Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Book
Call
Dr. Vilas Dongre  - Psychiatrist, Thane

Dr. Vilas Dongre

MBBS, MD - Physiology, DPM (Psychiatry)

Psychiatrist, Thane

37 Years Experience  ·  1000 at clinic
Book Appointment
Call Doctor
Dr. Vilas Dongre MBBS, MD - Physiology, DPM (Psychiatry) Psychiatrist, Thane
37 Years Experience  ·  1000 at clinic
Book Appointment
Call Doctor
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vilas Dongre
Dr. Vilas Dongre is one of the best Psychiatrists in Pokhran Road, Thane. He has over 37 years of experience as a Psychiatrist. He has completed MBBS, MD - Physiology, DPM (Psychiatry) . He is currently associated with Akshay Clinic in Pokhran Road, Thane. Book an appointment online with Dr. Vilas Dongre on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 28 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.

Info

Specialty
Education
MBBS - Topiwala National Medical College & BYL Nair Charitable Hospital - 1980
MD - Physiology - Topiwala National Medical College and Nair Hospital,Mumbai, - 1985
DPM (Psychiatry) - Topiwala National Medical College & BYL Nair Charitable Hospital - 1984
Languages spoken
English
Hindi
Professional Memberships
Indian Psychiatric Society
Indian Medical Association (IMA)

Location

Book Clinic Appointment

Akshay Clinic

Swastik Plaza,pokharan, Road 2. LM: Near Voltas Main Gate, ThaneThane Get Directions
1000 at clinic
...more
View All

Services

View All Services

Submit Feedback

Submit a review for Dr. Vilas Dongre

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

Doctor I HAVE BREAKUP WITH MY GIRLFRIEND BECAUSE SHE GOT A NEW BOYFRIEND WHAT SHOULD I DO HELP ME PLEASE PLEASE I WENT AGAINST MY FAMILY I FEEL LONELY AND ALONE WHAT SHOULD I DO DOCTOR HELP ME OUT PLEASE I AM CRYING PLEASE DOCTOR.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
The end of a relationship often feels like the end of the world. After all the time and energy you have invested in it, it is very painful when it gets over. Keep in mind that life is full of ups and downs; nothing is permanent. The pain you feel today will go away with time. Give yourself time to heal. Give time, time. In the meanwhile don't isolate yourself from your friends and family. Confide in someone you are comfortable with. Make a list of life goals, and plan how to achieve them. Relationships are an important part of your life, but they are not everything. Spend time with those close to you, indulge in some enjoyable activities. Keep yourself busy. Slowly you will see that there is a lot to life. However if you are feeling suicidal, consult a psychiatrist immediately. Don't wait to feel worse.
1 person found this helpful
Submit FeedbackFeedback

I got tensed ofen without any reason. May I know what is the reason. Is there is a remedy for this.

C.S.C, D.C.H, M.B.B.S
General Physician,
I got tensed ofen without any reason. May I know what is the reason. Is there is a remedy for this.
You have anxiety disorder and mind relaxation by meditation and other means can be tried. Being 18 year old female, it would be useful to do a tsh test to know our thyroid state as disorders can cause anxiety. Once this is ruled out you can try other means. Regards.
Submit FeedbackFeedback

Hii, Mujhe sex karne ka bahut man hota hai or apni mami ke liye jyada attract hu so please help me.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hii,
Mujhe sex karne ka bahut man hota hai or apni mami ke liye jyada attract  hu so please  help me.
Sexual attraction for opposite sex at your age is due to hormonal changes and is understandable. However you should very well know the difference between acceptable and non-acceptable sexual feelings. If you feel you have uncontrollable feelings that keep ruminating in your head against your will even after trying a lot to get rid of them, the. I suggest you to start some treatment in form of counseling and behavior therapy. Medicines may be started if needed.
3 people found this helpful
Submit FeedbackFeedback

I am feeling uneasy and cold and my nose is blocked because of cold and body pains what to do.

