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Super Care Hospital

Psychiatrist Clinic

22/1, Laitumkhrah, Shillong shillong
1 Doctor · ₹500
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Super Care Hospital Psychiatrist Clinic 22/1, Laitumkhrah, Shillong shillong
1 Doctor · ₹500
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About

Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Super Care Hospital
Super Care Hospital is known for housing experienced Psychiatrists. Dr. Chayanika Sarma, a well-reputed Psychiatrist, practices in shillong. Visit this medical health centre for Psychiatrists recommended by 86 patients.

Timings

MON-SAT
10:00 AM - 04:00 PM

Location

22/1, Laitumkhrah, Shillong
shillong, Meghalaya - 793003

Doctor

Dr. Chayanika Sarma

MD - Psychiatry
Psychiatrist
Available today
92%  (43 ratings)
10 Years experience
500 at clinic
₹500 online
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Patient Review Highlights

"Professional" 3 reviews "Well-reasoned" 6 reviews "Helped me impr..." 1 review "Practical" 3 reviews "Thorough" 2 reviews "knowledgeable" 4 reviews "Sensible" 2 reviews "Caring" 3 reviews "Very helpful" 8 reviews "Inspiring" 5 reviews

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How to reduce thoughts in my mind! I have musical hallucination and the song that I am hearing inside my mind is as clear as the real song. Sometimes while writing exams, during meditation etc music starts playing. This thing is disturbing me frequently. How to stop this? Please help.

MD - Psychiatry
Psychiatrist, Guwahati
How to reduce thoughts in my mind! I have musical hallucination and the song that I am hearing inside my mind is as c...
That you are hearing voices, it may be from various reasons: it may be an actual hallucination which may happen if there is an underlying psychotic process, or it may be a pseudo hallucination because of thinking problem, depression,anxiety etc, or it be substance induced, if you are addicted to any substance of abuse like alcohol, cannabis, inhalants, or may be because of some organic cause etc. You need to be evaluated. Get yourself evaluated by a Psychiatrist who will diagnose you after your mental status examination & Psycho diagnostic evaluation, & will give you treatment accordingly. With treatment, this problem will definitely go.
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Respected, I am 16 year old. I am aspirant of iit. While studying after 15 to 20 minutes I got some pain in my head and after doing study I feel some vibration type in my head, and also suggest me how to increase my IQ,

MD - Psychiatry
Psychiatrist, Guwahati
Study with a calm & relaxed mind. Try to enjoy your studies & stay positive. Do not take your studies as a stress. Take the following measures to study better: •Study daily from the start of your academic session •Revise your lessons regularly. •Group studies & group discussions are also helpful. •Do not try to memorize blindly. Try to understand your lessons. •Write down the main points & form mnemonics from them. Mnemonic devices are techniques which help to remember something. It’s a simple shortcut that helps us associate the information we want to remember with an image, a sentence, or a word. •Have a plan to manage your time of study. Make a routine for studying. Study for 30-45 minutes & then take 5-10 mins break. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Expect exam outcomes rationally & what is within your capability. Impractical & over expectation that is beyond one’s capability brings in fear & frustration. •Just focus on giving your best effort. •Take your class time seriously by taking notes summarizing what your teacher has said. •Every morning relax yourself adequately before you sit for studies; go for a walk, spend some time with nature, go for a walk, do yoga, breathing exercise or relaxation techniques. •Have adequate sleep. •Explore your own talents & feel good about yourself. •Set goals which are realistic & within your capability & try to pursue them. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •Enhance your coping skills & problem solving skills. •Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Practice deep breathing & relaxation exercises •Eat healthy food & reduce caffeine, tea, cola, and chocolate consumption. Put your best effort in your studies. All the best. For the headache, get your eye check up done & if headache persist consult a Neurologist & get detailed evaluation done.
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I was a bright student since childhood I was a topper .but since last two years even can't pass in exams. I am in class 12 right now and merely 40 days are left for board exams which will indeed decide my future my entire life. When I sit to study my mind goes somewhere else and I don't even know when I got distracted. I study for long hours but then also I forget 80% matter studied. I can't remember things .when I sit in exam hall I feel a sort of tiredness a sort of sleepiness and so I can't even manage to pass I don't know how I got in this but I wanna get rid of all this. Also I sit for long hours but I can do very meagre very little study that's not enough to pass in board exams even most dull students are far ahead of me I feel very sad and my parents do not know all this is happening with me please help.

MD - Psychiatry
Psychiatrist, Guwahati
Every moment is precious for you now, as only 40 days are left for your exam. Rather than wasting your time thinking of the consequences of the exam, utilize the remaining time to the fullest & put your maximum effort in your preparation. Take the following measures to improve your concentration & prepare well: •Make a study routine giving maximum time for studies. Also give adequate time for sleep, rest & relaxation. Between studies you have to relax also. This will help in sustaining your interest & concentration. Try to stick to your routine. At night look back how much you could follow the routine & reward yourself if the day was productive & to your satisfaction. In the form of reward you can give little extra time for relaxation next day, watch TV or spend some with internet, eat something you like, meet a friend etc. Encourage yourself daily. •Revise your lessons regularly. •Study relaxly with a calm mind & take small breaks during studies. •Group studies & group discussions are also helpful. •Do not try to memorize blindly. Try to understand your lessons. •Write down the main points & form mnemonics from them. Mnemonic devices are techniques which help to remember something. It’s a simple shortcut that helps us associate the information we want to remember with an image, a sentence, or a word. •Have a plan to manage your time of study. Make a routine for studying. Study for 30-45 minutes & then take 5-10 mins break. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Create the environment in your study room similar to your exam hall. Then you will find your exam hall comfortable & familiar. •Expect exam outcomes rationally & what is within your capability. Impractical & over expectation that is beyond one’s capability brings in fear & frustration. •During these days of preparation for exam eat healthy, stay hydrated & avoid substances of abuse, as a healthy body prepares a healthy mind. •Every morning relax yourself adequately before you sit for studies; go for a walk, spend some time with nature, go for a walk, do yoga, breathing exercise or relaxation techniques. •On the day prior to exam sleep adequately. •Reach the examination hall before time so that you are relaxed & mentally prepared for the exam. Do not guess the exam outcomes just target to give your best. Think positive. Start writing with a calm mind. Be aware of the anxiety symptoms, & if you feel anxiety is building up, just concentrate on breathing in & out slowly or tighten & relax your shoulders or stretch your legs. You can also take a small break & drink some water •Do not look around; just concentrate on your paper. •Revise quickly once you finish answering. All the best for your preparation & for your exam. Give your best.
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Doctor says I have simple schizophrenia, I need to confirm. I am currently taking levosulpiride, Clox (brand name) and omega 3,6,9 tabs. According to these information, what mental disorder or not I have?

