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Dr. Priyanka Jayaram

Psychologist, Thane

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Dr. Priyanka Jayaram Psychologist, Thane
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Priyanka Jayaram is a popular Psychologist in Varun Polyclinic, Thane. She is currently associated with Varun Polyclinic in Varun Polyclinic, Thane. Book an appointment online with Dr. Priyanka Jayaram on Lybrate.com.

Lybrate.com has a number of highly qualified Psychologists in India. You will find Psychologists with more than 34 years of experience on Lybrate.com. Find the best Psychologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Varun Polyclinic

A Wing 204, Hamilton Building, Patlipada, Ghodbundar Road, Thane West. Landmark: Pole Star & Hiranandani Estate, ThaneThane Get Directions
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Moodswings and Complications They Can Cause!

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Moodswings and Complications They Can Cause!

Cyclothymia is a type of a mood disorder which is relatively light or mild in nature. If you are suffering from this condition, then you will experience extreme mood swings for very short periods of time. During these mood swings, you may experience a low period (depressed mood) or a high period when you are extremely happy.

Identification
There is no set or structured pattern for the highs and lows that you will experience during this condition. This feature of the disease makes it more difficult to detect and diagnose. The duration of your mood swings usually last just for a few days but can also be extended up to a few weeks. So, the only sign of identifying this medical condition is that if you are not having a normal mood for an extended period of time then you should consult a specialist doctor to enquire more about the condition.

Symptoms
Though there are no special symptoms of this disorder, the usual signs of mild depression and hypomania can be a possible symptom of Cyclothymia.

Some of them are:

  1. Hypomanic symptoms
  2. Racing thoughts
  3. Minimal sleep
  4. Excessive talking
  5. Extreme optimism
  6. Raised self-esteem
  7. Being happy without any reason

Depressive symptoms

  1. Hopelessness
  2. Unnecessary fear
  3. Restlessness
  4. Fatigue
  5. Concentration difficulties
  6. Abnormal weight changes

Remedy
The mood swings that you experience during this situation do not get better with time or vanish automatically. So it is always desirable that you seek some medical assistance from a specialist doctor on seeing the symptoms of either hypomania or depression.

Complications
This does not always hold true but you might also start to experience suicidal thoughts if you also have a bipolar I or II disorder along with cyclothymia. So, if any such thoughts appear in your mind, then you should seek immediate medical assistance. If you wish to discuss about any specific problem, you can consult a Psychologist.

2671 people found this helpful

I am 30 yrs old married from 8 yrs and having a child of 5 yrs I am happily married after 8 yrs of marriage I met one of my very old fried cum relative on Facebook, we just got in touch nd chat regular after 15 to 20 days of regular but normal chat we became free to each other and talked about old memories and at that time we had crush on each other I cant say proper love to yhis thing we enjoyed being together thats it so we at this moment shared what we had in our mind at that moment and all this conversation was in chat or a bit of phn calls but chat was more and nothing was for present all was just in remembrance of past feelings which we shared at this present moment and all this came in front of my husband he is still thinking it that I love him right now he is angry he is not talking to me not answering what he wants from me what should I do to make him realize that nothing is for mow it was all olf thing and thag too it was just a crush nothing more than that I cried a lot becoz I love him what is real love is only my husband my child I feel so depressed alone empty without him I tried a lot to make him understand but he is not responding at all what should I do pls help this feeling is just killing me from inside I want him to just forgive me what I did what I shared to that person whom I dont love atall how should I make him understand he is my present and future and no one else.

M.Sc - Psychotherapy
Psychologist, Bangalore
I am 30 yrs old married from 8 yrs and having a child of 5 yrs
I am happily married
after 8 yrs of marriage I met one...
Relationships are based on trust. Talk to your husband openly and confess with him if you are at fault. Promise him that it will not repeat in future. In a marriage nothing should be confided. This will lead to misunderstanding. Make effort to show your love to him. Make him feel that your husband is very important in your life. Build confidence.
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I think I'm fixated on my nose it is slightly bent from the top I keep on thinking about this. One of my friend made fun of the twisting of my nose since that day I have been under immense depression I can't help thinking abt my nose what is it is it curable.

