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Dr. Anish Nrk

Psychiatrist, Trivandrum

300 at clinic
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Dr. Anish Nrk Psychiatrist, Trivandrum
300 at clinic
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Personal Statement

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.
More about Dr. Anish Nrk
Dr. Anish Nrk is a renowned Psychiatrist in Jagathy Junction, Trivandrum. You can visit him at Elankam Gardens in Jagathy Junction, Trivandrum. Don’t wait in a queue, book an instant appointment online with Dr. Anish Nrk on Lybrate.com.

Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 31 years of experience on Lybrate.com. We will help you find the best Psychiatrists online in Trivandrum. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Elankam Gardens

VellayambalamTrivandrum Get Directions
300 at clinic
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I lost someone very close to me and now we are not together so now how can I forget him.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
If you feel depressed, it's best to do something about it — depression doesn't just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better. And if these are not useful you need antidepressants 1. Exercise. Take a 15- to 30-minute brisk walk every day — or dance, jog, or bike if you prefer. People who are depressed may not feel much like being active. In addition to getting aerobic exercise, some yoga poses can help relieve feelings of depression. Two other aspects of yoga — breathing exercises and meditation — can also help people with depression feel better. 2. Nurture yourself with good nutrition. Depression can affect appetite. One person may not feel like eating at all, but another might overeat.. Proper nutrition can influence a person's mood and energy. So eat plenty of fruits and vegetables and get regular meals (even if you don't feel hungry, try to eat something light, like a piece of fruit, to keep you going). 3. Identify troubles, but don't dwell on them. Try to identify any situations that have contributed to your depression. When you know what's got you feeling blue and why, talk about it with a caring friend. Talking is a way to release the feelings and to receive some understanding. 4. Express yourself. With depression, a person's creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about — a funny movie, perhaps. Laughter helps lighten your mood. 5. Try to notice good things. Depression affects a person's thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal. If you are happy with these answers please click on "useful” link so that I can know my efforts are not wasted. If you want more clarifications or prescription for medicines consult me on this site to ask me directly and not in open questions session It's not easy to say exactly what causes depression and anxiety – it's different for everyone. Sometimes a difficult time in you or your mates' life can set off depression or anxiety, sometimes it's caused by a combination of things that has built up over time and sometimes, there's just no obvious cause at all.
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I am 18 year old male I used to smoke and now my gums and lips coloured black. How to recover it. Or convert them again in pink.

BHMS
Homeopath, Hooghly
I am 18 year old male I used to smoke and now my gums and lips coloured black. How to recover it. Or convert them aga...
Apply sugar solution to ur lips,,aply alovera gel,, apply almond paste,,at night brush with baking soda,rinse ur mouth with lemon water
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Borderline Personality Disorder - Can Emotional Instability Be A Sign Of It?

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Borderline Personality Disorder - Can Emotional Instability Be A Sign Of It?

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

People suffering from BPD fear abandonment and loneliness. Yet, they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life. It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.

Symptoms of BPD:

  1. Disturbed self-image: People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
  2. Emotional instability: Intense feelings of rage, sorrow, anger, guilt and emptiness or loneliness are experienced by some sufferers of BPD. Extreme mood swings, lasting for a short span of time, are common in BPD. They may also have issues with their self-image where they cannot place themselves and don't know what they feel about themselves or who they are.
  3. Dysfunctional relationships: It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak. Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common. Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. 

Causes for BPD:

  1. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
  2. Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis for BPD:

There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life. In case you have a concern or query you can always consult an expert & get answers to your questions!

4534 people found this helpful

I lost somebody very close to me and since then I am feeling so depressed and want to keeping myself. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.Sc - Psychotherapy, PG Diploma in Sexuality & Sexual Counseling
Sexologist, Bangalore
I lost somebody very close to me and since then I am feeling so depressed and want to keeping myself. Please help me.
When you lost your dear one it is common to get anxious. This will remain for some time and will fade after some time. But in the mean time you should also concentrate in your present work. You need to plan short time goals and attain it. I can assist you by providing online counseling for the same.
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I am a 20 year old girl. I am suffering with unexpected mood swings, loss of appetite, feels pukish most of the time, fear, anxiety, irregular and restless sleeping hours, prefer to stay alone all the time. Am I suffering from depression?

