Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 40 years of experience on Lybrate.com. Find the best Psychiatrists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment & Management of Stress
Treatment of Mood Disorder
Treatment of Abnormal Behaviour
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Obsessive Compulsive Disorder Treatment
Cognitive Behavioral Therapy
Electroconvulsive Therapy (Ect) Treatment
Critical Care Procedures
Treatment Of Learning Disorders
Management of Emergency Conditions
Treatment Of Female Sexual Problems
Treatment Of Male Sexual Problems
Manual Therapy Treatment
Memory Improvement Techniques
Submit a review for Dr. Gourav TrivediYour feedback matters!
I feel anxious and sad most of my time, I feel too uncomfortable making new friends or to start a topic.I eat or sleep too much. And I suffer most of the symptoms a person with depression suffers. Should I go to a psychiatrist for treatment? What if it goes untreated?
Hi good morning just want to ask you abt alzimer, my mom has a alzimer and it is advance stage so Is there any new invention for alzimer
QUIT SMOKING...YOU CAN DO IT
MOST IMPORTANT, know this —YOU CAN DO IT..
If you have tried to quit smoking and failed before, take comfort in the fact that most smokers fail several times before quitting successfully. Your past failures are not a lesson that you are unable to quit. Instead, view them as part of the normal journey toward becoming a nonsmoker.
The information below will ease your way and help insure that this is the last time you ever need to go through the quitting process. You can do it!
Please wait a few moments while this page loads. You may wish to print it out.
The most important step to take is the first step --admitting you have an addiction.
When asked why you smoke, you might have said, "I just like to smoke!" or "It's my choice to smoke."
The tobacco companies have promoted the idea that smoking is a matter of personal choice. As I see it, there really isn't as much choice as they have suggested to their customers.
Ask yourself, and be totally honest: Am I addicted to tobacco? Am I truly making a freely made choice when I smoke?
You might consider that you need to have a cigarette. Studies have shown that nicotine addiction is as hard to break as heroin or cocaine addiction.
In Nicotine Anonymous' 12 Step program, which sprang from the venerable Alcoholics Anonymous program, the first step is admitting to yourself, "I'm powerless over tobacco." Making this admission may seem trivial to you, but for many it is a very significant part of completing the journey to becoming a non-smoker.
By telling smokers that smoking is a personal choice, the tobacco industry has helped to keep its customers in denial about the true extent of their addiction. If smoking is a choice, then what's the rush to quit? The tobacco companies have used this spin to help keep millions of customers buying their deadly products.
Admitting that you're smoking more out of addiction than choice will help motivate you to go on to the next steps -- taking control of yourself and becoming a nonsmoker.
This admission will further serve you by helping you stay smoke free later. In the months and years after you quit, when temptations to smoke occasionally overpower you -- and they will -- remind yourself, "I have an addiction and I'm powerless over tobacco." Saying this to yourself in overwhelmed moments of desire will help give you the strength to say no to "just one" cigarette.
If you can make it for just five minutes without giving in, the urge to smoke be controllable or disappear. In this way, you'll be able to stay smokefree for life.
For me there were two very distinct and EQUALLY IMPORTANT phases to quitting:
Phase One — Quitting with helpPhase Two — Staying smokefree and not relapsing
Phase One:Quitting with help
When quitting, people who are the most successful at living life typically get help, and plenty of it.
For example, they might read up on how to prevent illness, and go to the doctor when sick. In business, a businessperson will get a lawyer to write the contracts, a marketing firm to do the marketing, an ad agency to create the ads, an accountant to do the accounting – and so on. The fact is that people who are successful in life get help. Real men ask directions!
Sadly, eighty percent of smokers who quit do so without being in any program – and studies show that 95% of these self-reliant quitters fail, and go right back to smoking. It's the same rate of recidivism as with heroin. With a 95% chance of failure without a program, you may wish to consider getting some help this time around.
For those who have repeatedly failed at quitting in the past, it's comforting to learn that most smokers in fact fail several times before stopping successfully. Your past failures are not a lesson that you are unable to quit. Instead, they are part of the normal journey toward becoming a nonsmoker.