MBBS, MS - ENT
ENT Specialist, Ahmedabad
I think I'm fixated on my nose it is slightly bent from the top I keep on thinking about this. One of my friend made ...
Dear sir, you are 32 and suddenly you are concentrating on your nose. Each individual is unique and have different features it is not a cause of worrying. You can see picture of many superstars sportspersons political leaders and even several common man having worst crooked nose and are least concerned. Be confident of what you have. But if you are still worried than you can change shape of nose with surgery.
1 person found this helpful
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Alway I behave like an idiot, I want to speak something but I speak totally opposite. Frankly speaking I'm a mental.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Alway I behave like an idiot, I want to speak something but I speak totally opposite.
Frankly speaking I'm a mental.
I think you did not get enough appreciation from your loved ones for all the good points that you have. And probably you did not learn how to behave in public from your parents or loved ones. Or probably someone close to you also behaves like this and you have learnt your behaviour from them. Never mind, hereafter, do not take negativity from others. And most importantly stop calling yourself" an idiot or a mental" by calling yourself an idiot/mental you are giving your ownself negative messages and your belief that you are an idiot/mental will grow stronger. If you were really mental or idiot, you would not have been asking this question through this platform. I sense, that somewhere inside, you know that you are wise and have lots of capacity to prove yourself. The only thing is no one els probably noticed it. It is a possibility that there are too many things on your mind when you speak or you may be under confident when you are talking to people, and hence, there is no co-relation between what you actually say and what you want to say. Pay attention to your thoughts and try to analyse them. Make an effort to drive away negative thoughts. Make a list of skills you are good at. Try to learn new skills. While in public, observe, how others speak, what kind of questions they ask etc. Practice a few conversations at home, when alone, that will boost your confidence. Believe in yourself. What others say about yourself does not matter, what you think about yourself matters a lot. Try to improve your communication skills. All the best.
1 person found this helpful
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I am a student of class 11. I am preparing for IIT JEE. On account of my studies I had to left my home. In my new house, I am facing a lots of mental difficulties. I am not getting as much concentration as I had earlier. Pls. Tell me how can I again gain my concentration.

BHMS
Homeopath, Faridabad
Hello, take Anacardium 30, 5 drops once daily for 10 days. Bacopa monnn. Q, 10 drops with water twice daily. Do meditation for half an hour in the morning daily. revert me after 10 days.
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Hi, I am having very depressive thoughts lately. I feel tired all the time. I try to evade any social gathering and have constant paranoia jitters. What should I do?

MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
You seem to be suffering from depression. But what is the paranoia about? It would be better off you could talk about your problem in detail. Getting evaluated by a psychiatrist might help you to get treatment
1 person found this helpful
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I am 28 years old n I facing problem when ever I interact to girl or women my eyes will go on there private parts which will make them uncomfortable to me as well n many times I tired to avoid but its not happening with every thinking wrong about me and my character please help me out.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I am 28 years old n I facing problem when ever I interact to girl or women my eyes will go on there private parts whi...
It is age problem. You are unmarried it is happening. Better to develop eye contact conversation. Do not think about their inner parts do not watch more time pornography and sex books etc. Better to treat them like men. Then everything gone. Do not feel and do not give high priority to this. It is not at all your mistake. Sex thoughts comes it is a good sign of good health. Control sex thoughts do not think too much about it. If any one feel inconvenience do not feel your self. Now ladies are very open. If any one praise they feel very proud. Yourself feeling excessively this problem. So my friend do not think about this problem. Feel always flexible. Enjoy the every movement of life. Ok best of luck.
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sometimes when I masturbate after I feel pain below my abdomen today I did it I feel hot in my body someone says because I think a lot that's why it's true I think a lot could this be anxiety?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
sometimes when I masturbate after I feel pain below my abdomen today I did it I feel hot in my body someone says beca...
Thinking a lot for no apparent reasons can be a part of anxiety. It's like worrying about everything.
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My learning power is very low so I want frequently learn some time we lose all learning subject.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
At your age there may be a lot of distractions going on that may be the cause of the problem. Even so there are some things to do that will alleviate the situation, if you followed them meticulously. If you are under some stress, there will be difficulty remembering. So if you handled stress better, you will certainly improve. With regard to memory, it is very important that your brain and body is rested well to be able to recall whatever is required, rather comfortably. So, catch a good 8 hours of sleep every night. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do sudoku, and memory co-relation activities and skills. Have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, do yoga meditation exercises, etc. You need to check out, if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. You may also meet with a counselor to take care of the stress related emotions, and then you will fare better too.
2 people found this helpful
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Dear Doctor, My brother has schizophrenia for more than 8 years now. He is not able to get recovered from his situation. Though he is able to talk to us like a normal person, he is not able to take a responsibility. He is jobless and showing no interest in anything. I am worried about his future. He is under medication. But he is not getting better. Medicines control his hallucinations for the time being. But it's not curing him completely. Please advice.