MD - Psychiatry
Psychiatrist, Guwahati
If you have doubt in your mind regarding your diagnosis, get yourself re-evaluated by a Psychiatrist, who will make the proper diagnosis based on your mental status examination & psychological test like Psycho-diagnostic evaluation. & if you are diagnosed to be suffering from a mental disorder, it will be best for you to accept the fact that you are suffering from the disorder, stay under regular supervision of your attending doctor, & adhere to treatment. Educate yourself adequately regarding the diagnosed illness, its symptoms etc. & if any doubt regarding the illness or its treatment come to your mind, always discuss with your attending doctor &/or family member, & do not take any decision alone. There are treatments available for mental disorders & a person with such disorders can lead a normal life on treatment. Along with, lead an active life, eat healthy diet, sleep adequately & stay away from substances of abuse like alcohol, tobacco etc. & stay positive about life. If it is difficult for you to accept the illness or you are not able to cope with it, then you can go for counseling sessions.
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I remain ok all time as exam came I got lost my sleep and even seeing other girls studying I feel more depressed n not able to concentrate n study I am a topper student but due to my this habit I got less Mark in final ,now I am preparing for md exam.

MD - Psychiatry
Psychiatrist, Guwahati
I remain ok all time as exam came I got lost my sleep and even seeing other girls studying I feel more depressed n no...
Study with a calm & relaxed mind. Try to enjoy your studies & stay positive. Do not take your studies as a stress. Take the following measures to improve your concentration & prepare well: •Make a study routine giving maximum time for studies. Also give adequate time for sleep, rest & relaxation. Between studies you have to relax also. This will help in sustaining your interest & concentration. Try to stick to your routine. At night look back how much you could follow the routine & reward yourself if the day was productive & to your satisfaction. In the form of reward you can give little extra time for relaxation next day, watch TV or spend some with internet, eat something you like, meet a friend etc. Encourage yourself daily. •Revise your lessons regularly. •Study relaxly with a calm mind & take small breaks during studies. •Group studies & group discussions are also helpful. •Do not try to memorize blindly. Try to understand your lessons. •Write down the main points & form mnemonics from them. Mnemonic devices are techniques which help to remember something. It’s a simple shortcut that helps us associate the information we want to remember with an image, a sentence, or a word. •Have a plan to manage your time of study. Make a routine for studying. Study for 30-45 minutes & then take 5-10 mins break. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Create the environment in your study room similar to your exam hall. Then you will find your exam hall comfortable & familiar. •Expect exam outcomes rationally & what is within your capability. Impractical & over expectation that is beyond one’s capability brings in fear & frustration. •During these days of preparation for exam eat healthy, stay hydrated & avoid substances of abuse, as a healthy body prepares a healthy mind. •Every morning relax yourself adequately before you sit for studies; go for a walk, spend some time with nature, go for a walk, do yoga, breathing exercise or relaxation techniques. •On the day prior to exam sleep adequately. •Reach the examination hall before time so that you are relaxed & mentally prepared for the exam. Do not guess the exam outcomes just target to give your best. Think positive. Start writing with a calm mind. Be aware of the anxiety symptoms, & if you feel anxiety is building up, just concentrate on breathing in & out slowly or tighten & relax your shoulders or stretch your legs. You can also take a small break & drink some water •Do not look around; just concentrate on your paper. •Revise quickly once you finish answering. All the best for your preparation & for your exam. Give your best.
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I am unable to cope with my studies pressure can you help me by suggesting one guidance line please?

MD - Psychiatry
Psychiatrist, Guwahati
I am unable to cope with my studies pressure can you help me by suggesting one guidance line please?
Study with a calm & relaxed mind. Try to enjoy your studies & stay positive. Do not take your studies as a stress. Take the following measures to study better: •Study daily from the start of your academic session •Revise your lessons regularly. •Group studies & group discussions are also helpful. •Do not try to memorize blindly. Try to understand your lessons. •Write down the main points & form mnemonics from them. Mnemonic devices are techniques which help to remember something. It’s a simple shortcut that helps us associate the information we want to remember with an image, a sentence, or a word. •Have a plan to manage your time of study. Make a routine for studying. Study for 30-45 minutes & then take 5-10 mins break. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Expect exam outcomes rationally & what is within your capability. Impractical & over expectation that is beyond one’s capability brings in fear & frustration. •Just focus on giving your best effort. •Take your class time seriously by taking notes summarizing what your teacher has said. •Every morning relax yourself adequately before you sit for studies; go for a walk, spend some time with nature, go for a walk, do yoga, breathing exercise or relaxation techniques. •Have adequate sleep. •Explore your own talents & feel good about yourself. •Set goals which are realistic & within your capability & try to pursue them. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •Enhance your coping skills & problem solving skills. •Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Practice deep breathing & relaxation exercises •Eat healthy food & reduce caffeine, tea, cola, and chocolate consumption. Put your best effort in your studies. All the best.
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Hello I wanted to ask why do I feel lonely n stressful most of d tym. N why I do not feel lyk meditating I mn it's juz Nothing feels gud. Neither can I sleep properly without pills n m taking medications for depression n anxiety but still nothing feels Gud. I mn I think my happiness depend on others. How can I b happy with my own company.

