Doctor in Shanti Psychaitry Clinic
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Child and Adolescent Problems
Treatment of Behaviour & Thought Problems
Treatment of Sexual Disorders
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Electroconvulsive Therapy (Ect) Treatment
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Dr. Suresh Patil provides answers that are caring and very helpful. Thanking you
Mental illness affects the patient as well as the immediate family. Once the affected member has been diagnosed with a mental illness, his family members find it difficult to accept this situation. They are in a state of denial. This state later gives way to feelings of frustration, resentment, anger and helplessness.
To overcome these feelings, it is important for the family to move beyond the mental illness of its relative and not away from him. The family members must accept the reality that someone among them is ill and it is their duty to help him recover from his mental illness.
Effect of social stigma
- Unfortunately, mental illness draws social stigma. Many relatives of mentally ill people who are afflicted do not discuss their predicament with others. The reason is not too hard to discover- large sections of society think that mental illness is something very horrible. Very few people know that psychiatric disorders are treatable and they are as good or bad a disease as others.
- Strangely, while the society comes out in support of people suffering from cancer and other life-threatening diseases, in cases of mental illness it adopts a position of aloofness. The underlying thought in the minds of people is that there must be something wrong in the family of the mental illness patient.
- The net result is that the family withdraws from the society and gets into a shell. Guests are not invited over on social occasions and it often happens that the family gets into depression.
- Coping with frustration and helplessness
- Psychiatrists also point out to another range of emotions affecting the family members of a mentally ill person- feelings of frustration, helplessness and anger.
- Imagine a situation where a schizophrenic child is unable to perform even normal tasks, such as eating food. The parent will try to convince the child to have her food but the mentally ill child cannot perform even that basic function. Unless the parent understands that this is not a normal child, she will continue to try to feed it. The child will, on the other hand, resist. This will continue till the time when the parent gets frustrated and angry at her child’s behaviour. The parent will wonder why her child is not having the food by herself.
- This situation will not arise if the parent and other family members accept that the child is ill and needs medical intervention.
- This feeling can later lead to a sense of resentment and anger. Family ties can be ruptured because the members would begin to think that their social activities depend upon the medical condition of their sick family member who needs constant attention.
Schizophrenia affects over 1% of the world’s population and affects the way a person thinks, feels and behaves. In most cases, it is diagnosed when a person is between the ages of 16 to 25. This condition can be hereditary and is said to affect men more often than women. Schizophrenia is characterized by an inability to distinguish between real and imaginary which can lead to delusions, social withdrawal, hallucinations and other forms of social and occupational dysfunction.
Schizophrenia affects different people in different ways. On the basis of the type of symptoms exhibited, this disease has been categorized into 5 sub types. These are:
- Paranoid schizophrenia: This type of schizophrenia is characterized by delusions and hallucinations that may make the person exhibit paranoid behaviour. These people often feel like they are being watched or followed and may have delusions of grandeur. They may also get angry quickly on minor issues and show signs of anxiety and hostility.
- Disorganized schizophrenia: In such cases, the person may behave in ways that are difficult to understand or speak in broken sentences and have difficulty structuring a sentence. They may also display inappropriate behaviour and react in ways not suitable to the occasion. People suffering from disorganized schizophrenia may also neglect their personal hygiene.
- Catatonic schizophrenia: People suffering from catatonic schizophrenia may swing between immobility and periods of rapid movement. They may stay quiet for hours or talk rapidly repeating everything they hear. These people have a high risk of harming themselves as they are usually unable to look after themselves and complete daily activities.
- Undifferentiated schizophrenia: People suffering from this type of schizophrenia exhibit behaviour that fits into more than one type of schizophrenia. From time to time they may have hallucinations, suffer from delusions or display catatonic behaviour and disorganized behaviour or speech.
- Residual schizophrenia: Even though a person may not be currently showcasing any signs of schizophrenia, they are said to have residual schizophrenia. Such people need to have had at least one schizophrenic episode. These people may exhibit symptoms later or be in complete remission.
With schizophrenia, an early diagnosis can make treatment easier and hence if you notice anyone exhibiting signs of schizophrenia, you must advise them to seek medical help immediately. Schizophrenia cannot be cured but it can be managed with a combination of typical or atypical medication and cognitive therapy. The latter can be in the form of self-help groups, housing and employment programs, counselling and therapy.
Mental illness or disorders are not uncommon, and they continue to affect millions of people around the globe irrespective of their ages and sex. Such disorders often require thorough and prolonged treatment, which is extremely challenging and involves a lot of risks as well. If not treated appropriately, it can lead to further worsening of the condition of the affected individual.