Masters in Clinical Psychology
Psychologist, Lucknow
I am a 20 year old girl. I am suffering with unexpected mood swings, loss of appetite, feels pukish most of the time,...
Seems like you are suffering from anxiety. Check with a psychiatrist for medication. It's time to get into the relaxation technique. Remember, you need to commit to it for it to work, and you can't expect huge changes right away. It takes some time for these to become natural, and you need to do it every day so that it starts to become part of your lifestyle, not just something you're doing in a panic. This relaxation technique is actually a combination of several techniques, taking the best of each to help create one effective strategy. It takes advantage of progressive relaxation, which involves calming each muscle group one at a time by concentrating on a feeling. It starts with the following steps: close your eyes start by breathing calmly. Breathe in slow and deep with your eyes closed, using your entire diaphragm. You want to fill your stomach first and your chest second, and you want to breath slowly both in and out. At the peak of your breath (when you have filled up your lungs), hold for a few seconds before you exhale. Breathe in through your nose and breathe out through pursed lips, almost like you're whistling. It's a good idea to practice this type of breathing for a while to get used to it before moving onward. Once you feel your breathing is under control, move forward. Count backwards slowly count backwards from five to one. You can do this in your mind, or you can do this out loud. Start over every time you reach one. Remember, slow, measured breathing is important. If you count slowly, you'll be able to breathe at a better pace. Repeat this until you feel your mind focus less on your stressful thoughts. Focus on your body try to concentrate on the way your body feels. Notice the areas of your body that are tense and relax them. You should feel yourself slumping in your chair. You should feel your muscles let go of your legs. Every muscle in your body should be let go, almost as if your entire body has gone limp and boneless and is now just a puddle of skin. If it helps, try to imagine yourself feeling heavy, warm, and tingly. You want yourself to feel heavy, as though your tense muscles are no longer holding you up. Remember to also relax your face and eyes. You may even want to relax your jaw. It's okay if it opens slightly. Turn off each muscle the best way to do the above step is to turn off each muscle one at a time. Start with your right foot. Relax it by imagining it feeling heavy and weak. Then move to your left foot. Then your right leg. Then your left leg. Keep moving your way up until you've reached your face. Then go through it one more round, and make sure that each and every muscle feels turned off. Start visualizing your next step is to try to mentally transport yourself somewhere truly relaxing. Remember, your eyes should be closed throughout this whole process. Visualize yourself on a relaxing beach, or a pretty park. Try to imagine this place with all of your senses. Focus on the details. What does each flower smell like? what noises are you hearing? envelop yourself in this location. Don't forget to continue your slow and measured breathing. Wipe negative thoughts away when you do have a negative thought or some type of stressor enter into your imagination, visualize it turning into some type of object, and then have some relaxing thing take it away. For example, a stressful boss could be lifted up and taken away by a dove until it's gone. Then go back to imagining all of the relaxing world around you. Start positive affirmations now that you're in a relaxing place, start giving yourself positive affirmations or suggestions. These are often the part that feels the most awkward to those new to the technique. But the goal is to make sure that you're thinking about and listening to positive things. It distracts your mind from the negative and provides you with something happy that you can focus on. Examples of these positive suggestions include: I feel calm and serene. I am having a good day. I am a great person. I have and will have a pleasant attitude. I will cure my anxiety. I love my body. I love my life. I believe in myself. Continue this process until you can't focus on your negative thoughts anymore. Try to do it as long as possible, and any time stress or a negative thought enters, have it taken away and keep yourself transported into that new environment, breathing slowly.
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Is one's face bright ? When his digestive system is working properly. And shouldn't one's weight be reduced with anxiety ? Is it harmful for health?

CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
Is one's face bright ? When his digestive system is working properly. And shouldn't one's weight be reduced with anxi...
if digestive system is proper u get enough nutrition and maintain good health and ur face shines and reflects over all good health. similarly if u have anxiety u r not able to take enough food and lack good nutrition required for good health and u loose weight which in any way not good good luck
1 person found this helpful
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Bipolar Disorder - Symptoms, Types And Treatment

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Bipolar Disorder - Symptoms, Types And Treatment

Bipolar disorder is the medical term for extreme depression and mood swings that are abnormal or too frequent. The mood swings may go from depression to mania, where the symptoms may border on suicidal behaviour, and other such dangerous tendencies. Find out more about Bipolar Disorder with this article.

Main Symptoms:  The major symptoms of Bipolar Disorder are Mania, Hypomania and Major depression. The patient may swing between these two states on a sudden basis. The dramatic mood swings do not have a set routine or pattern and can strike at any given time. The patient may be in a certain kind of state for a prolonged period like many weeks and months, or can even be in a certain state for a matter of days, before the next mood strikes. The manic symptoms are - decreased need for sleep, Increase appetite, Increase use of addictive substances, Increase energy, Increase speech, Inflated self-esteem, Big talks, Multiple new plans, Overfamiliarity, Overspending, Overeligiosity, Over grooming etc.

While hypomania is a very severe outcome of Bipolar Disorder, many people do not recognise it as a problem until it gets out of hand. Hypomania of mostly missed by the patient but severe mania is more disruptive for the patient and family. This state can actually make a person feel high on energy where the patient may also achieve all-time highs in terms of productivity and a sense of wellbeing. This state can switch to a state of depression and hopelessness within a matter of days or weeks.

Types: Bipolar Disorder can be categorised into many types, depending on the level and severity of the mood swings. To begin with, Bipolar Disorder has full blown cycles of ups and downs in the mood of the patient. The up mood never really manifests into full-fledged mania. This is a more mild form of the disease and the symptoms are often missed. 

Rapid Cycling is another form of Bipolar Disease where a patient may experience at least four or even more episodes of major mood swings within a period of 12 months. Further, Mixed Bipolar is a form of the disease where the depression and elevation may come together or in rapid succession of each other. Cyclothymia is another mild form of this mood disorder and comes with subtle changes in one's mood.

Diagnosis and Treatment: Drugs in form of Mood stabilizers like Lithium, Valproate etc on long term basis. Other drugs like Atypical Dopamine blocker and Antidepressants are used for acute management of Mood episodes. Psychologist has very little role in the management of bipolar disorder. Psychologist can provide psycho education for bipolar disorder under psychiatrist guidance. While the diagnosis is done by a clinical psychologist or a psychiatrist with the help of an examination of the symptoms, the treatment includes long-term counselling and therapy as well as medication for more severe cases. Drugs like lithium or benzodiazepine can also be prescribed to control sleeplessness and hyperactivity as well as hostility and suicidal tendencies.

Talking and discussing things are the foremost methods used by psychiatrists when it comes to treating this disease. Persistent mood alterations must be run past a specialist in the field.

2737 people found this helpful

I have also been prescribed anti anxiety drugs amitriptyline +chlordiazepoxide but it is also no fruitful.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
I have also been prescribed anti anxiety drugs amitriptyline +chlordiazepoxide but it is also no fruitful.
Since you are already on medication I suggest you talk to your treating Psychiatrist and convey your current symptoms to them. It is possible that some changes in medication dosages will help improve the symptoms. As they are familiar with your history it is always better to have a discussion with them regarding this situation.
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I am not tnteligent for my education and I fell bad myself. So I do business so what I do I felling depressed? So pls help me.

Clinical Hpnotherapy, M.D.(A.M.)
Alternative Medicine Specialist, Jalandhar
I am not tnteligent for my education and I fell bad myself. So I do business so what I do I felling depressed? So pls...
If you have the will, there is always a way. Knowledge is more imp than education. Be good in what you do and success will come your way. Bach flower therapy will help you. For knowledge you tube is a good medium to help you.
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