral downward where we have a feeling of resignation or giving up, frustration can be destructive. What causes frustration? Frustration is experienced whenever the results (goals) you are expecting do not seem to fit the effort and action you are applying. Frustration will occur whenever your actions are producing less and fewer results than you think they should. The frustration we experience can be seen as the result of two types of goal blockage, i.e. Internal and external sources of frustration. Internal sources of frustration usually involve the disappointment that get when we cannot have what we want as a result of personal real or imagined deficiencies such as a lack of confidence or fear of social situations. Another type of internal frustration results when a person has competing goals that interfere with one another. The second type of frustration results from external causes that involve conditions outside the person such as physical roadblocks we encounter in life including other people and things that get in the way of our goals. One of the biggest sources of frustration in today's world is the frustration caused by the perception of wasting time. When you're standing in line at a bank, or in traffic, or on the phone, watching your day go by when you have got so much to do, that's one big frustration. External frustration may be unavoidable. We can try to do something about it, like finding a different route if we are stuck in traffic, or choosing a different restaurant if our first choice is closed, but sometimes there is just nothing we can do about it. It is just the way life is. Our goal in dealing with external sources of frustration is to recognize the wisdom of the serenity prayer. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference. One can learn that while the situation itself may be upsetting and frustrating, you do not have to be frustrated. Accepting life is one of the secrets of avoiding frustration. Responses to frustration some of the "typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Frustration and anger are fundamental emotions that everyone experiences from time to time. From a very early age, people learn to express frustration by copying the behaviour they see modelled around them, and by expressing frustration and angry behaviour and seeing what they can get away with. We all suffer from frustration, and being able to effectively deal with frustration is a very important skill to develop. Each person needs to learn how to control frustration, so that it does not control them. The following is a brief overview of types of frustration management programs and resources that have proved helpful in understanding and controlling frustration and anger. I have found several approaches to treatment that have been effective for my clients including: individual and group therapy for anger management. A therapist who can observe and analyse your behaviour from an impartial perspective, can help you with your reality testing. A therapist knows many effective frustration and anger management strategies and will be able to help you develop a personalized set of strategies for changing both your thinking and behaviour. Depending on your needs, your therapist may work with you on breathing or meditation exercises to reduce frustration, safe and appropriate emotional and physical techniques to release frustration, communication, or cognitive restructuring (a method for disputing and changing the way you think). Relaxation and exercise simple relaxation tools such as deep breathing and relaxing imagery can help calm down feelings of frustration and anger. Breathing deeply, from your diaphragm, will help while breathing from your chest won't relax you. While breathing, you can slowly repeat a calm word or phrase such as "relax, "calm down" or "take it easy. Non-strenuous exercise, like yoga, can relax your muscles and make you feel much calmer. Strenuous and vigorous exercise can also help you to work off frustration and angry feelings. Frustration can have a highly damaging impact on our frame of mind. It can turn a positive person into a person who sees nearly everything as a problem. It can slow you down, inhibit your progress, and at times completely immobilize you. We can become so wound up with our frustration that we do not, and cannot, think or act rationally. Our frustration can often exacerbate a situation and create a vicious circle. If we are convinced that our actions are not working, no matter how hard we try, we are much more likely to reduce, rather than increase, our chances of success. Remember, you cannot eliminate frustration. In spite of all your efforts, things will happen that will cause you frustration and anger. Life is filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. If you feel that your degree of frustration is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counselling to learn how to handle it better. Please contact me privately on this site or another therapist.
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If am feeling some depressive episode with my 100 mg fluvoxamine daily, I should increase dose or not.

If am feeling some depressive episode with my 100 mg fluvoxamine daily, I should increase dose or not.
No, need to increase the dose, rather supplementation is needed, you need to consult a psychiatrist with the set of depressive complaints remitted and still present, so adequate choice can be made. All the best.
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Hi Sir, Doctor has recommended me stalopam plus and calcad but I couldn't understand why he recommended these am I having a depression?

Hi Sir, Doctor has recommended me stalopam plus and calcad but I couldn't understand why he recommended these am I ha...
You are being treated for depression and anxiety. I don't know your symptoms and according to your description, the doctor would have known it is depression with anxiety. If you don't want to be on the medication you must work rather intensely with a therapist and cooperate to the 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, spend time in nature or gardening, 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 counsellor 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 calisthenic 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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Hi doctor I am majeed 18 years male I am doing excessive masturbation on daily basis I am addicted to it & I am loosing my sex drive m suffering from pe & ed problem frm last 2 years I am very stressed do it can be cure or not sir please help.

