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Counselling And Management of Down Syndrome Health Feed

Asked for male, 27 years old from Hyderabad
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BASM, MD, MS (Counseling & Psychotherapy...read more

Psychologist•Palakkad
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Dear user. I can understand. Panic attack a sudden overwhelming feeling of acute and disabling anxiety. Panic disorder is different from the normal fear and anxiety reactions to stressful events. Panic disorder is a serious condition that strikes without reason or warning. Symptoms of panic disorder include sudden attacks of fear and nervousness, as well as physical symptoms such as sweating and a racing heart. Panic attack always happens due to an underlying anxiety disorder. So you need to tre...more
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My dad is 75 years old. Since last october, he is suffering from mental health issues. He started to get angry on frivolous matters, talking much on unnecessary things, imagine non-existent things (like someone has stolen his dress), etc. We therefore consulted a physiatrist for medical help. Initially, since there was not much improvement in my dad’s condition the doctor increased the dosage. But when my dad became too silent, the doctor started decreasing the dosage. As the medication continued for next 5 months, my dad started behaving in reverse order (talking very less, always sleeping, lost appetite for eating, walking very slowly, getting irritated with sounds). As his condition was same even after reducing the dosage 2-3 times, we consulted another physiatrist who was highly recommended by people know to us. However, things got worse and in the first day of medication itself my dad’s health worsened. He was not able to stand / walk properly and was completely drowsy. For the next few days, the doctor changed the medication several times. Currently, he has stopped medicines for mental health issues and has prescribed medicines for improving his physical health. However, my dad hasn’t recuperated properly and still not able to walk around freely, sometimes loosing balance when standing, sitting, climbing up steps and getting down from steps, seems lost in his thoughts and don’t communicate much with us. He also has difficulty in wearing his shirts (especially, putting buttons on). He also gets confused while choosing places to sit and ends up sitting on the edge / corners of the chair and sofa. He has also lost his appetite for eating. To sum up, before we started this medication, he was able to do his daily chores all by himself without our support. But now he is completely dependent on us. We are lost for reasons for this change of behavior and physical condition of my dad. Kindly let us know, if we are doing proper medication and any suggestion you have on treatment. Following are his present medications: •syndopa 275 (4 times a day every 4 hours) •selgin 5 mg (2 times a day) •syndopa cr (1 time in night) •complete td (1 time in night) •betonin syrup (5 ml for three times) he is also taking his regular medicine for blood pressure (arkamin 100 mg and amladoc 5 mg one time each) we are also worried about him taking excessive medicines at this old age. Please help us with your valuable guidance.

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Doctorate in Clinical Psychology, Mphil ...read more

Psychologist•Trivandrum
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Hi dear
understand your stress reg this.
Your father may need help of more than one professional, visit a place where it is available
where there is team work of psychologist, neurologist and psychiatrists
may need regular monitoring of fluctuations, supportive counselling or psychotherapy and minimum medication depending on status if needed.
Thank you and take care.
429 people found this helpful
Asked for female, 30 years old from Chennai
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Hello doctor, I am a bi polar disorder patient. So I undergone so many episodes. Please tell me about visual hallucination i.e. Imaging ourself as a god and imaging other person as a god. In my episodes I believed strongly this. So I started to talk with unknown persons .so I faced lot of problems. Still now I am not get a answer that visual hallucination is not real. I thought tv serial dialogues, adds, films are also helping me in my life through god. So please please reply me to recover from this thought doctor. My mom helped me lot to recover from this by admitting in hospital and I got recovered now but also still taking medicines like nexito plus, ativan 2 mg, sultipac 50. But in my in-depth mind always saying god helped you is true that is not fake. Those who are all you saw as a god that is only true like this. I am married and I have one daughter aged 7. I had this problem still 2011. For my family I am controlling myself and saying to me ,that is fake it's all your imagination. Please think about your daughter future. And etc. Like this I am controlling myself. So please reply me to overcome from this thought. Please save my life from your valuable reply doctor. Thank you so much.