MD - Psychiatry
Psychiatrist, Guwahati
Hello  I wanted to ask why do I feel lonely n stressful most of d tym. N why I do not feel lyk meditating I mn it's j...
It seems there are immense negative thoughts & pessimism inside you which are disturbing you lot. You better talk to your attending doctor about your feeling low & lonely with depressed thoughts, & that the symptoms are persisting even after taking medicines for anxiety & Depression. Your doctor will then re evaluate you & adjust your medicines accordingly. Take the prescribed medicines regularly & in time. You can also go for counseling sessions to get relief from those disturbing symptoms faster. Along with, take the following measures to help yourself: •Try to lead an active life & maintain a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Try to be contented with what is in hand. Over expectation is usually harmful. •Set goals which are realistic & within your capability & try to pursue them. •Do not spend time alone. Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Read motivational books & quotes. •Spend some time daily recollecting the good moments in your life. •Try to evaluate things practically & rationally. •Avoid people who spreads negativity or demoralize you. •Avoid watching or reading mind disturbing things like violence, crime, horrors etc. •Maintain a daily routine. •Pursue your hobbies or keep a pet. •Every day spend some time with nature & try to feel its beauty. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •If any problem is there in your life, put your maximum effort & try to solve it. Work to enhance your problem solving skills & coping skills. If you are not able to solve any problem yourself, discuss about it with a well wisher or take professional help. •Keep reminding yourself the fact that people with bigger problems exist in this world. Then your problem will seem trivial. •Read or watch comedies & laugh to your fullest. •Above all, keep reminding yourself that life is precious & one is gifted with this life for once only. Every moment, every day is precious & life once lost can never be regained back. Wish you speedy recovery.
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Is there any alternate drug to toficalm in treatment of anxiety and stress with less adverse effects and less sedative so that I can use during exams.

MD - Psychiatry
Psychiatrist, Guwahati
Is there any alternate drug to toficalm in treatment of anxiety and stress with less adverse effects and less sedativ...
There are many anti anxiety medicines available to treat anxiety. If Toficalm is not helping you then talk to your attending doctor about it. After evaluating you, your doctor will definitely give you some other medicine that will help you more. Along with, you can undergo counselling sessions & behavioral therapies to overcome the anxiety & stress that you are suffering from. Prepare for your exam with a positive mind. All the best.
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My friend has drunk liquid Phenol & after 2 days of hospital treatment she is fine but her mind isn't works. I mean she's doing like a mental what's the solution? Pls tell me.

MD - Psychiatry
Psychiatrist, Guwahati
My friend has drunk liquid Phenol & after 2 days of hospital treatment she is fine but her mind isn't works.
I mean s...
Your friend attempted to end her life by consuming phenol. There may be possibilities of many reasons behind it: She may be suffering from depression, that everything around seemed dark to her & she saw no reason to stay alive & she planned the act. Or it may be that she is under some stress in her life with which she is not able to cope with & decided to end her life. A possibility of her attempt being an accidental act should also be looked into. It may also be an impulsive act which she had done in sudden anger, & had not planned it previously. Her attempt may also be her way of revolting against someone or some situation she was not happy with. Get her evaluated by a Psychiatrist, who will make the proper diagnosis regarding her mental state & then prescribe her medicines and/or advice her counseling sessions accordingly. Along with, she needs lots of encouragement & emotional support from her friends, well wishers & near ones to overcome this state. Encourage her to talk out her problems & ventilate her feelings, lead an active & healthy lifestyle & be optimistic with life. Also encourage her to evaluate situations practically & rationally, discuss stressful situations if any with well wishers or seek professional help in solving them, read motivational books & quotes to imbibe optimism within, & make her realize that life is precious & one is gifted with life for once only.
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I had daughter and age is 1 year, my wife deceased at the time of delivery, from that time my daughter is staying at my in-laws place now they are not giving my daughter. What should I do, should I leave my daughter there or get back to my home, ours is a joint family please, suggest me the right decision to take.

MD - Psychiatry
Psychiatrist, Guwahati
It is very unfortunate that the little girl lost her mother & is deprived of that very precious bond. Now you have more responsibilities towards your baby. You have to give her quality time so that she gets the adequate love, care & emotional support, & a healthy attachment bonding grow up between you two. The love & concern however should be balanced, as both over pampering and in-sensitiveness may spoil her. It is always healthy for a child if she grow up in a protective, healthy & balanced environment among own people. She requires proper guidance, support, love, so that she can grow up to be a good individual with impressive personality & principles. If ladies are there in the house she will get motherly care. A lady can also understand a girl’s sentiment better. You better evaluate the environment in both houses, your own one & your in-laws one & decide practically & rationally which place will contribute most to the over all development of your child, where she will get balanced love & care, where she can form strong attachment bonding, which environment will be protective, where she will get a good environment to study & grow in career etc. Keep her in that house where you feel the development & upbringing of your daughter will be best.
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I went to neurologist in 2013. He prescribed me antidepressants for 6 months; as a result of that I suffer from depression symptoms. Now whom should I consult? I suffer from many symptoms now.