I certainly failed -- 11 times. Every time I failed, I lost a little more faith that I could really quit. So each time I quit, it got harder and harder to motivate myself to set a date. I had begun to feel it was hopeless.
My mission here is to restore your faith in yourself. You CAN quit. Even if you've failed several times in the past, understand that this is normal. You're not alone.
You need to get your resolve up, and try again. YOU CAN DO IT!
Get help -- lots of it. Get into a good program, or better yet, a combination of more than one.
Call your local branch of the American Cancer Society, or the American Lung or Heart Associations. All have inexpensive and effective, mainstream programs.
Other top of the line, physician-endorsed methods: nicotine replacement and Zyban. The nicotine patch or gum are now available over-the-counter at any pharmacy. The anti-depressant Zyban and nicotine inhaler require a prescription.
The Schick-Shadel Treatment Centers offer aversion therapy -- self-administering a mild electric shock from an ordinary 9 volt battery as one smokes a cigarette. They claim a 95% initial success rate, and 50% after a year. I used this therapy successfully, and will come back to this later.
Buy a How to Quit Smoking Book, or a motivational cassette tape program in a bookstore, and listen to the tapes in your car. Every little bit helps!
In addition, visit our Quitlinks page, for to see the results of recent studies on which quit products work best.
Talk to a live human being free
Call 1-800-QUIT NOW for free support with a trained counselor, who will talk to you whether you are ready to quit or just thinking about it. This number will forward to your State's tobacco cessation program, which offers live phone support in your area. When you call, a friendly staff person will offer a choice of free services, including self-help materials, a referral list of other programs in your community, and one-one-counseling over the phone.
There is also the National Cancer Institute's Smoking Quitline, 1-877-44U-Quit, offering proactive counseling by trained personnel.
Try a free meeting
If joining a small group of other quitters appeals to you, then try a Nicotine Anonymous meeting. It's likely there's one near you where you live. It's a 12-step program based on AA; they're nonprofit and free. Ask directory assistance to get the number for a local Nicotine Anonymous chapter, or call the national line at (800) 642-0666. You can also check their website. (A for-profit company trademarked "Smokers' Anonymous" -- so you want the FREE program -- Nicotine Anonymous).
Don't count on any of these programs to make it a breeze. None of them will do that -- but they WILL reduce your distress by 15% to 50%, depending on how addicted you are psychologically, vs. physically.
I'm not promising it will be easy -- it won't. So get your resolve and willpower up, because you'll need it! And you CAN do it.
Don't ask, "Does this program work?" Rather, ask yourself, "Am I willing to DO the work?" You know how to work, don't you? I'm betting that you do.
I come from a wealthy background, and at one point it occurred to me that wealthy folks may have a much harder time quitting smoking, alcohol, or even dieting -- because they're used to getting whatever they want, whenever they want it. If you count yourself among this group, you might wish to consider an inpatient treatment center. You'd reside in a hospital for up to a week with a group of other people who are also quitting.
A Note About Tobacco Ads
Many teens, if asked, would say that tobacco ads have no influence over them. However, new studies tell us that advertising plays a greater role than even peer pressure in getting teens to smoke.
And one recent study shows that the three most heavily advertised brands are the same three brands most often smoked by teens -- Camels, Marlboros and Newport. It's no accident. Cigarette ads clearly influence our teens. Tobacco ads may not influence your conscious mind -- but they do influence the unconscious mind.
Your Unconscious Mind
What is the unconscious mind? In a famous study, the Russian scientist Pavlov rang a bell every time he fed his dog -- and eventually the dog would salivate just on hearing the bell -- even though there was no food there. The dog had made an unconscious association between the ringing and dinner, and began to drool!
Cigarette ads reach our unconscious minds. These ads create an unconscious association between the addiction of cigarettes and strong, positive images of attractive, healthy people, sports like tennis or mountain climbing, beautiful country scenes, cowboys gathered around a campfire or on horseback, masculinity and manhood, being feminine and womanhood, being a 'real person,' and so on. As of 2000, the tobacco industry has been spending over $5 billion annually to advertise its deadly products. That's a lot of bell ringing! And it's not lost on our kids.