PGDHHM, MBBS
General Physician, Delhi
I am feeling uneasy and cold and my nose is blocked because of cold and body pains what to do.
U seem to be having common cold. Take over-the-counter medicine for fever and headache. Take steam inhalation twice daily. For nasal congestion, take decongestant nasal drops. Antihistamines will be helpful. Drink plenty of liquids. Take adequate rest eat healthy diet. Hope this helps u.
Submit FeedbackFeedback

I am very short tempered even with silly things I get upset immediately and very irritating if small things go on wrong ,and this is all due to old story mother-in-law and sister-in-law and I am not having proper relation with my husband and kids due daily routine.

BHMS
Homeopath, Delhi
Hi I would suggest you to identify the irritating factor and work on it, either through counselling or talking to someone close to you . Try yoga and medtitation.
Submit FeedbackFeedback

I don't know what I am doing I think I am depressed feeling disturbed and depressed. Give me a conclusion.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I don't know what I am doing I think I am depressed feeling disturbed and depressed. Give me a conclusion.
At your age this claim is serious. If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue, related to anger, that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
1 person found this helpful
Submit FeedbackFeedback

All About Parkison's Disease

MBBS, MHS, MD - Neurology (USA), Fellowship in Epilepsy, Clinical Attachment in Movement disorders
Neurologist,
All About Parkison's Disease

* Should I be afraid of talking to the doctor?
No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

* Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.


* What are the common tests used to diagnose brain diseases?
The three tests most commonly used are:
Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
(i) Mri (magnetic resonance imaging) scan:
An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.

(ii) Ct (computerized tomography) scan:
The CT Scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

CT scan has a few advantages over mri:
(i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
(ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

Unfortunately, CT scanning has some significant disadvantages:
- The picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

- CT-Scan exposes your body to radiation.
Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

(iii) Eeg (electro-encephalo-graphy):
Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.


1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.


2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.


3. What causes parkinson's disease?
Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.


4. Ok so what are other symptoms of parkinson's?
You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
- Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
- They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
- They have difficulty turning around when they are walking.
- Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
- In later stages, they can fall frequently.
- Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.


5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease. Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.


6. How can you be sure that I have parkinson's disease?
A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.


7. So isn't there a test for parkinson's disease?
Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and 
Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.


8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
You are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.

9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. These medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.


10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.


11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.


12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.


13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.


14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
Example of this earlier: entacapone can prolong the eff ect of levodopa.


15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.


16. Well. How is this surgery done?
This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.


17. I see. Doctor, does DBS cure all symptoms of parkinson's disease?
No. DBS surgery improves only those symptoms which improve after levodopa.

- Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs.

- Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

Significant, but non-dramatic, improvement in many patients.

Two problems can become worse after DBS:
(i) Severe psychiatric problems such as severe depression and hallucinations and
(ii) Severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.


18. Okay doctor, what are the risks of this surgery?
Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
- The risk of death is less than 1%
- Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
- A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lts 2%).


19. Can the doctor guarantee a significant benefi t after DBS surgery?
No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here

4 people found this helpful

I am suffering from stammering problem from child hood also mental tension too. What should I do for avoid that per mentally. Please give best suggestions sir.

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, welcome to lybrate. Stammering is" speaking with sudden involuntary pauses and a tendency to repeat the initial letters of words" or" say something with difficulty, repeating the initial letters of words and with sudden involuntary pauses" stammering could be due to two reasons. First reason is vocal cord misalignment. Second is psychological performance anxiety. First of all you should consult an ent specialist and evaluate your vocal chords. If there is problem, ent specialist will be able to correct it. If there is no problem with your vocal chords, the best option is stammer therapy. Take care.
Submit FeedbackFeedback