MD - Psychiatry
Psychiatrist, Guwahati
I went to neurologist in 2013. He prescribed me antidepressants for 6 months; as a result of that I suffer from depre...
Antidepressant medicines do not cause depression. These medicines reduce & cure Depression. If after treatment also your depressive symptoms are increasing, then better take opinion of a Psychiatrist, as either the medicine is not helping you or the dose have to be adjusted. There is treatment available for depression in the form of medicines & counseling. Get yourself evaluated by a Psychiatrist, who will make your proper diagnosis regarding whether you are suffering from depression or some other condition, & then you will be prescribed medicines or advised counseling sessions accordingly. Along with, take the following measures to help yourself: •Try to lead an active life & maintain a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Try to be contented with what is in hand. Over expectation is usually harmful. •Set goals which are realistic & within your capability & try to pursue them. •Do not spend time alone. Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Read motivational books & quotes. •Spend some time daily recollecting the good moments in your life. •Try to evaluate things practically & rationally. •Avoid people who spreads negativity or demoralize you. •Avoid watching or reading mind disturbing things like violence, crime, horrors etc. •Maintain a daily routine. •Pursue your hobbies or keep a pet. •Every day spend some time with nature & try to feel its beauty. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •If any problem is there in your life, put your maximum effort & try to solve it. Work to enhance your problem solving skills & coping skills. If you are not able to solve any problem yourself, discuss about it with a well wisher or take professional help. •Keep reminding yourself the fact that people with bigger problems exist in this world. Then your problem will seem trivial. •Read or watch comedies & laugh to your fullest. •Above all, keep reminding yourself that life is precious & one is gifted with this life for once only. Every moment, every day is precious & life once lost can never be regained back.
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I'm 24 and I've been smoking since I was 18, its a long time. I used to smoke around 10 cigarettes daily and now I'm completely cigarette free since 1st January 2017. I crave for smoking all the time but I manage myself however to not smoke a single puff of that again but the problem is my chest hurts, mainly right side and I can feel the pain in back as well. I want to know about it, is it common? If it is then what are other problem I'm gonna have while quitting smoking. Suggest me anything which can make this procedure easier. please reply as soon as possible.

MD - Psychiatry
Psychiatrist, Guwahati
You took a very good decision to quit smoking. It is a harmful habit & do not have any beneficial effect on the body. Smoking for long may affect the upper respiratory tract & lungs, causing many problems like throat irritation & infection, chronic cough, COPD, Chronic bronchitis etc. As you are having chest pain better get yourself evaluated by a physician to rule out any affect in your chest & lungs by smoking. Take the following steps to keep up your motivation to continue your effort to quit smoking: oEducate yourself adequately regarding smoking & its ill effects. Acquire the required information by reading books, going through internet or talking to a professional trained in de addiction. OKeep reminding yourself of the benefits you will achieve after quitting smoking: After quitting you will have reduced risk of the many diseases caused by smoking. Your family & near ones will be saved from the ill effects of passive smoking. Your mouth will be saved from the bad odor caused by smoking. You can focus more on your relationships. Smoking might have affected your relations if your close ones were against it, or because you were so preoccupied with the substance, your relations suffered. You can participate actively in social gatherings as you will not have to stay away because of your habit nor have to come out frequently to smoke. You will save the money you were wasting on smoking & use them for better purposes. OImagine & create in your mind a picture of a beautiful future of a life without smoking. Imagine how much you will benefit in your new life. In between your beautiful imaginary picture also imagine that you started to smoke again. Then imagine how one by one the beautiful picture will shatter. Once you become aware of the consequences of relapse, you will also develop fear of relapsing. You will then stay more cautious not to start it again. OCount the first day of your quitting as the first day of a new start & from that day, live one day at a time. It is helpful if you can relate this day to some important events in your life like your birthday or birthday of someone close, anniversary, day of some achievements etc. On the morning of the second day, tell yourself that you are starting the second day of your substance free life & by night time thank yourself that you stayed substance free whole day & encourage yourself to stay smoke free in coming days too. Celebrate your victory of staying sober on completing 1 week, 2 weeks, then 1 month, 2 months, 3 months, and on completing one year celebrate the first birthday of your sobriety. This will encourage you to stay sober further. OAvoid triggering factors that may tempt you to smoke. For example if the triggering factor was internal say some stress for which you got inclined to abusing substance, then work on the stress to remove it or take help of a counselor to overcome the stress. If the trigger was external, like some friends persuade & you could not say no, in some specific event or situation you usually smoke etc, then stay away from those situation. OImmediately after quitting, craving will be intense. But gradually with time it will reduce. So the initial days you have to be very careful. Keep yourself busy & diverted. You can use alternatives like nicotine lozenges or chewing gum. Gradually reduce the amount of these chewing gums & stop them. OThrow away all cigarettes you have with you. Having them within reach may increase your temptation. OStart new healthy habits & opt for a healthy lifestyle. OEat healthy diet. OJoin a support group comprising of people who came out of smoking & had undergone the same situation as you. You will get a platform to discuss your queries & together can motivate each other to stay sober & also help others to overcome smoking. If you are not able to do yourself alone, then take professional help. Now-a-days de-addiction treatments are available for quitting all substances of abuse including smoking. Such treatment includes detoxification & rehabilitation program. Consult a psychiatrist & start your treatment at the earliest. Medical detoxification is the first stage of de addiction treatment, when the addicted person is treated with medicines. The withdrawal symptoms which occur on sudden stopping of an addictive substance are managed through detox treatment. Medical detoxification systematically and safely will withdraw you from smoking. The next phase is the Rehabilitation program which includes counseling sessions & other behavioral therapies. These sessions have important role in the de addiction process. Counseling sessions will help to enhance your motivation skills to stay sober, build skills to resist smoking, replace substance-using activities with constructive and rewarding non substance-using activities, and improve problem-solving abilities. Behavioral therapy will work on interpersonal relationships and your ability to function effectively in the family and community. All the best for your effort. Wish you success.
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Hello I am 23 Year old male. I used to to chew gutkha but now I want to quit it. I used to chew 20 to 30 packets a day but from last 2 days I only used 2 to 3 packets in a whole day. I do not want to chew that too but one of my friend told me that leaving completely will do side effect is this right? And the other question is that I have some white cuts or only marks on both side in my mouth. But do not have any type of pain or any difficulty in talking or eating. Do I need to worry about that or is it normal? Thank you waiting for your response.