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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
your feelings of imagining yourself as god will be there in your mind. But you act out on it, only during the manic episodes like talking to strangers. Of course, if you act out on it, you will face lot of problems. You may worry about your acting out during depressive episodes - that is also a period in bipolar disorder. Your mother helped you during your previous episodes. Hereafter you can help yourself by knowing about mood disorder, the manic and depressive episodes, ...more
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My dad is 75 years old. Since last october, he is suffering from mental health issues. He started to get angry on frivolous matters, talking much on unnecessary things, imagine non-existent things (like someone has stolen his dress), etc. We therefore consulted a physiatrist for medical help. Initially, since there was not much improvement in my dad’s condition the doctor increased the dosage. But when my dad became too silent, the doctor started decreasing the dosage. As the medication continued for next 5 months, my dad started behaving in reverse order (talking very less, always sleeping, lost appetite for eating, walking very slowly, getting irritated with sounds). As his condition was same even after reducing the dosage 2-3 times, we consulted another physiatrist who was highly recommended by people know to us. However, things got worse and in the first day of medication itself my dad’s health worsened. He was not able to stand / walk properly and was completely drowsy. For the next few days, the doctor changed the medication several times. Currently, he has stopped medicines for mental health issues and has prescribed medicines for improving his physical health. However, my dad hasn’t recuperated properly and still not able to walk around freely, sometimes loosing balance when standing, sitting, climbing up steps and getting down from steps, seems lost in his thoughts and don’t communicate much with us. He also has difficulty in wearing his shirts (especially, putting buttons on). He also gets confused while choosing places to sit and ends up sitting on the edge / corners of the chair and sofa. He has also lost his appetite for eating. To sum up, before we started this medication, he was able to do his daily chores all by himself without our support. But now he is completely dependent on us. We are lost for reasons for this change of behavior and physical condition of my dad. Kindly let us know, if we are doing proper medication and any suggestion you have on treatment. Following are his present medications: •syndopa 275 (4 times a day every 4 hours) •selgin 5 mg (2 times a day) •syndopa cr (1 time in night) •complete td (1 time in night) •betonin syrup (5 ml for three times) he is also taking his regular medicine for blood pressure (arkamin 100 mg and amladoc 5 mg one time each) we are also worried about him taking excessive medicines at this old age. Please help us with your valuable guidance.

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Pain Medicine Externship, Fellowship In ...read more

Psychiatrist•Panchkula
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Hello sanjeeva
I hear your concerns in this regard. I think you need to speak with your doctor or setup an online consult so that the medication regime can be streamlined after taking into account detailed medical history and past reports.
1505 people found this helpful
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28 year old male from england. One night in the middle of january I suddenly woke up in what I can only describe as a state of panic. My heart was racing I was heavy breathing and my body went really stiff, this lasted for no more than 5-10 seconds it has only happened once but since then I have had a pain in the left hand side of my stomach it feels like a knot like something is in there that shouldn't be, pain in my back the lower and upper parts the pain in my back started on my left side but is now on both sides. I've noticed 2 squishy lumps at the bottom left and side of my back. I notice the discomfort in my stomach more when i'm sat down as to when stood up or laying down. I notice when I urinate a lot of urine comes out but no pain or burning sensation or no more frequent than normal. I have suffered with diarrhea for many years now sometimes I have to use the toilet right after eating. But some days I feel constipated. I can see undigested food sometimes in my stool. I'm sleeping well and haven't noticed any weight loss. I sometimes feel sick but haven't been sick since this started. I have had blood tests done and they have all come back normal. I also did a urine sample and that came back normal. I am currently waiting for an ultrasound scan on the 26th of april. I had the lumps looked at on my back by 2 different doctors and they both said they didn't think they were of any concern. I have recently become a father for the first time, my son is 6 months old and he is my absolute world. I have suffered with anxiety for many years and I am now back on 50 mg of sertraline daily, because of my anxiety I have convinced myself that I have kidney or stomach cancer I spent a lot of time googling my symptoms. I spend most of my time worrying and crying that my son is going to grow up without me. My family history that I know of is diabetes runs on the female side (grandmother, mum, sister) my sister and father both have ibs. In 2019 my mum had stage 2 uterus cancer but has recovered well after surgery. My grandfather died of a stomach aneurysm in 2001 he also had stomach cancer at the time of his death. I've tried to be as detailed as possible with this and any help would be really appreciated i'm just so scared I don't want to leave my son.

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MBBS, DPM (Psychiatry)