I am 28 years old male & I have been facing anxiety issues since last 2 years .I went through ecg, lipid, thyroid, and bp monitoring & all of them came to be normal .I get a feeling of fear /worry whenever I try to do things alone for ex travelling, driving, shopping and I think a lot about my body sensations like upper back pain, feeling sleepy, neck tightening, pain in the eyes all of them gets subsided as soon as I relax. I have been assured by more than 4 cardiologists, 3 physicians and couple of more highly qualified doctors that I do not have any problem .Its just the matter of thoughts .I am trying to reduce anxiety by socializing, brisk walking daily for 30 mins, avoiding junk food .Somehow I feel better than what I used 2 feel 1 year back & there are lot of positive changes. However, things do repeat sometimes. I want 2 get out of this which I sure I will but not sure how much more time it is going to take .I am sick of medications .Please suggest where I am going wrong!

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 28 years old male & I have been facing anxiety issues since last 2 years .I went through ecg, lipid, thyroid, an...
All the doctors can give you is an assurance that nothing 'is yet' wrong. You could give yourself a host of trouble medically, if you continued to worry so much. Since all the tests have come negative, it only means that these are all psychosomatic in nature i.e. Caused by your anxiety. There is abnormal fear and it could do with some contribution from your upbringing. Perhaps you experienced strict parenting; or you were intimidated by dire consequences for failure; perhaps you were brought up believing that you were not as good as others; perhaps you were forced to show undue regard for elders and felt inferior around them, etc. You must immediately seek help from a counselor. In the meantime you must do certain things to build your constitution physically, spiritually, emotionally, and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body’s health by physical fitness through exercise, good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart’s fitness; meditation for the brain’s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the callisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again. You need to attend personality development courses, personal grooming courses, conversational skills courses, and definitely a good education will empower you to boost self-confidence and by default self-image.
31 people found this helpful
Submit FeedbackFeedback

My boyfriend has many female friends. He never hide them with me. But sometime when they hangout he sits with them. Touching doesn't mean anything to them but it bothers me a lot. What should 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
My boyfriend has many female friends. He never hide them with me. But sometime when they hangout he sits with them. T...
Dear user. I can understand. From the given information it just seems that you are being possessive with your boy friend. Don't worry. Being possessive with your boy friend is normal and natural. You will stop being possessive when you understand that your boy friend do have his own life style and behavior. I suggest online counseling for you. Take care.
1 person found this helpful
Submit FeedbackFeedback

I've always had underlying depression issues. Years fine on Prozac. Then year or so ago I aware not sleeping, anxiety, anger, loss interest in everything. MD said Prozac maxed out for me so then effector (hated it almost suicidal!), cymbalta, lexipro, Zoloft and now supposed to start paxil. I can't keep doing this. I've lost my job, my friends can't listen anymore, I cry all the time and hide in bed 18 hours a day. What do I do? This is no way to live.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I've always had underlying depression issues. Years fine on Prozac. Then year or so ago I aware not sleeping, anxiety...
You have been having depression of a relapsing nature and it seems to be more resistant to medications every next time. You might need a combinations of two or more group of antidepressants along with some augmenting agents too. Consult a psychiatrist personally, along with a family member or close friend. Do not stay alone. Always be with a friend or family member all the time. Ask for help and tell some one if you feel like having death wishes. If medicines are taking longer time to show effects and you continue to have deliberate self harm thoughts you may get admitted under a psychiatrist and start modified ects too. However that remains only one among all options. You have recovered from depression in past and you will surely improve this time too, sooner or later. Keep the faith. Take care.
Submit FeedbackFeedback

I am 19 years old and by this age I am fat and weight of 125 kgs and I am a short temper and I need to come out this both. Suggest an idea to reduce and to be calm.