MD - Psychiatry
Psychiatrist, Guwahati
Gutka is a substance of abuse. It is a dry preparation, that consist of betel leaf, areca nut, tobacco, catechu (extract of the acacia catechu tree) & slaked lime, with sweet or savory flavorings. Due to its stimulant activity, gutka is used as a recreational drug. As it is a harmful product & do not have any beneficial effect on the body, you better quit it as early as possible. Now-a-days de-addiction treatments are available for quitting all substances of abuse including gutka. Such treatment includes detoxification & rehabilitation program. Consult a psychiatrist & start your treatment at the earliest. With treatment you can quit the gutka immediately & you will not require the gradual reduction of the quantity of gutka, as advised by your friend. Medical detoxification is the first stage of de addiction treatment, when the addicted person is treated with medicines. The withdrawal symptoms which occur on sudden stopping of an addictive substance are managed through detox treatment. Medical detoxification systematically and safely will withdraw you from the gutka. The next phase is the Rehabilitation program which includes counseling sessions & other behavioral therapies. These sessions have important role in the de addiction process. Counseling sessions will help to enhance your motivation skills to stay sober, build skills to resist gutka use, replace gutka-using activities with constructive and rewarding non gutka-using activities, and improve problem-solving abilities. Behavioral therapy will work on interpersonal relationships and your ability to function effectively in the family and community. Detoxification is usually completed within 7-10 days & can be done both on out patient basis & as in patient. Rehabilitation program usually ranges between 30-90 days. Along with, mentally prepare yourself to stay away from gutka. Following measures will help you to prepare yourself mentally against the substance: oEducate yourself adequately regarding gutka & its ill effects. Acquire the required information by reading books, going through internet or talking to a professional trained in de addiction. OKeep reminding yourself of the benefits you will achieve after quitting gutka: After quitting you will have reduced risk of the many diseases caused by gutka including oral cancer and a variety of other medical conditions like heart attack, respiratory, cardiac depression, hypertension, reproductive health dysfunction etc. Your teeth will be saved from the unpleasant stains. Your mouth will be saved from the bad odor caused by gutka. Any sores or ulcers in your mouth will heal well. You can focus more on your relationships. Taking gutka might have affected your relations if your close ones were against it, or because you were so preoccupied with the substance, your relations suffered. You can participate actively in social gatherings as you will not have to stay away to hide your habit nor have to come out frequently to chew gutka. You will save the money you were wasting on gutka & use them for better purposes. OImagine & create a picture of a beautiful future in your mind of a life without gutka. Imagine how much you will benefit in your new life. In between your beautiful imaginary picture also imagine that you started to take gutka again. Then imagine how one by one the beautiful picture will shatter. Once you become aware of the consequences of relapse, you will also develop fear of relapsing. You will then stay more cautious not to start it again. OCount the first day of your quitting as day of a new start & from that day, live one day at a time. It is helpful if you can relate this day to some important events in your life like your birthday or birthday of someone close, anniversary, day of some achievements etc. On the morning of the second day, tell yourself that you are starting the second day of your substance free life & by night time thank yourself that you stayed substance free whole day & encourage yourself to stay gutka free in coming days too. Celebrate your victory of staying sober on completing 1 week, 2 weeks, then 1 month, 2 months, 3 months, and on completing one year celebrate the first birthday of your sobriety. This will encourage you to stay sober further. OAvoid triggering factors that may tempt you to take gutka. For example if the triggering factor was internal say some stress for which you got inclined to abusing substance, then work on the stress to remove it or take help of a counselor to overcome the stress. If the triggering was external, like some friends persuaded initially & you could not say no, in some specific event or situation you started taking gutka etc, then stay away from those situation. OImmediately after quitting, craving will be intense. But gradually with time it will reduce. So the initial days you have to be very careful. Keep yourself busy & diverted. OThrow away all gutka you have with you. Having them within reach may increase your temptation. You can use alternatives like lozenges or chewing gum. OStart new healthy habits & opt for a healthy lifestyle. OEat healthy diet. OJoin a support group comprising of people who came out of addiction & had undergone the same situation as you. You will get a platform to discuss your queries & together can motivate each other to stay sober & also help others to overcome addiction. Start your effort to quit gutka at the earliest. All the best. Regarding the white marks on your mouth, get yourself examined by a doctor. He will advice you the necessary investigations & give treatment if required.
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My exams are near by, I am not able to concentrate in studies So, please give me some tips to improve my concentration in studies.

MD - Psychiatry
Psychiatrist, Guwahati
Your exam is knocking at your door. Start your studies with a calm, positive & optimistic mind. Focus on your preparation only. Put your maximum effort in your preparation & aim to give your best. Do not think of the outcome & its consequences now. Prepare yourself mentally for the exam. Take the following measures to improve your concentration & prepare well: •Make a study routine giving maximum time for studies. Also give adequate time for sleep, rest & relaxation. Between studies you have to relax also. This will help in sustaining your interest & concentration. Try to stick to your routine. At night look back how much you could follow the routine & reward yourself if the day was productive & to your satisfaction. In the form of reward you can give little extra time for relaxation next day, watch TV or spend some with internet, eat something you like, meet a friend etc. Encourage yourself daily. •Revise your lessons regularly. •Study relaxly with a calm mind & take small breaks during studies. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Create the environment in your study room similar to your exam hall. Then you will find your exam hall comfortable & familiar. •Expect exam outcomes rationally & what is within your capability. Impractical & over expectation that is beyond one’s capability brings in fear & frustration. •Take your class time seriously by taking notes summarizing what your teacher has said. •During the days of preparation for exam eat healthy, stay hydrated & avoid substances of abuse, as a healthy body prepares a healthy mind. •Every morning relax yourself adequately before you sit for studies; go for a walk, spend some time with nature, go for a walk, do yoga, breathing exercise or relaxation techniques. •On the day prior to exam sleep adequately. •Reach the examination hall before time so that you are relaxed & mentally prepared for the exam. Do not guess the exam outcomes just target to give your best. Think positive. Start writing with a calm mind. Be aware of the anxiety symptoms, & if you feel anxiety is building up, just concentrate on breathing in & out slowly or tighten & relax your shoulders or stretch your legs. You can also take a small break & drink some water •Do not look around; just concentrate on your paper. •Revise quickly once you finish answering. All the best for your preparation & for your exam. Give your best.
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Is generalized anxiety disorder completely curable? 2 years back I was fully mentally fit. Now, due to anxiety I am afraid of closed spaces, high speed, height, big movie theater screen, lift, metro etc. Medicines suppressed my anxiety, but after stopping them, it can again come up.