BDS, Certification in hypnotherapy, Certification in N.L.P, Certification in Gene and behavior, Psychology at Work
Psychologist, Gurgaon
Dear Doctor,
My brother has schizophrenia for more than 8 years now. He is not able to get recovered from his situati...
Schizophrenia has a strong genetic component. And has poor prognosis. Complete cure may not be possible. You should all mold yourselves as per his world and instead of forcing him to accept your reality, let him make peace in his reality. Putting pressure will only worsen it. He may start working a little when you operate from his framework of perception.
1 person found this helpful
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When I try to study I get irritate from myself for doing study and I wish to study alot but I can't do this is there any problem in with me why I can not concentrate on study please help me to grow my life.

C.S.C, D.C.H, M.B.B.S
General Physician,
If you feel excessive sleep or tiredness/ head spinning or vertigo like feeling you have to make sure you have no anaemia or hypothyroidism by doing a blood CBC & TSH and inform me directly 10 Study Tips to Improve Your Learning Study Tip 1: Underlining Underlining is one of the simplest and best known study tips. It’s easy to highlight the most significant parts of what you’re reading. One key sentence per paragraph and a few important phrases here and there. You can only retain a certain amount so it’s best to retain the most important information. Study Tip 2: Make your own note and taking notes is one of the most widespread study skills out there. Essentially the aim of note-taking is to summarise lectures or articles in your own words so you can easily remember the ideas. Study Tip 3: Mind mapping A good Mind map can save you many hours of study and further consolidate your knowledge for your exams. Mind Maps are an extremely versatile tools. They can be used for brainstorming, outlining essays or study topics and for general exam preparation, ExamTime offers the ability to create Mind Maps quickly and easily which makes them the ideal tool when it comes to exams. Study Tip 4: Flash cards:- Using these are a particularly effective method of learning when trying to assimilate different facts, dates, formulas or vocabulary. Subjects such as History, Physics, Maths, Chemistry, Geography or any language are made much easier if you incorporate Flashcards in to your study. Study Tip 5: Case Studies Sometimes it can be difficult to grasp the implications of some theories. This is where studying case studies can be a big help. Case studies can help you visualise a theory and place it in a more familiar and realistic context. This is especially useful in business or law subjects. Study Tip 6: Quizzes are an excellent way to review study notes in the weeks and days before an exam. Quizzes can show where your strengths and weaknesses are, so it allows you to focus your efforts more precisely. Moreover, if you share your Study Quiz with your classmates and test each other as much as possible you can discover even more details and areas you may have overlooked. So before any exam, make sure you create and share a bunch of different Quizzes with your Friends. Study Tip 7: Brainstorming This is another study technique that is ideal for studying with friends and/or classmates. Brainstorming is a great way to expand every possible idea out of any topic. Just get a bunch of friends together and shoot the breeze, there are no wrong answers when brainstorming – just talk and capture the ideas, you can review afterward. Study Tip 8: Mnemonic Rules Mnemonics are especially useful when memorising lists and sets. Mnemonics rules basically work by associating certain concepts with other concepts that are more familiar to us. There are many different ways to make mnemonics and these can be individual to the person. Study Tip 9: ORGANISE your study One of the most effective study skills is also one of the most often overlooked; this is organising your study. Creating a TIME TABLE gives you goals and a time in which to achieve them. Having a study timetable as you study is greatly motivational Study Tip 10: Drawing Many people find it easier to recall images rather than text that is why they are better able to memorise concepts if they associate them with pictures or drawings. If you find answer helpful please click on “helpful” tab for knowing my efforts are useful CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs. If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself. 7) Break down Roadblocks Roadblocks occur whenever you hit a tricky problem in your work. This can happen when you run out of ideas or your focus wavers. Break down roadblocks by brainstorming or planning on a piece of paper. Writing out your thought processes can keep you focused even if you might become frustrated. 