BHMS
Homeopath, Faridabad
I am 19 years old and by this age I am fat and weight of 125 kgs and I am a short temper and I need to come out this ...
Hello, Homoeopathy has the best answer for your query.you can lose weight with the help of homoeopathic medicines, without any side effects. This involves correction your metabolism. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the eveninng daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits. **take kali phos 6x, 6 tabs twice daily willl help you to stay calm.**
1 person found this helpful
Submit FeedbackFeedback

I am 34 years married man with a daughter 5 months old. I am a medical sales professional managing a team of 6 members. While trying out to clean the corruption in the team. I have to take some harsh decision and change few team members in the team. As a result the performance get a blow even after giving 100% effort. Over last one and half years, I am wrecked both in my professional field and personal life with my parents. I have become very stressed short tempered. I fails to express my thoughts, ideas, feelings and concerts. People misunderstands me and my views. My division making power is getting creepled. All steps seems wrong. I am on the edge of getting fired. My managers who were happy 1 year back who all were backing my every decisions now finding faults in my every steps. Though I live in the same house with my parents still we have no communication. Because I couldn't agree to there preset perception, old false believe. I couldn't convince them the correct things. Very small these us becoming a big issues. The problem started when my wife got pregnant and I decided to send her to her parents for safe gestation period against my parents will. They wanted the delivery to be in my area. Now there is miles of gaps between me and my parents. My wife and me daughter is in our house with my parents but still l am deserted. Please help me.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Dear lybrate-user, all your intentions seem to be good and leaning towards fairness, caring and supporting each other. However you must realise that our decisions impact others as well and if they are not satisfied with your decisions, they have a right to voice their concerns just as you have a right. 2. Every story/ picture/ incident has various perspectives and angles to look at from. You seem to be seeing the issue of corruption from your perspective but have not taken into consideration that people whom you fire have families to support or that firing will impact them adversely and the team in number of ways. These employees might have been taking money on the side. But we're they productive and the company grew because of their hard work. Did your bosses want your team to be fired or they were willing to accept some faults over some strengths. You need to see the larger picture and then take a decision, which is wise and workable in the longer run. You seem to have gained a lot of unpopularity over 1 year time. Please examine your actions, and try to see them from the eyes and perspectives of others as well because you don't take any action in a vacuum thinking that others will be fine with all your decisions. Please learn to weigh the pros and cons of your decisions and take action after that. 2. Regarding your wife, again your intention was good to let her have rest and a safe delivery, but your parents were against this decision. Did you try to find out their reasons. Even if they are old and false beliefs. Who are you to judge them? sooner or later. What you believe in will become outdated. So should you not get respect and acceptance for that? their lives have been spent seeing that daughter in laws live with inlaws and deliver. Maybe they feared social ostracization from their community and peers? isn't that a genuine concern? maybe they are dependant on your wife to have their needs met. Isn't it best to find another route so that your wife and they both are taken care of? an open communication always helps to clear doubts and any misunderstanding. However if your parents are very rigid in their thinking and you don't find reasonable reasoning working out with them, then telling them that: you really wished that your wife could stay back and help them, but she's not well and needs rest as well, and if you agreed for this amicable, you would be really happy and peaceful. You could have looked for an alternate source of help etc for your parents. Basically, please remember to include others in decisions which are very important and will impact others as well. Learn to be flexible, tolerant and understanding. Sticking only to your principals and working will not take you far. Living in society with its negatives and positives is a fine balance which you need to achieve to be a successful individual.
Submit FeedbackFeedback

I am suffering from Big depression, due to financial problem ,can you suggest any solution how to overcome this?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am suffering from Big depression, due to financial problem ,can you suggest any solution how to overcome this?
The obvious answer is to solve the financial problem. Bit even if that is elusive you can at least take a positive attitude to life and your problems. In time all these things will pass. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
1 person found this helpful
Submit FeedbackFeedback