MD - Psychiatry
Psychiatrist, Guwahati
Is generalized anxiety disorder completely curable? 2 years back I was fully mentally fit. Now, due to anxiety I am a...
Generalized Anxiety disorder is a treatable condition. The two main treatments for anxiety disorders are psychotherapy/behavioral therapy and medications or a combination of the two. The treatment is usually long term. That you are feeling scared in closed spaces, height, lift, metros, high speed, big theater screens etc indicate that the anxiety symptoms are still in you. Get yourself evaluated by a Psychiatrist who will prescribe you medicines and/or advice you counseling sessions accordingly. Adhere to treatment. Also stay under regular supervision of your doctor, as treatment may be modified from time to time based on your state. Do not stop treatment on your own without advice from your attending doctor. & if you have any query regarding your symptoms or treatment, talk openly with your doctor. Along with, take the following measures: •Lead a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Have adequate sleep. •Explore your own talents & feel good about yourself. •Set goals which are realistic & within your capability & try to pursue them. •Maintain a daily routine. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •Enhance your coping skills & problem solving skills. •Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Rest in a dark room. •Practice deep breathing & relaxation exercises •Eat healthy food & reduce caffeine, tea, cola, and chocolate consumption. Stay positive, do not loose hope. With proper intervention you will definitely come out of this condition.
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I am suffering from bipolar disorder and I am taking medicines from 3.5. Years continuously. Earlier it was treated as only depression because my psychiatric did not examined that. I judged by myself that I am suffering from bipolar disorder and told the doctor. I am taking medicines of bipolar disorder from 5 months but I am not satisfied with it. But the doctor is best as of my reach in the 150 km radius circle or zone. As I describe my symptoms to doctor he adds tablets in every visit. He does not discuss about the disease and I am always curious to know about my medicines and about disease. I am loosing hope and feeling helpless. What can I do in these conditions? Can I live a normal life? For how much time I have to take medicines?

MD - Psychiatry
Psychiatrist, Guwahati
I am suffering from bipolar disorder and I am taking medicines from 3.5. Years continuously.
Earlier it was treated a...
Bipolar disorder is a type of mental disorder, characterized by fluctuation of mood, energy & activity levels that affects a person’s normal day to day functioning. It is an episodic illness where the affected person gets cycles of elevated mood termed mania or hypomania & low mood termed depression. That you were treated for depression initially indicate the possibility of your initial episodes being depressive episodes. If you doubt your diagnosis & treatment, you may take a second opinion of another Psychiatrist & get yourself re-evaluated. Treatment is long term for this condition. There are various medicines available for this disorder along with psychotherapy. It is very necessary that you adhere to treatment & stay under regular supervision of your doctor, as treatment will be modified from time to time based on your state. Do not stop treatment on your own without advice from your attending doctor. & if you have any query regarding your symptoms or treatment, talk openly with your doctor. You can definitely lead a normal life. Take the following measures along with taking medicines regularly & in time: •Educate yourself adequately about the illness: its coarse, symptoms, treatment, also regarding the various myths associated with this type of illness. Understand the illness properly. •Accept the fact that the illness is in you, & try to keep it under control by following your doctor’s advice. •Maintain a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. Eat healthy diet. •Lead an active life & follow a daily routine. Give time to your hobbies if any. •Stay positive & optimistic about life & spend time with friends, family members or well wishers with whom you feel comfortable & positive. •If any stress if there in your life, go for stress management, as stress may trigger your illness. •Sleep adequately & avoid sleep deprivation. •Avoid alcohol & other substances of abuse. Stay positive, do not loose hope. With proper intervention definitely the illness will be under control & you will lead a normal healthy life.
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Sir/mam, I am doing vocal practice from last 4 months (approx). From last 3 4 days am practicing 3 times a day which I never use to do My vocal become hoarse People suggest me that this is natural, voval is making it's position But am afraid for my vocals. I do not wanna break my practice by taking rest I reduced it (if possible) Please suggest.

MD - Psychiatry
Psychiatrist, Guwahati
Vocal practice has beneficial effect if done regularly for a specific time period & in a stable manner. Over practicing may strain your voice & lead to the subsequent ill affects. So rather than sometimes over practicing & sometimes under practicing, continue your practice daily for the same duration of time, in a calm & relaxed state of mind, enjoying your practice at the same time. Also take care of your throat & consult an ENT specialist if the hoarseness persist or continue to increase, who will also advice you regarding how to take proper care of your throat.
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I have psychological problem from the childhood. My problem is I can not face from photography. When anyone take my picture I at that time I feel tickle & sweat. Everytime I pass same situation .I can not do eye contact to camera.in any occasion when someone take my picture ao alwaysly there will be lights ane camera bt sir really I do not face it. No one can believe my this situation .plz sir help me why it happens with me. When I tell this anyone .everyone laugh at me. Sir plzz help me .give me reply sir on my this stage decease. Sir/madam plzzz.