8) Isolate Yourself Become a hermit and stay away from other people if you want to get work done. Unless your work is based on other people they will only break your focus. Create a private space and refuse to talk to anyone until your work is finished. Put a sign on your door to steer away drop-ins and don’t answer your phone. 9) Healthy Body, Sharper Mind What you put into your body affects the way you concentrate. Nobody would expect peak performance if they showed up drunk to work. But if you allow yourself to get chronic sleep deprivation, overuse stimulants like caffeine or eat dense, fatty foods your concentration will suffer. Try to cut out one of your unhealthy habits for just thirty days to see if there is a difference in your energy levels. I’ve found even small steps can create dramatic changes in my ability to focus. 10) Be Patient Before I write an article, I often sit at my desk for a fifteen or twenty minutes before I put finger on the keyboard. During this time I feel a strong urge to leave or do something else. But I know that if I am patient, I’ll stumble upon an idea to write about and enter a state of flow. Without a little patience, you can’t take advantage of flow when it rushed through you. If you need strong concentration I recommend periods of 90-120 minutes. Any less than that and you will waste too much time getting started before the flow can continue. More than this is possible to sustain focus, but you will probably benefit from a quick break. These are the general guidelines for concentration, studying well or doing your job. Regards.
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Hi! I have been suffering from anxiety for 2 years and was on antidepressant pills. Recently my doctor prescribed me loranza 2. 1 tablet at night for a month. I was feeling normal until he reduced the dose to half tablet. Now im feeling like im going to die. Im feeling vomiting loss of appetite no sleep panic ect. Im suffering a lot. Please help me. My doctor is not available at present.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hi! I have been suffering from anxiety for 2 years and was on antidepressant pills. Recently my doctor prescribed me ...
It is difficult to prescribe medicines for anxiety without taking a detailed history, I am sure you have the contact number and email of your treating Dr. If he is not available please go to the Psychiatrist only and not other doctor. All anxiety pills are addicting and will cause side effects in the long run. You have to treat the root cause and not the symptoms. Take a consult for specific advise for treating your anxiety using natural therapy which involves lifestyle and dietary changes.
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I want study but my mind disturb by other activities like fb, whatsapp etc. What I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate-user, to have concentration in studies, you should be interested in it. Instead, you are interested in whatsup and facebook. Be passionate towards education. Take care.
2 people found this helpful
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How can I mack my fathers memory sharp he forgets things fast I want to bring out my father from this problem.

MD - Psychiatry, MBBS
Psychiatrist, Patna
If your father is around 60 yrs age, should be taken seriously as it may be initial features of dementia. You should get his mri brain done.
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I am taking medicines for Generalized Anxiety Disorder (gad) for last 4 years or so. But relapse of symptoms of occurs sometimes. Pl help.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am taking medicines for Generalized Anxiety Disorder (gad) for last 4 years or so. But relapse of symptoms of occur...
Dear gad is common and almost everyone has gad. Let me tell you something. Anxiety cannot be cured because it is body's defense mechanism. Anxiety becomes a disorder when you obsess with it or fear it. You will need psychotherapy, meditation and life style change. Please post a private question to me with all the details. Take care.
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Hypertension: 7 Best Ways to Control it

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
Hypertension: 7 Best Ways to Control it

The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney disease problem. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.