The smoker's unconscious mind also makes repeated pleasant associations with the act of smoking -- watching the smoke slowly curling, putting a cigarette to the lips, languidly inhaling and exhaling, absently handling a cigarette -- all these are very much a part of the psychological addiction to tobacco. Quitters often feel as though they are losing a best friend.
For most addicted smokers, the addition is about half mental, half physical. Studies show that the ratio varies with each individual. The physical portion of the addiction is to nicotine. As to the mental or psychological aspect, a smoker's conscious mind says, 'I will stop smoking -- no problem.' But the unconscious mind has been conditioned for years that cigarettes give pleasure, and that's all it can focus on. The unconscious mind says, 'Gimmie a cigarette -- now!' It only recognizes what feels good. It demands a cigarette, without regard to right or wrong, and ignores the conscious mind's intentions. Aversion therapy is one way to help counteract this.
During the process of quitting, the new habit of being a nonsmoker forms. The ex-smoker's unconscious mind gradually gets used to being a nonsmoker, as the urges to smoke slowly fade away.
The Boilerplate Points
Do your best to follow as many of these as you can. The points below are advocated by most of today's credible quit-smoking products and programs. They are widely accepted as an essential and necessary part of quitting successfully. Just using the patch or Zyban without following the points below will hinder your chances to quit for good this time.
DEEP BREATHING PERHAPS THE SINGLE MOST POWERFUL AND IMPORTANT TECHNIQUE Every time you want a cigarette, do the following. Do it three times. Inhale the deepest lung-full of air you can, and then, very slowly, exhale. Purse your lips so that the air must come out slowly.As you exhale, close your eyes, and let your chin gradually sink over onto your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes, just flowing on out. This is a variation of an ancient yoga technique from India, and is VERY centering and relaxing. If you practice this, you'll be able to use it for any future stressful situation you find yourself in. And it will be your greatest weapon during the strong cravings sure to assault you over the first few days. This deep breathing technique will be a vital help to you. Reread this point now, and as you do, try it for the first time. Inhale and exhale three times. See for yourself!
The first few days, drink LOTS of water and fluids to help flush out the nicotine and other poisons from your body.
Remember that the urge to smoke only lasts a few minutes, and will then pass. The urges gradually become farther and farther apart as the days go by.
Do your very best to stay away from alcohol, sugar and coffee the first week or longer, as these tend to stimulate the desire for a cigarette. Avoid fatty foods, as your metabolism will slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. So discipline about diet is extra important now. No one ever said acquiring new habits would be easy!
Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals; eat slowly and wait a bit between bites.
After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy.
In one study, about 25% of quitters found that an oral substitute was invaluable. Another 25% didn't like the idea at all -- they wanted a clean break with cigarettes. The rest weren't certain. Personally, I found a cigarette substitute to be a tremendous help. The nicotine inhaler (by prescription) is one way to go: it's a shortened plastic cigarette, with a replaceable nicotine capsule inside.
A simpler way to go is bottled cinnamon sticks, available at any supermarket. I used these every time I quit, and they really helped me. I would chew on them, inhale air through them, and handle them like cigarettes. After a while, they would get pretty chewed up on one end -- but I'd laugh, reverse them and chew on the other end. Others may prefer to start a fresh stick. Once someone asked me, "Excuse me, but is that an exploded firecracker in your mouth?" I replied that I was quitting smoking – and they smiled and became supportive. Luckily, I never needed the cinnamon sticks after the first three days of being a nonsmoker.
Go to a gym, sit in the steam, exercise. Change your normal routine – take time to walk or even jog around the block or in a local park.
Look in the yellow pages under Yoga, and take a class – they're GREAT! Get a one hour massage, take a long bath -- pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you're quitting, and that you might be edgy or grumpy for a few days. If you don't ask for support, you certainly won't get any. If you do, you'll be surprised how much it can help. Take a chance -- try it and see!