MD - Psychiatry
Psychiatrist, Guwahati
I have psychological problem from the childhood. My problem is I can not face from photography. When anyone take my p...
Whenever you face a camera you feel uneasy and you try to avoid it, and there is no other problem in any spheres of your life except facing camera. This indicates the possibility that you may be having Specific phobia for photography. Specific Phobia is a type of anxiety disorder. In specific phobia, a person has unreasonable or irrational fear related to exposure to specific objects or situations. As a result, the affected person tends to actively avoid direct contact with the objects or situations. The fear or anxiety may be triggered both by the presence and the anticipation of the specific object or situation. Although people with this type of phobias realize that their fear is irrational, even thinking about it can often cause extreme anxiety. Exposure to the object also causes various physical symptoms such as pounding heart, vomiting tendency, diarrhea, sweating, trembling or shaking, numbness or tingling sensation, shortness of breath, dizziness, choking sensation, chest pain or discomfort, stomach upset, chills or hot flashes, looking flushed etc. This phobia may be associated with some traumatic experience of childhood; maybe some unpleasant incident happened during your childhood while clicking photo when you were a child. Though the actual event forgotten, but its impact stayed back. It may also be a learned behavior: as a child you might have seen someone close reacting with fear while taking photo & you started responding the same way, which became intense as you grew up. At times the cause is not known. To reach the actual diagnosis, get yourself evaluated by a Psychiatrist, who will prescribe you medicines or advice you counseling sessions accordingly. Along with medicines, various behavior techniques & therapies are available to help you overcome this problem. Along with, put your effort to come out of this situation. You need to face your fear rather than avoiding it. Before facing the camera, go mentally prepared for it. Try to keep stay calm & relaxed. More you will face the camera, your confidence will grow more & you will become more determined to overcome the situation. After facing the camera, if you feel there is improvement in you, praise & encourage yourself. You are not alone in suffering from this type of problem. Many are suffering from this problem in different forms & many had also overcome it with proper therapy & self determination. So stay positive. Though facing camera make you uncomfortable, you are still managing to control your fears and carry on with daily activities. This is a good positive sign. There is solution to this problem & you can also come out of it.
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Hello doctors I want to share my problems of my nervousness and sensitiveness .even a very small things bother me .during xams time my preparation r well nor I think too much than also on these days I face a lots of problems like no eating .weakness .sleepiness hesitating. Negativity. Etc .and during xams time at hall specially on practical xams I know the sums even I know the question from whedoctor has came then also WO nai banega .and at home within 10 min it will b solved .friends and others told me don't get nervous in hall breathe in and out bt its don't work .only wastage of to time and again nervousness. That's y my xams got ruined every year .question like development etc even I have never read than also I can write a page about it bt in xams uff my brain stop working .4*9=36 bt I wrote 32 and I chked thrice bt I can't find the mistake in my sums I know answer was wrong bt I can't find mistake. And others problems like I'm very sensitive everything bother me .if anyone demoralized me I can't do any work. I feel very bad even when someone praise me than also I feel very happy bt praise is better as when someone praise me It not affect my daily life .bt anyone WO demoralized .angry scolded me my whole day. Even month and year I took time to forget .what to do man I don't want such a shit nature please help me doctor I'm 20 years old .and I'm normal guy .bt then also if some 15 years or other boy will threats me I got afraid even I know in fight I will win I'm right than also I feel afraid I'm fed of this. I don't want such a pathetic nature .people tells you r good person that's y .bt I don't wanna b good what is the benefit of being good .my friends do some naughtiness even I wanna do bt I can't .I don't want to change my good nature and manner bt nervousness .nd other above .affects me a lots its making my life hell here only so please help .sorry to write such a long .bt hope you understand ty. please help.