  1. Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
  2. Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet. 
  3. Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
  4. Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
  5. Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
  6. Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
  7. Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.

As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.
 

3375 people found this helpful

My daughter suffered by epilepsy. Only two times one year before. Dr. prescribed to take, 500 mg levipil twice per day. morning 500 mg eve 500mg. Since one year seizure had not come. She is studying CA. CAN WE STOP TO TAKE MEDICINE. GANESH.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
Sir you should not stop medicine. She should take the medicine ideally for one more year then the medicine will be tapered off and stopped. If she stops now she has a great chance of having recurrence of seizure then she will hv to start again that too for another two yrs. Its good dat she is seizure free for one years and try not to miss a single dose for one more year.
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I am very depressed that my boyfriend is making distance with me, he says I hurt him I tried not to every time , he didn't call me since a Month , whenever I tried to talk to him on text he gets angry n fights , he is not sharing his problem s how can I make him talk again , kindly give some suggestions.

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
I am very depressed that my boyfriend is making distance with me, he says I hurt him I tried not to every time , he d...
Please give him time. Your running after him, pleading to him to tell you the problem will not be helpful. You will have to be patient till he comes back to you. If he does-you win. If he does not- at least you will save yourself the pain of begging and being shown the door.
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My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, delusions, hallucinations, and negative symptoms like reduced motivation, speech and activity are occurred. Now he is on medications for that. He is on tab quiet 25 mg (Quetiapine Fumarate INN 28.728 mg equivalent to 25 mg of Quetiapine) once daily. 1 hour after taking this medicine he gets calm and sleeps. Even if he wakes up in the middle of the night, he was not in his senses at that time. Most of the time he urinates while he is asleep. Even he forgets to go to washroom and he poops in his pants but he forgets to wash himself. His condition is not improving. Kindly please suggest suitable medication which can cure above said things of his health.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, del...
Hi there ~ Dementia and Alzheimer’s Care Planning and Preparing for the Road Ahead Improving Emotional Health Alzheimer's disease and other types of dementia can be a challenging journey, not only for the person diagnosed but also for their family members and loved ones. Caring for someone with Alzheimer's or dementia can seem overwhelming at times, but the more information and support you have, the better you can navigate the demanding road ahead and determine the long-term care options that are best suited to you and your loved one. Preparing for Alzheimer’s and dementia care As you come to grips with an Alzheimer’s or other dementia diagnosis, you may be dealing with a whole range of emotions and concerns. You’ll no doubt be worried about how your loved one will change, how you’ll keep him or her comfortable, and how much your life will change. You’ll also likely be experiencing emotions such as anger, grief, and shock. Adjusting to this new reality is not easy. It’s important to give yourself some time and to reach out for help. The more support you have, the better you will be able to help your loved one. While some of these tips are directed specifically at Alzheimer’s patients, they may equally apply to those with other types of dementia as well, including vascular and mixed dementia. Early-stage Alzheimer’s care preparations There are some Alzheimer’s care preparations that are best done sooner rather than later. It may be hard to consider these questions at first, as it means thinking about a time when your loved one is already well down the road of his or her Alzheimer’s journey. However, putting preparations in place early helps a smoother transition for everyone. Depending on the stage of diagnosis, include the person with Alzheimer’s in the decision-making process as much as possible. If their dementia is at a more advanced stage, at least try to act on what their wishes would be. Questions to consider in preparing for Alzheimer’s and dementia care: Who will make healthcare and/or financial decisions when the person is no longer able to do so? While a difficult topic to bring up, if your loved one is still lucid enough, getting their wishes down on paper means they’ll be preserved and respected by all members of the family. Consider meeting with an elder law attorney to best understand your options. You’ll want to consider power of attorney, both for finances and for healthcare. If the person has already lost capacity, you may need to apply for guardianship/conservatorship. More information can be found in the Resources section