Why different place of body having random pain like running from one place ot another everyday?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Why different place of body having random pain like running from one place ot another everyday?
Hi there ~ what you describe seems to be a very classic case of radiating pain or vague bodily aches and pains that are related to a chronic medical condition. I hope you have yourself checked for diabetes, hypertension and other chronic medical condition. If you are a healthy individual with such pains somatization disorder may be a valuable diagnosis which could give you good relief from your symptoms in a quick and effective way. You will need to consult a neuropsychiatrist in that case to get your medications prescribed. Hope this helps. Take care and have a lovely day!
Submit FeedbackFeedback

hello I am 17 years old male person .i am suffering from some disorder which I do not know correctly ,it may be depression or psychosis .Now I am going to explain my symptoms points wise. This problem started exactly 2 years before. Firstly before 2 years I entered into 10th class with change of my section into a topper class slowly my happiness decreased day to day sadness increased ,day by day my focus and concentration decreased .once upon a time I used to get good marks and high ranks I entered into toppers class then slowly my marks also decreased ,i was not able to focus and concentrate on studies ,cannot getup early in the morning for studies but before I used to study at 1: 00 am in the morning but now those habits all ruined. Slowly day by day I became failure ,i cannot used to understand any lessons ,studies ,classes ,it is all about like my brain had stopped working I thought. I did not even get memories, thoughts,cannot imagine, focus,concentrate ,enjoy ,no laugh ,no cry, no sadness, no happiness, no feelings mainly ,no proper memory power. Like this I have time passed for 5 months. Then one day I tried and did hard work to getup early at 1 am in the morning again and woke up and studied crazily like just reading but not understanding and something like by hearting method for the next day exam .and later appeared for the exam but same situation ,cannot understand the questions ,but slowly slowly I attempted small questions by recalling answers then suddenly I got a feeling like sudden flow of blood into brain I thought my brain started working .yes ,it really started ,suddenly I became active my memory returned ,my thoughts started, my feelings started, my imagination started, my happiness also started then ,quickly I started attempting the questions in no time .exam finished results came I passed in a high rank rank i.e state 6th I thought that this change happened due to my studying at 1 am the before day. So again I started reading and studying books at 1 am everyday. But it gone reverse my brain got slowed day by day ,my 10 th public exam came near ,and a new problem started as like before my brain got stopped for some time during the school time and during small exams then immediately I informed my father about this and within no time we consulted a psychiatrist exactly one day the public exams ,so he given clonazep, and amisulpride tablets ,with that I managed some what during the exams and completed or written the exams with so much hard work, one thing I forgot to mention is that some songs are used to play continuously in my mind and also im itself singing that songs in my heart ,and also during the exam time ,if I not sing songs in my heart the writing of exams may become difficult because without that songs ,i am not getting thoughts and the answer to write. Finally I got 9.7 gpa points in my exams but the doctor changed my course and given another tablets named schidon plus hcl and amisulpride tablets .this is summer holidays time .i used to get more sleep and drowsiness, my brain day by day became weak and suddenly one day I forgot to swallow the the tablets then brain again stopped working slowly ,also next three days I did not take the tablets because I went out of station for a function in village. Then I returned home and also taken tablets but no change immediately I informed my psychiatrist that my brain stopped again. I thought that this total negative change is due to the tablets he given (schidon plus hcl means risperidone and trihexyphenidyl hcl and amisulpride). So I changed many doctors also consulted a psychologist but my brain did not started working upto now it is 2 years upto now .i had left the college 1 year due to this problem ,i forgot to mentioned one thing that in this last one year my brain worked but only one day exactly 20 hours the reason behind this is due to that I had taken schidon plus hcl and amisulpride for 40 days exactly then suddenly we changed doctor and suddenly tablets also changed ,i started new tablets (stalopam and amisulpride tablets) then immediately after taking tablets I got the same feeling as a sudden flow of blood into the brain and same situation brain again started working ,my feelings started, my thoughts started, my happiness started, my imagination and all started but after 20 hours it stopped working due to end of tablets reaction effect. So this is the long story and upto now I have taken 6 ect sessions. But no improvement at all .so what should I do now?