To keep affected individuals grounded and on course for an effective treatment, it is essential for their family members to support them. Many people employ psychiatrists, whose expertise in handling mentally unstable individuals, can be the difference between the success and failure of treatments.
Role Of Family In Caring Affected individual-
No matter how distant you feel from your family, it is your one true support system. People with mental conditions are often misunderstood by their own families. But such people need family care, love, and affection the most. Many mentally disturbed people, both young and old, experience worsening symptoms, because no one seems to understand, or even empathize with them. Families can help affected individuals by listening to them without being biased - like taking care of their needs that they can't take care of on their own.
Benefits of Family Involvement
The benefits that the mentally ill individual gets from family involvement, have far-reaching positive consequences on the overall effectiveness of treatment. First and foremost, the chances of recovery are highly increased. The rates of hospitalization and chances of relapse decrease significantly. In addition to this, the adherence to the choices of treatment is readily enhanced. A lot of money is saved as well, as family support often leads to an improvement in conditions within a short space of time. Whereas, without family support, the treatment may be prolonged.
Support of the Psychiatrist
Apart from the complete support of the family members, the psychiatrist plays an important supporting role that can significantly increase the chances of successful treatment. Psychiatrists undergo the study of psychiatry, a branch of medicine that deals with diagnosis, study, prevention and treatment of disorders related to the mental health of human beings.
A psychiatrist conducts a detailed clinical assessment of the mentally ill individual and chalks out a treatment plan accordingly. The family can help as per the directions of the psychiatrist, and hence the support is quite vital. Psychiatrists regularly conduct counseling sessions to assess the condition of the affected individuals, so that they can recover soon.
Recovery may be difficult initially, but with support systems like families and psychiatrists, the problems are bound to be resolved eventually. In case you have a concern or query you can always consult an expert & get answers to your questions!
At a young age, it is fairly common to be afraid of math. The rational nature of numbers, multiplication tables, addition, subtraction and all that in between can admittedly be a tough thing to get on with at a tender age. But in most of the cases, this difficulty tends to improve as one attains maturity. This can be attributed to a growing familiarity with the subject and a subsequent change in the way of understanding certain things. But if your child suffers from a problem with understanding math even at a grown age, chances are he/she might be suffering from Dyscalculia- a special type of learning disorder that is characterized by a person’s inability to grasp the concepts of math or the very concept of numbers itself.
Dyscalculia generally occurs due to genetic factors. However, it is also possible to encounter this disorder if your child had suffered from significant brain injury in the past or have problems with remembering things. It is also possible to have this disorder, if your child is already suffering from Dyslexia ( a learning disorder which makes your child unable to read or understand written words).
The symptoms of Dyscalculia are as follows:
- Inability to recognize numbers and significant trouble while counting.
- Significant problems while performing basic additions, subtractions or divisions.
- Facing problems with how to use money or telling time.
- The problem with memorizing mathematical formulae or tables.
- Your child might be unable to discern exactly how to approach a math problem.
- Your child will be increasingly reluctant to go to a math class or feel tensed before math examinations.
- Inability to understand the basic functionality of numbers.
It is extremely important to remember that having this disorder does not necessarily mean your child has a bad academic record on the whole. Since this disorder can cause significant problems in the future for your child in terms of dealing with things in the real world, you should be extremely sensitive regarding its treatment.
The treatment of Dyscalculia might include:
- You should encourage your child more and more if they tend to get immensely frustrated with their math problems. If possible, try to help your child with his/ her homework.
- Strike a healthy relationship with your child. Make him realize that not being able to grasp the concept of numbers is not the end of the world. Explore his other skills. That might boost his lost confidence and might encourage him to approach math in a more efficient manner.
- You should try to make your child learn how to tell time or use money with little home exercises. If possible, try to make him learn the basic of math with daily activities like counting the number of flowers while walking down the streets.
- You must consult a specialist who will make your child learn numbers by following different modes other than writing. For example, the specialist might read a math problem to your child in order to make him understand the problem.
Both men and women can suffer from sexual dysfunction which in common man’s speak is a problem that prevents you from experiencing sexual satisfaction. If you are experiencing sexual dysfunction in any part of the sexual response cycle which traditionally includes excitement, plateau, orgasm, and resolution, you are not alone. Research suggests that 43 percent of women and 31 percent of men report some degree of sexual dysfunction or difficulty.
It also remains a topic that many people are hesitant to discuss and resolve worldwide. Read on to know more on sexual dysfunction so that you can understand it and seek treatment for it because treatment options are available and extremely helpful.