Ask friends and family members not to smoke in your presence. Don't be afraid to ask. This is more important than you may realize.
On your quit day, hide all ashtrays and destroy all your cigarettes, preferably with water, so no part of them is smokeable.
To talk to a live human being, call the National Cancer Institute's free Smoking Quitline, 1-877-44U-Quit. Proactive counseling services by trained personnel will be provided in sessions both before and after quitting smoking.
At Nicotine Anonymous meetings, you'll find warm bodies, which can be more comforting than a computer screen. If this appeals to you more, pick up your telephone and ask directory assistance for the phone number of your local chapter. These are based on the classic 12-steps, borrowed from AA. The meetings are free and run entirely by volunteers. If there are no meetings in your city, try calling (800) 642-0666, or check the website. There you can also find out how to start your own meeting. That's how it spread all over the U.S. Support groups like Nicotine Anonymous might initially seem unnecessary -- but they provide a GREAT outlet to vent verbally. This could help spare your family and friends much grumpiness. It's truly therapeutic to see how other quitters are doing in their own struggles to stop.
Write down ten good things about being a nonsmoker -- and then write out ten bad things about smoking. Do it. It really helps.
Don't pretend smoking wasn't enjoyable – it was. This is like losing a good friend – and it's okay to grieve the loss. Feel that grief, don't worry, it's okay. Feel, and you heal. Stay with it -- you can do it!
Several times a day, quietly repeat to yourself the affirmation, "I am a nonsmoker." Many quitters see themselves as smokers who are just not smoking for the moment. They have a self-image as smokers who still want a cigarette. Silently repeating the affirmation "I am a nonsmoker" will help you change your view of yourself, and, even if it may seem silly to you, this is actually useful. Use it!
Here is perhaps the most valuable information among these points. In Phase 2, the period which begins a few weeks after quitting, the urges to smoke will subside considerably. However, it's vital to understand that from time to time, you will still be suddenly overwhelmed with a desire for "just one cigarette." This will happen unexpectedly, during moments of stress, whether negative stress or positive (at a party, or on vacation). If you are unprepared to resist, succumbing to that "one cigarette" will lead you directly back to smoking. Remember the following secret: in these surprise attacks during Phase 2 -- and they will definitely come -- do your deep breathing, and hold on for five minutes, and the urge will pass.
In conclusion, get the info and support you need to make the stopping process a little easier. DO NOT try to go it alone. Get help, and plenty of it.
Go cold turkey, or gradually cut down?
This is a personal choice. Do whichever you think will work best for you. Smokenders is a gradual quit program. But I wasn't one of those who could quit by slowly cutting down – although that works best for some. I always went cold turkey.
I'd always quit on a Monday -- a regular workday, when work would occupy my thoughts. My usual routine tasks were familiar and helped get me through the first few difficult days, which were always the most difficult part for me.
Once I tried quitting during a vacation. I found there was little to do, except to obsess all day long over having a smoke. I failed that time. The positive stress of being on vacation actually added to my stress in quitting. More about positive stress in the crucially important section which now follows. Do read on!
Phase TwoStaying smokefree and not relapsing
Here is the most valuable secret I can share with you, and probably the most important information on this page.
After the urges to smoke have become more and more infrequent, overwhelming surprise attacks are sure to come, a few weeks and months into your new smokefree life.
When these nearly out-of-control urges came (and they always engulfed me in unexpected moments), I learned that if I did my deep breathing (see above), and if I could just HOLD ON for 5 minutes -- the overpowering urge to smoke would completely pass.
That is by far the single most important thing I learned -- the hard way -- about how to quit successfully.
Because I didn't know this, I failed 11 times. I finally stopped for good on my 12th try, in Spring 1985. It's the key to what has empowered me to stay smokefree for the past dozen years or so.
So know that out-of-control, very nearly irresistible urges to have "just one" are going to take you by surprise, like a sudden gale that seems to come from nowhere. This will happen one or more times in the coming months.
Every time it does, do your deep breathing (see above), hold on for 5 minutes -- you can do it -- and the urge will completely pass.