PDDM, MHA, MBBS
General Physician, Nashik
hello I am 17 years old male person .i am suffering from some disorder which I do not know correctly ,it may be depre...
Hello, There are many aspects of depression, the more of them you have the more likely you are to have a clinical depression. Some patients feel severely depressed and suicidal. If you have these feelings you should go to the emergency department immediately. Other things that people with depression can feel are sadness, low energy, lack of motivation, poor sleep, irritability, weight gain or loss, poor self image and sometimes even a lack of touch with reality. The more of these symptoms you have the more likely it is that you have serious depression. Treatments for depression include medications, counseling and exercise. Again the more of these you do the better your chance for a successful treatment. Good luck to you,
Submit FeedbackFeedback

Hello. I'm student and I have lot of pressure of ca final xams as well as from office. My problem is DREAMS. I get lost into my dreams, they are normal ones like daily life but still I get lost and can't wake up early in the morning. What's the reason of getting so many dreams every night.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Hello. I'm student and I have lot of pressure of ca final xams as well as from office. My problem is DREAMS. I get lo...
We all dream at night. A normal person may have 5 - 6 dreams every night. But we don't remember these dreams, because we are fast asleep. We remember those dreams which occur when we are half asleep. Since, you remember so many dreams, that itself shows that you are not in the state of deep sleep for a long time. Our body is rejuvenated completely when we get enough of this deep sleep. But you are not able to have enough deep sleep and hence your body does not get enough rest. So you find it difficult to wake up early. Please understand that getting many dreams is not your problem, but not getting enough deep sleep is the concern. There might be many reasons for not getting enough deep sleep. Like you said your are stressed because of ca final exams and stress at office, this might be putting a lot pressure on your mind. If there are any other personal worries or health concerns, financial troubles etc then that also will affect your sleep. If possible go for jog/walk/yoga etc which will help you in reducing your stress. Try to go to bed at a fixed time. Have a cup of hot milk if possible, before sleeping. Before lying down, sit on the bed with legs folded, eyes closed and lights switched off and then take long, deep breaths. Just observe your breaths. Start counting from 1 to 100. Also recite some mantra/shlokas if you believe in them. Basically try to calm your mind before sleeping. In spite of all this, if you cannot sleep early, still get up at a fixed time, it will help you to fall asleep early the next day. All the best.
8 people found this helpful
Submit FeedbackFeedback

I have cold my body since two days and instant cough what should I do and also body pains.

MBBS, cc USG
General Physician, Gurgaon
I have cold my body since two days and instant cough what should I do and also body pains.
Hello, tell me answers of following questions 1. Is cough associated with throat pain ? 2. Is sputum is also coming ? 3.Do you have sneezing/nasal blockade/running nose And Follow advises given below 1.Take proper rest 2.lot of fluids and proper home made diet. 3.warm Saline gargles twice a day for 2-3 days. We need to start antibiotics if sputum is coming with cough so tell me answers of above question than i will do further management consult me/ Physician for further management
Submit FeedbackFeedback

My husband smoke's 4-5 cigarette s daily, if I ask him to stop he will shout at me, how should I make him quit smoking?

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 user. I can understand. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Smoking can affect your mouth, throat, lungs, heart, stomach and brain in many ways. Cancer is one among the potential diseases smoking can cause. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. Nicotine chewing gums too help as an alternative for cigarettes. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advice. You can also opt for online deaddiction therapy. Take care.
2 people found this helpful
Submit FeedbackFeedback

I am a student, I want to concentrate on my studies but I sleep more. Any solution for this?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You may be going through a late onset of the growth hormone. Even so you can continue some stretching and light weight training to guide the growth to desirable directions. If this is the case the body will grow faster than usual. This spurt in growth will take away all the energy and make you feel exhausted. If not you may not be interested in your study course for various reasons in which case I recommend that you do an aptitude course and seek career guidance and opt for a course that is close to your heart and natural talents. Also at your age I suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemicals: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night?s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too.
21 people found this helpful
Submit FeedbackFeedback
View All Feed