below. How will care needs be met? Sometimes family members assume that a spouse or nearest family member can take on caregiving, but that is not always the case. Caregiving is a large commitment that gets bigger over time. The person with Alzheimer’s will eventually need round-the-clock care. Family members may have their own health issues, jobs, and responsibilities. Communication is essential to make sure that the needs of the Alzheimer’s patient are met, and that the caregiver has the support to meet those needs. Where will the person live? Is his or her own home appropriate, or is it difficult to access or make safe for later? If the person is currently living alone, for example, or far from any family or other support, it may be necessary to relocate or consider a facility with more support. Find out what assistance your medical team can provide in these areas. In some countries, you can also hire a care manager privately. Geriatric care managers can provide an initial assessment as well as assistance with managing your case, including crisis management, interviewing in-home help, or assisting with placement in an assisted living facility or nursing home. Developing day-to-day routines Having a general daily routine in Alzheimer’s and dementia care helps caregiving run smoothly. These routines won’t be set in stone, but they give a sense of consistency, which is beneficial to the Alzheimer’s patient even if they can’t communicate it. While every family will have their own unique routine, you can get some great ideas from your medical team or Alzheimer’s support group, especially regarding establishing routines to handle the most challenging times of day, such as evenings. Keep a sense of structure and familiarity. Try to keep consistent daily times for activities such as waking up, mealtimes, bathing, dressing, receiving visitors, and bedtime. Keeping these things at the same time and place can help orientate the person. Let the person know what to expect even if you are not sure that he or she completely understands. You can use cues to establish the different times of day. For example, in the morning you can open the curtains to let sunlight in. In the evening, you can put on quiet music to indicate it’s bedtime. Involve the person in daily activities as much as they are able. For example, a person may not be able to tie their shoes, but may be able to put clothes in the hamper. Clipping plants outside may not be safe, but the person may be able to weed, plant, or water. Use your best judgment as to what is safe and what the person can handle. Communication tips As your loved one’s Alzheimer’s progresses, you will notice changes in communication. Trouble finding words, increased hand gestures, easy confusion, even inappropriate outbursts are all normal. Here are some do’s and don’ts on communicating: Communication Do's and Don'ts? Do Avoid becoming frustrated by empathizing and remembering the person can’t help their condition. Making the person feel safe rather than stressed will make communication easier. Take a short break if you feel your fuse getting short. Keep communication short, simple, and clear. Give one direction or ask one question at a time. Tell the person who you are if there appears to be any doubt. Call the person by name. Speak slowly. The person may take longer to process what’s being said. Use closed-ended questions which can be answered “yes” or “no.” For example, ask, “Did you enjoy the beef at dinner?” instead of “What did you have for dinner?” Find a different way to say the same thing if it wasn’t understood. Try a simpler statement with fewer words. Use distraction or fibs if telling the whole truth will upset the person with dementia. For example, to answer the question, “Where is my mother?” it may be better to say, “She’s not here right now” instead of “She died 20 years ago.” Use repetition as much as necessary. Be prepared to say the same things over and over as the person can’t recall them for more than a few minutes at a time. Use techniques to attract and maintain the person’s attention. Smile, make eye contact, use gestures, touch, and other body language. Don't Ever say things like: “Do you remember?” “Try to remember!” “Did you forget?” “How could you not know that? Ask questions that challenge short-term memory such as “Do you remember what we did last night?” The answer will likely be “no,” which may be humiliating for the person with dementia. Talk in paragraphs. Instead, offer one idea at a time. Point out the person’s memory difficulty. Avoid remarks such as “I just told you that.” Instead, just repeat it over and over. Talk in front of the person as if he or she were not present. Always include the person in any conversation when they are physically present. Use lots of pronouns such as "there, that, those, him, her, it. Use nouns instead. For example, instead of "sit there" say "sit in the blue chair. Use slang or unfamiliar words. The person may not understand the latest terms or phrases. Use patronizing language or “baby talk.” A person with dementia will feel angry or hurt at being talked down to. Use sarcasm or irony, even if meant humorously. Again, it can cause hurt or confusion. Planning activities and visitors As you develop daily routines, it’s important to include activities and visitors. You want to make sure that the Alzheimer’s patient