Hi doctor I am majeed 18 years male I am doing excessive masturbation on daily basis I am addicted to it & I am loosi...
Try this 1. Deep breathing— take deep breaths and hold your breath for 5 second between each inhalation and exhalation. 2. Squeeze method— to do this, squeeze the head of the penis when you are at the brink of your orgasm. 3. Stop and start method— once you are close to your orgasm, stop the simulation. Relax and then continue till the end. Repeat the process for a few weeks and then you will become efficient in delaying your ejaculation. 4. Kegel exercises these exercises are aimed to help you gain better control over the muscles below your bladder. They strengthen your pelvic region, particularly creating strong pubococcygeus muscle. These are hammock shaped muscles that stretch from your pubic bone to tailbone, important for genital functioning. To perform these pelvic floor exercises, simply aim to control and stop your urine flow midway when you're in the bathroom. This will make you feel your pc muscle and then you will be able to relax it to regain normal urinary flow. Do this 10 times a day and you will be able to stop premature ejaculation. 5. Applying strategic pressure— the first step is knowing about your perineum and putting pressure over it. Perineum is the spot that lies midway between the scrotum and the anus. It reaches the prostate gland and pressing it helps in delaying the ejaculation process. This happens since the path to the prostate gland gets blocked when you press. Generally, the prostate expands and contracts at the time of orgasm, until you ejaculate. Pressing it breaks the rhythm and delays satisfaction. 6. Limit the anxiety anxiety can make your ejaculate prematurely before any of you are satisfied with the intercourse. To limit the anxiety, practise running, dancing or strength training exercise
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I am suffering with severe health related panic, nervousness, apprehension, anticipation, anxiety along with various physical troubles like sudden perspiration, shivering, dizziness, nausea, drowsiness, uncomfortable feelings in head etc. And something which can be felt but can not be described and this untouched/unexplained condition makes me more panicky, nervous, disturbed. I am trying to micro analyse these feelings that what is going on, why these are going on and also what to do to overcome these awkward feelings, are these physical problems or mental abnormalities, should I accept or reject these issue. But I can’t get any solution or clue of these questions which makes me again very stressed then these stress might affect on my physical and mental health. Some past extremely severe condition like unexplainable stress in head, strain, tightness, overcrowded, pressure, dull pain etc or felling terribly panicky making me traumatized. Sometimes I am facing impending doom. Can not face daily life. A general panic and stressed about health always makes me unhappy. Feeling I am on a threshold of an emergency. Can’t get relaxed. A mixed feeling of physical and psychological uneasiness. But apparently no one see any abnormalities with me but day by day I am bounded in self confindness. Even any small unusual triggers makes me disturbed like if I feel sleepy in day time, feel panic. Always brooding on these issues. Need a constant strong engagement of mind. Feeling, at first I need to assess my condition, feelings truly to get rid, but I can't judge me properly. Like I am trying to analysis the nature of feeling severe strain felt in my head, what is actually looks like. It's very annoying. General uneasiness, anxiety which may be felt by everyone time to time, is often misleaded to me. Overall feeling very disturbed, irritated, panicky, unhappy life. Please give advice how to overcome.

I am suffering with severe health related panic, nervousness, apprehension, anticipation, anxiety along with various ...
You need mind control. Mind Control and some of its techniques. It’s a term that can have many meanings. Some people think of it as the ability to take control of the mind of other people. I prefer the meaning of controlling your own mind instead. It is the ability to understand and control your feelings, emotions, and behaviour. As you do this you have full control of yourself and you can achieve many goals in your life. Also, you will have great self-confidence which is the key to success. All the methods that are used for mind control have the same results. They bring you to a brain-state where you can reprogram your mind. Most of these techniques, when applied, require being active in order to affect you positively. The truth is that it is you making the changes and not the method you are using. The method just helps you reach the appropriate brain-state. Some benefits of mind control are listed below: o Develop Self-Esteem o Cure Fears o Quit bad habits o Become spontaneous and social o Fight Depression o Overcome painful situations Correct elements of your character o Change your reactions o Become more intuitive o The Silva Method I first read about Mind Control in a book written by Jose Silva. He has developed a method of mind control. This method is very simple and easy to follow. You just have to train your visualization skill (check my Visualization Exercises program) and to enter the alpha mind state, where you can change many things about yourself. The key is that in the alpha brain state your subconscious is accessible. The Silva method is based on the power of positive thinking. While you get into trance you start visualizing positive thoughts. As your subconscious mind is accessible you can pass these thoughts into it. This can have a dramatic effect on the way you feel. Self-Hypnosis Self-Hypnosis is a more general term for a technique that induces you into a trance. The Silva method uses a Self-Hypnosis technique to induce you into a trance. While the Silva method follows a standard path for the production of alpha brainwaves (click here for more info about brainwaves), Self-Hypnosis is any visualization technique that can bring you to the appropriate brain-state. While you try Self-Hypnosis you imagine things. You try to imagine and visualize as many details as you can. These details may be colors, textures, temperature, smells and generally whatever sensation you can think of. For example, an example visualization that can induce you very fast into trance is imagining that you are walking in a narrow path with dense vegetation at both sides and far in front of you there is a forest where you can hear birds or animals and the sky is clear with the Sun heating the top of your head. All these sensations that you imagine, as you try Self-Hypnosis, engage your right hemisphere and accelerate the production of alpha brainwaves. Usually, you can get into a trance in a few minutes if you can stay in your imaginary place and feel as many sensations as you can. Well, the difficult part of Self-Hypnosis is to focus your thoughts on the magical place you are imagining. It’s too difficult to stay in just one thought at the beginning of your relaxation. Many different thoughts tend to go through your mind, as the alpha brainwaves are produced. You can think of it as if you are in a boring classroom. At some point you stop listening to what the teacher says, you feel relaxed and you start daydreaming. This is the desired state you want to be in when you try to mind control. Entering the alpha state is a skill that you can improve by training. You might even become able to get into a trance in a matter of seconds. After some time a deep breath will be sufficient to bring you into a trance. There are many products online that can help you experience self-hypnosis. These are usually audio products like CDs or Mp3s. Their great advantage over the traditional method of self-hypnosis is that you are guided by a hypnotherapist. Thus, you can just follow the instructions and eliminate the multiple thinking distractions.
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I am in depression and excessive anxiety due to that I lost my weight 7 kilos. Doctor gives me tryptomer10 and nexito .5 but fruitless what I do.

I am in depression and excessive anxiety due to that I lost my weight 7 kilos. Doctor gives me tryptomer10 and nexito...
Psychotherapy is one of the best options to treat anxiety and depression, especially cognitive behaviour therapy.
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