MD - Psychiatry
Psychiatrist, Guwahati
Hello doctors I want to share my problems of my nervousness and sensitiveness .even a very small things bother me .du...
Nervousness seems to have immense adverse impact in your life & in your day to day functioning too, with negative impact in your studies & so frustration had started developing in you. The symptoms you are suffering from indicate that you are having excess anxiety within, & you even panic in some situations. Anxiety is a state which is characterized by unpleasant feeling of nervousness, uneasiness or worry, with lots of emotional turmoil within, leading to nervous behavior. It a normal emotion which occurs in response to any stress & it resolves spontaneously when the stress is gone. Everyone experiences anxiety now & then to some extent .But it is a disorder if the anxiety is very distressing, difficult to cope with, affects day to day functioning & disrupts normal life of a person. In Anxiety disorder the affected person experiences various symptoms, which include: •Feelings of panic, fear, and uneasiness •Sleep disturbance •Palpitation or rapid heartbeat •Cold or sweaty hands or feet •Shortness of breath •Restless feeling •Tingling sensation or numbness in hands & feet •Dizziness •Vomiting tendency •Stiffness of body •Dry mouth •Butterflies in stomach, a state where the person feels certain discomfort in stomach •Problem with thinking clearly, concentrating & distraction, leading to forgetfulness •Indigestion & abdominal pain •Frequent urination •Feeling weak or tired •Headache •Having a sense of impending danger, panic or doom •Lightheaded. Anxiety Disorder may be: 1. Specific, in which the anxiety occurs in response to specific stress. 2. Generalized Anxiety disorder where there may be no specific triggering factors, & the anxiety symptoms are present all the time. 3. Secondary to physical illnesses like Heart disease, Diabetes, Thyroid problems such as hyperthyroidism, certain Respiratory disorders, Drug abuse or withdrawal, Chronic pain or irritable bowel syndrome, certain tumors that produce hormone imbalance etc. 4. Sometimes anxiety can be a side effect of certain medication. 5. A person may also get Panic attack, which is sudden episodes of anxiety lasting few minutes, when the person gets intense anxiety symptoms. It usually occurs without any triggering factor. The Anxiety or nervousness you are suffering from is usually triggered by stressful situations like exam time. Get yourself evaluated by a Psychiatrist, who will prescribe you medicines or advice you counseling sessions accordingly. The two main treatments for anxiety disorders are psychotherapy and medications or a combination of the two. Along with, take the following measures: •Lead a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Have adequate sleep. •Explore your own talents & feel good about yourself. •Set goals which are realistic & within your capability & try to pursue them. •Maintain a daily routine. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •Enhance your coping skills & problem solving skills. •Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Rest in a dark room. •Practice deep breathing & relaxation exercises •Eat healthy food & reduce caffeine, tea, cola, and chocolate consumption. During exam it seems you experience intense anxiety symptoms that affects your performance in exam. The underlying anxiety is leading to your forgetting the answers you prepare well, impairs your concentration & thinking, leading to your slow & unsatisfactory performance. Excess anxiety also temporarily block one’s thinking, judgment & decision taking capacity because of which you fail to recollect your answer spontaneously, nor could see your mistakes even after revision. Seek professional help early. With medications & counseling sessions, you will definitely come out of this problem. Take following measures to deal with the nervousness during exam: •Start studying early & study daily from the start of your academic session •Revise your lessons regularly •Have a plan to manage your time of study •Study relaxly with a calm mind & take small breaks during studies. •Be confident of yourself & do not compare yourself with others. •If you feel stressed while studying, talk to someone, listen to some music or do something that relax you. •Create the environment in your study room similar to your exam hall. Then you will find your exam hall comfortable & familiar. •Expect exam outcomes rationally & what is within your capability. Impractical & Over expectation that is beyond one’s capability brings in fear & frustration. •Take your class time seriously by taking notes summarizing what your teacher has said. •During the days of preparation for exam eat healthy, stay hydrated & avoid substances of abuse, as a healthy body prepares a healthy mind. •On the day prior to exam sleep adequately. •Reach the examination hall before time so that you are relaxed & mentally prepared for the exam. Do not guess the exam outcomes just target to give your best. Think positive. Start writing with a calm mind. Be aware of the anxiety symptoms, & if you feel anxiety is building up, just concentrate on breathing in & out slowly or tighten & relax your shoulders or stretch your legs. You can also take a small break & drink some water •Do not look around; just concentrate on your paper. •Revise quickly once you finish answering. It’s a good quality to be sensitive, but it never good to be over sensitive, as it starts affecting your normal functioning. One should always enhance one’s good qualities & try to overcome one’s bad qualities. From others one should take their good & ignore their bad. Deal with criticisms by others in a matured way. If anyone scolds you, criticize you or tells something that hurt you, rather than reacting or feeling bad, first ponder over it & think deeply. If you find out that whatever said has some reality & some fault was in you then rectify it & try not to repeat it. & if you find out it was only a baseless criticism, then meet the concerned person & politely explain the fact. If someone younger to you behaves immaturely, you should reply maturely. Then they will look high on you. If you also behave the same way they did, no healthy solution will come; rather the problem will increase further. Retaliating with physical violence is never a healthy way of solving problem. Violence attracts more violence in return.
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Hello sir, my age is 23 I'm doing b-tech. Sir I'm always in depression that will I do this, always negative thoughts .due to this my bp is150-105. So sir how could I cure my depression?

MD - Psychiatry
Psychiatrist, Guwahati
Hello sir, my age is 23 I'm doing b-tech. Sir I'm always in depression that will I do this, always negative thoughts ...
Depression is a state in which a person: •Feels low or sad most of the time. •Losses interest in things one liked or enjoyed previously. •May feel helpless, unworthy, hopeless, empty, irritable or may feel guilty for no reason. •May see the whole world negative with pessimistic thoughts coming to the mind, sometimes to extent of having suicidal tendencies. •May experience loss of appetite with weight loss or may overeat with weight gain. •Have problems concentrating, remembering details or making decisions. •May experience relationship difficulties. •May have reduced sleep or may sleep excessively. •May have various physical problems like fatigue, aches, pains, digestive problems or reduced energy all the time which are usually not relieved even after treatment. •May have loss of emotional expression. Depression may be the result of some stressful life events or may be due to various physical conditions like thyroid or endocrinal disorders, number of infectious diseases, nutritional deficiencies, neurological conditions, diabetes etc. There is treatment available for depression & other Psychiatric disorders, in the form of medicines & counseling. The high BP you are suffering from may be precipitated by your present mental state or it may an independent disease. So before attributing it to Depression, get yourself evaluated by a physician to rule out any underlying physical illnesses. & if any other illness detected, it should be treated accordingly. Also get yourself evaluated by a Psychiatrist, who will make your proper diagnosis regarding whether you are suffering from depression or some other condition, & then you will be prescribed medicines or advised counseling sessions accordingly. Along with, take the following measures: •Try to lead an active life & maintain a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Pursue your hobbies or keep a pet. •Set goals which are realistic & within your capability & try to pursue them. •Try to be contented with what is in hand. Over expectation is usually harmful. •Do not spend time alone. Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Read motivational books & quotes. •Spend some time daily recollecting the good moments in your life. •Try to evaluate things practically & rationally. •Avoid people who spreads negativity or demoralize you. •Avoid watching or reading mind disturbing things like violence, crime, horrors etc. •Maintain a daily routine. •Every day spend some time with nature & try to feel its beauty. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •If any problem is there in your life, put your maximum effort & try to solve it. Work to enhance your problem solving skills & coping skills. If you are not able to solve any problem yourself, discuss about it with a well wisher or take professional help. •Keep reminding yourself the fact that people with bigger problems exist in this world. Then your problem will seem trivial. •Read or watch comedies & laugh to your fullest. •Above all, keep reminding yourself that life is precious & one is gifted with this life for once only. Every moment, every day is precious & life once lost can never be regained back.
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