Psychiatrist•Thrissur
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Dear
stress patients worry too much. Stress in today’s day & age where stress is high, feelings of frustration can emerge. It is our perception that can change our current negative situation into a healthy & positive one. Another way of perceiving these feelings of frustration can be by looking at them as an opportunity to push ourselves to go that little extra mile until we achieve our objective. However, there are times when we all can go around in circles; and being in this space can be q...more
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Current condition of pappa age: 53 weight: 60 height: 168 cm my dad had 1 block of 95% so we did ptca-om on 10/10/2018. From that day to till now he is not normal and did not able to go to work. Currently our cardiologist prescribed 3 tablets: 1) rosurica gold 10 mg- contains: aspirin (75 mg) + rosuvastatin (10 mg) + clopidogrel (75 mg) 2) escigress cz 0.25 - contains: escitalopram (10 mg) + clonazepam (0.25 mg) 3) rabolin dsr: contains: domperidone (30) + rabeprazole (20 mg) he always says that he feels 1. Some times different sensations like vibration in blood vessels and minutes shocks in heart. 2. Continuous tingling in palms and more in fingers. 3. Numbness, or a decrease in the ability to feel or sense pressure or texture in hands. 4. Heart burn. 5. Feeling of burns in different parts of body like in back on left side of chest. 6. Always feel to lay on bed. 7. Second-degree hemorrhoids without blood from last 20 years 8. Hyperglycaemia sometimes (sugar level on border) 9. He feels that the stent became loose or pain at the site of stent in heart. 10. Always feels tired and weakness. 11. Hyper acidity with a lot of burps. 12. Digestion problem (sometimes indigestion and constipation). 13. Feeling of fluttering in vessels or muscles (now became rarer). 14. Feeling of piercing in back and on the site of stent in heart (now became rarer). 15. Sometimes pain in shoulder, upper back, chest. 16. Frequent pain or burning sensation in chest and upper back. Due to lighten our financial condition is worst, that's why he always takes tension, stress, depression, and burden. He thinks a lot even on a small thing and takes tension of that, his thinking capacity is too high. Irritability on small things. He always thought negatively, never thinks positive. He always blame us that why we did angioplasty, because he never became normal like how he was before angioplasty. He lost his 10 kg weight. He feels that his body is completely damaged from inside. When he hears something bad anything about health of somebody then he thinks alot and applies that's on himself and feels like that person's health condition on himself. He is vaccinated with 1st dose of covisheild vaccine on 12/04/2021.

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MD - Psychiatry, MBBS

Psychiatrist•Vadodara
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Your father's symptoms suggest that he might have post cardiac disease depression and anxiety. With proper medications and counseling sessions, he can definitely find improvement.
521 people found this helpful
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I have been feeling awfully hungover for the past 9 months. It all started after a night of drinking last summer. I woke up in the morning with a hangover, and it lasted for two days, then one more, and so on. I have absolutely no explanation for it. General health condition: healthy 23 years old male, no known health problems before. 7 years smoker, occasional drinker, in good physical shape. Financial, personal, and general situation very positive, no reason for sadness in general. Symptoms: - waking up every morning with horrible internal tremors which last for the whole day, eye-popping headache, extreme numbing especially in the face area, very dry lips and feelings of extreme thirst. - inability to sleep less than 10 hours with constant waking up after ~6 hours of sleep. - nightmares and very vivid dreams. - anxiety, feeling of impending doom all the time, inability to socialize without constantly shaking. Personal life taking a huge toll. - depression. - bruxism, teeth grinding all day, teeth hurt and some of them are chipped already. - muscle pain and stiffness. Involuntary muscle cramps in the morning. - mental fog. Things I have tried: - went to psychiatrist, taking lexapro (10 mg/day), mirtazapine (30 mg/evening), alprazolam (1 mg/day) for the past 6 months (they barely scratch the issue). - did multiple tests at multiple doctors (blood and stool tests, abdominal echography, got sinuses checked) - treated h. Pylori infection that was found when doing stool tests (have not re-done stool tests to confirm infection was treated) - converting to the healthiest lifestyle possible: quit drinking, quit smoking, lots of sport. - tried many diets: keto, vegetarian, vegan, low-fat, low-cholesterol, generally healthy food, no fried stuff - tried supplements: l-thiamine, nac, cbd, probiotics, multi-vitamins, calcium, magnesium. Things I thought about trying: - doing a brain scan. - talking to psychiatrist about changing medication (don't think it would do much). What could my condition be? I am very close to giving up, this feels like it has no end. If anybody has any idea what this could be, or knows about a similar experience, and could point me in any direction, I would appreciate it very much.

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M. S. in Psychotherapy and Counselling

Psychologist•Jaipur
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Hi, agreed with Dr. saranaya's answer. I would like to add one more thing to her answer that you should take a few cognitive behavior therapy sessions from a good psychotherapist. You might be having some deep down issues which you can solve with the help of cbt. Cbt works wonders in anxiety disorders. For further help you may contact me for online sessions.
255 people found this helpful
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B.P.T, M.P.T(Orthopedics)

Physiotherapist•
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Respected Lybrate user. Don't be feel too much bad. Don't be assessed for your condition. Don't be get conclude. Wait for scanning results. Consult gastroenterologist for your irritable bowel syndrome" don't be concluded your problem's diagnosis. Take your doctor's advice" reducing your weight" I think you're suffering from ergonomic, postural and irregular, unhealthy food habits. Please check and change it. Don't be forget. Don't be think too much. If you have any questions or doubts about your...more
168 people found this helpful
Asked for male, 55 years old from Chennai
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern but will be happy to assist you.
The spotlight effect is a term used by social psychologists to refer to the tendency we have to overestimate how much other people notice about us. In other words, we tend to think there is a spotlight on us at all times, highlighting all of our mistakes or flaws, for all the world to see.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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