I'm convinced that this is the single most important secret to quitting for life.
A NOTE TO NONSMOKERS If you live with a smoker, or are close friends with one: don't be a NAG about their smoking habit! (You can make noise about their smoking in the house or near you, because their second hand smoke hurts you – but don't nag them to quit. There's a BIG difference!)
Just three times a year you can ask your loved one – briefly – VERY briefly – to please quit smoking -- in VERY loving and warm tones. (Try surrounding your request with HONEST complements, keep it BRIEF, and they might be more open to hearing you.
But if you speak up more than three times per YEAR, then you're a yukky, obnoxious NAG. Ick! And your beloved smoker will be so ANGRY with you that they'll keep smoking just to spite you. You'll be defeating your very purpose.
I ask nonsmokers to honor their smoking loved ones, and treat them like adults.
And if your loved ones are nagging you, don't fall into the old trap of hurting yourself by continuing to smoke out of your anger toward them. Instead, let them know how you feel.
Sometimes, life is painful. It's supposed to be that way. All of us are faced with grief, loss and struggle. And it's by our struggles that we define and strengthen our character.
In my live talks and video for youth, I revive the ancient practice of initiation. As I initiate them into life, I let teens know that sometimes life will be painful.
"And when those moments come, you need to take the ADULT path," I tell the students, "and stay with the difficulty -- and not go lighting a cigarette, raiding the icebox, taking drugs, blasting music or switching on the TV -- or, going to work for too many long hours. All these are just ways of avoiding painful feelings and numbing them out."
If you stay with your pain, you'll begin to see what's causing it. And when you're ready, you can take a step to solve the problem.
Hello doctor, Am married. Am 4 months pregnant too. Now a days I cannot control my emotions. Am feeling emptiness in my life. This is my second marriage. But love marriage. So no parents support still. So am taking care of my pregnancy. Thing is we were decide to register our marriage in front of my parents. But they are not ready to do anything for us. Then I confirmed my pregnancy 2 months back. We are so happy. He is also having daughter but he is not speaking to his ex wife. But still he is taking care of his daughter. I just accepted all these. Some 25 days back his one of college friend started to message him. She is married and having 2 female kids. She is not happy with her husband. She was my husband’s close friend. Earlier I didn’t take much serious. One day I had to see their message. From that message she is trying to occupy my husband. My husband mind get distracted. I warned him smooth. But he didn’t listen. He told some reasons. We had discussion regard this. He told, he ll maintain his limits. But she is living in Australia. She wants to meet him in hotel. They r planned to book a room to meet. I frankly asked him regard this. He told, “she knows she is doing bad. So cannot meet out. We are just friend am not going to do anything physical. She does’t need any physical. She wants some care. She is my 13 year friend. So I cannot stop her feelings”. Doctor I do not know what to do. I spoke to him very calmly. But no result. He feels am not trusting him. But there is very less chance to meet together. Because she cannot come alone from her home to here only for meeting. He is speaking and discussing something with me. But he is messaging as her lover. She is taking much advantage. There is no time limits. She is keep on msging to him. If he didn’t respond she is calling. Daily 6 hr minimum they r chanting or speaking. Because of this am getting more depress. I tried to take care of him as my best. But no result from his side. Still he is msging to her. Please let help me to solve this issue. I don’t know how long time they may going to msg like this. totally my all happiness and family life gone. Now a days he is not attaching with me. He didn’t allow me to touch him. He is trying himself to stay away from me. He is always angry towards me. It all happening because of that girl. Please advice me how to handle this.
I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. Please help me.
I am suffering from a bit tension because of which I am not able to understand what to do so how to release tension or stress?
I am a 20 year old female in BDS 2nd year and I have not been able to do any good practicalwork. Due to this my self confidence has lowered and I beginning to think that I chose a wrong career option. What should I DO? PLS HELP.
Stress management encompasses techniques intended to equip a person with effective coping mechanisms for dealing with psychological stress.
Definition of stress: Stress management defines stress precisely as a person's physiological response to an external stimulus that triggers the "fight-or-flight" reaction.