is getting sensory experiences and socialization, but not to the point of getting overstimulated and stressed. Here are some suggestions for activities: Start with the person’s interests. Ask family and friends for memories of interests the person used to have. You’ll want to tailor the interests to the current level of ability so the person doesn’t get frustrated. Vary activities to stimulate different senses of sight, smell, hearing, and touch. For example, you can try singing songs, telling stories, movement such as dance, walking, or swimming, tactile activities such as painting, working with clay, gardening, or interacting with pets. Planning time outdoors can be very therapeutic. You can go for a drive, visit a park, or take a short walk. Even sitting on a balcony or in the backyard can be relaxing. Consider outside group activities designed for those with Alzheimer’s. Senior centers or community centers may host these types of activities. You can also look into adult day care programs, which are partial or full days at a facility catering to older adults and/or dementia patients. Visitors and social events Visitors can be a rich part of the day for a person with Alzheimer’s disease. It can also provide an opportunity for you as the caregiver to socialize or take a break. Plan visitors at a time of day when your loved one can best handle them. Brief visitors on communication tips if they are uncertain and suggest they bring memorabilia your loved one may like, such as a favorite old song or book. Family and social events may also be appropriate, as long as the Alzheimer’s patient is comfortable. Focus on events that won’t overwhelm the person; excessive activity or stimulation at the wrong time of day might be too much to handle. Handling challenges in Alzheimer's and dementia care One of the most painful parts of Alzheimer’s disease is watching a loved one display behavior you never would have thought possible. Alzheimer’s can cause substantial changes in how someone acts. This can range from the embarrassing, such as inappropriate outbursts, to wandering, hallucinations, and violent behavior. Everyday tasks like eating, bathing, and dressing can become major challenges. Painful as some behaviors are, it’s critical not to blame yourself or try to handle all the changes in behavior alone. As challenging behavior progresses, you may find yourself too embarrassed to go out, for example, or to seek respite care. Unfortunately, difficult behavior is part and parcel of Alzheimer’s disease. Don’t isolate yourself. Ask for help from the medical team and reach out to caregiver groups for support. There are ways to modify or better accommodate problem behaviors. Both the environment you create at home and the way you communicate with your loved one can make a substantial difference. Considering long-term Alzheimer's and dementia care It’s the nature of Alzheimer’s disease to progressively get worse as memory deteriorates. In the advanced stages of Alzheimer’s, your loved one will likely need round-the-clock care. Thinking ahead to these possibilities can help make decisions easier. To find links to organizations in your area that may be able to help, see Resources and References below. Care at home There are several options for extending care at home: In-home help refers to caregivers that you can hire to provide assistance for your loved one. In-home help ranges from a few hours a week of assistance to live-in help, depending on your needs. You’ll want to evaluate what sort of tasks you’d like help with, how much you can afford to spend, and what hours you need. Getting help with basic tasks like housekeeping, shopping, or other errands can also help you provide more focused care for your loved one. Day programs, also called adult day care, are programs that typically operate weekdays and offer a variety of activities and socialization opportunities. They also provide the chance for you as the caregiver to continue working or attend to other needs. There are some programs that specialize in dementia care. Respite care. Respite care is short-term care where your loved one stays in a facility temporarily. This gives you a block of time to rest, travel, or attend to other things. Is it time to move? As Alzheimer’s progresses, the physical and mental demands on you as caregiver can gradually become overwhelming. Each day can bring more challenges. The patient may require total assistance with physical tasks like bathing, dressing, and toileting, as well as greater overall supervision. At some point, you won’t be able to leave your loved one alone. Nighttime behaviors may not allow you to sleep, and with some patients, belligerent or aggressive behaviors may exceed your ability to cope or feel safe. Every situation is different. Sometimes the gap can be bridged by bringing in additional assistance, such as in-home help or other family members to share the caregiving burden. However, it is not a sign of weakness if moving to your loved one to a facility seems like the best plan of care. It’s never an easy decision to make, but when you’re overwhelmed by stress and fatigue, it’s difficult to maintain your caregiving standards. If the person with Alzheimer’s is living alone, or you as the primary caregiver have health problems, this option may need to be considered sooner rather than later. When considering