Types of sexual dysfunction
Sexual dysfunction is classified into four categories:
- Desire disorders: This is a generalized lack of sexual desire or interest in sex
- Arousal disorders: Inability to become physically aroused during sexual activity
- Orgasm disorders: A delay or absence of orgasm
- Pain disorders: Pain during intercourse
Symptoms of sexual dysfunction
- Erectile dysfunction - An inability to achieve or maintain an erection for penetrative sexual intercourse
- Retarded ejaculation - An absent or delayed ejaculation despite sexual stimulation
- Early or premature ejaculation - Inability to control ejaculation
- Inadequate vaginal lubrication before or during sex
- Inability to relax the vaginal muscles for sexual intercourse to happen
- Lack of interest in or desire for sex, an inability to become aroused or pain during intercourse are also classified as sexual dysfunction.
Causes of sexual dysfunction
- Physical causes - A number of medical conditions can cause problems with sexual function like diabetes, heart and neurological problems , hormonal imbalances, kidney or liver failure, and alcoholism and drug abuse. Anti depressant use can also affect sexual function.
- Psychological causes - Stress and anxiety, sexual performance anxiety, relationship problems, depression etc. are some of the psychological causes responsible for sexual disorders. Feelings of not being good enough and the effects of a past sexual trauma also come into play.
Diagnosis of sexual dysfunction
The doctor will begin with a history of your symptoms, followed by a physical exam to rule out medical problems.
A major part of diagnosis is psychological. The doctor will evaluate your attitude about sex, as well as other contributing factors like fear, anxiety, past sexual abuse, relationship problems, medications, alcohol or drug abuse, etc. to understand the underlying cause of the problem.
Most types of sexual dysfunction can be treated by addressing the underlying physical or psychological problems. Other common ways to treat sexual dysfunction are:
- By changing a medication which may be casing sexual dysfunction - If you have a sexual dysfunction due to hormone deficiencies, you may benefit from hormone shots, pills, or creams. Men can use Viagra or Cialis for erectile dysfunction by increasing blood flow to the penis.
- Mechanical aids - Penile implants or vacuum devices can be used in men to maintain an erection. Vacuum devices are used in women too and so are dilators to help women who have an extremely narrow vaginal opening.
- Sex therapy - Marriage counselors and therapists help couples resolve their relationship issues that may be causing sexual dysfunction.
- Behavioral therapy - This helps you to seek insight into your behaviour which may be causing sexual dysfunction and address it.
- Psychotherapy - This type of therapy can help you resolve prior sexual trauma, feelings of inadequacy, anxiety, fear, or guilt, and poor body image.
Every marriage requires effort from both the individuals involved, to make it last. Many times, marriages end because the partners start to believe that the spark is no longer there. There are, however, many ways to add the spark, lust and excitement back into your marriage.
- Add a component of surprise - Mystery and surprise imitate the emotional condition of a new romance. But that doesn’t mean surprising your partner with expensive dinners or taking him/her away to the Mediterranean. A small affectionate gesture also goes a long way. For example, you can surprise your partner at work and take her/him away for a lunch or send him/her a love note or a greeting card through e-mail.
- Join in new activities with your partner - Experiment with dissimilar activities that you have never done before. This will help you bring back the excitement in your relationship. For example, you can plan a slow dance with your partner, or hike a mountain, or go deep-sea fishing.
- Do something to kick up your arousal - Do activities that boost your adrenaline. For example, you can include exercises such as hiking on a mountain, a roller coaster ride, watching a horror movie, or even simply a treadmill exercise.
- Listen to your partner - Often couples talk, but not listen. An exchange of attention brings closeness. Ask your partner about their whereabouts or what they have been doing all day long, and do listen and give feedback to their answers. Encourage your partner to talk about his/her hidden feelings and fears. Praise and appreciate the small things your mate does every day, as he/she deserves appreciation.
- Travel and create an adventure in your marriage - Take a small vacation alone with your partner. Get out of the house for a day or two and choose a place that interests the both of you. You don’t have to go far away from your home and invest a lot of money. Just travel to a place where you two can spend quality time together.
- Touch your partner more often - Touch generates arousal and a sense of support and comfort, both psychologically and physiologically. Hold your partner's hand during a walk and make sure that you kiss, hug or embrace every single day. This will remind you that you both are bonded together physiologically.
- Play - In the nub of a busy life, couples forget to have fun and enjoy their married life. Every relationship should be about fun. This not only makes you enjoy each other's company, laugh and add fun to your relationship, but also leads you both to sexual arousal.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.
Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.
Causes of OCD-
The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.
- Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
- Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
- Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.
Treatment of OCD-
- Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms.
- The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
- Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
- Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
- Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
- Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.
Putting It All Together-
- Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
- Consult with a qualified therapist using behavioural rather than analytical techniques.
- Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.
In case you have a concern or query you can always consult an expert & get answers to your questions!