Causes of stress: Many things can trigger the stress reaction, including danger, threat, news, illness, as well as significant changes in one's life such as the death of a loved one.
Techniques of stress management include:
- Self-understanding (e.g. self-identification as a Type A or as a Type B personality)
- Self-management (e.g. becoming better-organized)
- Conflict resolution
- Adopting a more positive attitude
- Breathing exercises
- Altering your diet
- Taking more regular and effective rest
Time Management Techniques
Some techniques of time management may help a person to control stress. For example:
- Becoming more organized and reducing the generation of clutter
- Setting priorities can help reduce anxiety
- Using a "to-do" list of tasks that a person needs to complete can give a person a sense of control and accomplishment
Effective stress management involves learning to set limits and to say "No" to some demands that others make.
Manage and Reduce your Stress
If you are one of the many people who want to alleviate your stress, you can learn some simple techniques to help you get out of the vicious cycle of leading a stressful life. Your stressful life does not just affect you, but everyone around you. It affects your relationships as well as any children or co-workers. Most of all, it can actually make you physically ill.
There are many facets to stress. Stress manifests itself in many different ways and can be either self-induced or something that occurs in life. We can never eliminate stress from our lives as stressful situations are part of life. However, we can learn to react to stress in a positive manner and take control of the situation rather than allowing the stress to remain in control. This book will teach you different tips as well as old secrets on how to identify the stressors in your life as well as learn to manage them.
Due to lots of health issues like diabetes, BP and their side effects and weight gain due to insulin n medicines. I feel like I am in depression as I can see all the symptoms. Could you please suggest something.
Dear Sir/ Ma'am, A friend of mine seems to be irritated most of the time. Also he gets angry really very fast, whenever we talk over phone. If I try to ask him the reason, he gets more and more angry. He is been diagnosed anxiety recently. Is this change in his behavior due to this? Please suggest how can I help him deal with this. And how should I act with him.
I've got a bass habit of smoking I started smoking for killing my time n now it's killing me. How can I stop it? N its even making me go allot depressed please help!
A panic attack can start suddenly and may be caused due a variety of reasons. A patient of depression and anxiety usually goes through such attacks. The symptoms of these attacks include sudden and persistent fear, the feeling of losing control, the feeling of having a heart attack, palpitations problem, sweating, dizzy spells and more. It has been medically proven that most adults go through at least one or more panic attacks in their lifetime.
Here are a few ways in which one can stop a panic attack:
- Recognise the Signs: Take note of the symptoms. From a feeling of choking to detachment, losing control, surreal experiences, dizzy spells, nausea, pain in the abdomen and chills, to tremors, and a fear of facing death, there are many symptoms that can put your body in a fight or flight response where things may suddenly seem terrifying, and without any reason at that.
- Breath Control: Learn to control your breathing as soon as you begin to experience the symptoms. This will help in distraction even as it soothes and calms you down, thus forcing you to think rationally about the fear and helplessness that you are suddenly experiencing. Sit down with your knees bent and let your shoulders relax.
- Relaxation Techniques: Learn and practice a few relaxation techniques during times like these. This may include simple things like rubbing your neck and more focused activities like talking to yourself and meditating.
- Continuation: Remember to hold your breath, let it out, and then carry on with the activity that you had set out to do. If you stop what you were doing, then the message going to your brain is loud and clear and you will panic even further. But if you relax and zone out before letting yourself go about the chore, however robotically, then it will have a positive effect on the messages that are sent to your brain.
- Medication: In the event that you are not able to fully control and relax yourself and your thoughts, then you may want to see a psychiatrist who can prescribe specific medication that will help in relaxing you. Sedatives and antidepressants may also be prescribed for patients who are going through severe episodes of panic with debilitating symptoms.
- Differentiate between Stress and Panic: Many times, we may feel like we are panicking, yet this may simply be a way of going through stress. It is important to focus on recognising events and reactions as stress or panic.
Not allowing yourself run away from a situation is a sure shot way of dealing with panic as this condition the brain to be more accepting and resilient. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.