your caregiving options, it’s important to consider whether you are able to balance your other obligations, either financial or to other family members. Will you be able to afford appropriate in-home coverage if you can’t continue caregiving? Talk to your loved one’s medical care team for their perspective as well. Evaluating an assisted living facility or nursing home If the best choice is to move the Alzheimer’s patient to a facility, it doesn’t mean you will no longer be involved in their care. You can still visit regularly and ensure your loved one gets the care he or she needs. Even if you are not yet ready to make that step, doing some initial legwork might save a lot of heartache in the case of a crisis where you have to move quickly. The first step is finding the right place for your loved one. Choosing a facility There are two main types of facilities that you will most likely have to evaluate for a loved one with Alzheimer’s: an assisted living facility or a nursing home. Assisted Living Assisted living is an option for those who need help with some activities of daily living. Some facilities provide minor help with medications as well. Staff is available twenty-four hours a day, but you will want to make sure they have experience handling residents with Alzheimer’s disease. Also be clear about what stage your loved may need to move to a higher level of care. Nursing homes Nursing homes provide assistance in both activities of daily living and a high level of medical care. A licensed physician supervises each resident’s care and a nurse or other medical professional is almost always on the premises. Skilled nursing care providers and medical professionals such as occupational or physical therapists are also available. How do I choose a facility? Once you’ve determined the appropriate level of care, you’ll want to visit the facility—both announced and unannounced—to meet with the staff and otherwise evaluate the home. You will also want to evaluate the facility based on their experience with Alzheimer’s residents. Facilities that cater specifically for Alzheimer’s patients should have a designated area, often called a special care unit in the U.S. For residents with dementia. Questions to ask such a facility include: Policy and procedures – Does the unit mix Alzheimer’s patients with those with mental illness, which can be dangerous? Does the program require the family to supply a detailed social history of the resident (a good sign)? Environment – Is the unit clean? Is the dining area large enough for all residents to use it comfortably? Are the doors alarmed or on a delayed opening system to prevent wandering? Is the unit too noisy? Staffing – What is the ratio of residents to staff? (5 to 1 during the day, 9 to 1 at night is normal). What is staff turnover like? How do they handle meals and ensure adequate hydration, since the person can often forget to eat or drink? How do they assess unexpressed pain—if the Alzheimer’s resident has pain but cannot communicate it? Staff training – What training for Alzheimer’s care do they have? Does the facility provide staff with monthly in-service training on Alzheimer’s care? Activities – Is there an activity plan for each resident based on the person’s interests and remaining cognitive strengths? Are residents escorted outside on a daily basis? Are regular outings planned for residents? Services – Does the unit provide hospice services? What were the findings in the most recent state survey? What to expect during a transition Moving is a big adjustment both for the person with Alzheimer’s and you as their caregiver. Your loved one is moving to a new home with new faces. You are adjusting from being the person providing hands-on care to being an advocate. Remember to give yourself and the Alzheimer’s patient time to adjust. If you’re expecting to move, try to have essentials packed and ready to go, and as many administrative details taken care of as possible, as sometimes beds can come up quickly. Work closely with staff regarding your loved one’s needs and preferences. An extra familiar face during moving day, such as another relative or close friend, can also help. Each person adjusts differently to this transition. Depending on your loved one’s needs, you may either need to visit more frequently or give your loved one their own space to adjust. As the adjustment period eases, you can settle into the visiting pattern that is best for both of you. I hope this helps.
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I' m female patient having a problem of excessive jealousy and it will be started when we want to study something and l will start also but when l start then my mind says if someone watched you study then what happen with you means if they study more than you. And l have lack of self confidence also, please kindly help me and solve my problem please

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , please understand you are having paranoid personality disorder. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, psychotherapy techniques, life style changes etc. I think two or three counseling sessions and psycho therapy techniques should solve your problem. Let me know if you are willing to undergo counseling sessions and tailor made psycho therapy through mobile. Take care.
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