Nice. & useful informative. .
Very useful knowledge . Naturopathic Treatment is also self group therapies . It cures diseases related all system of human body permanently . No need surgery .
महत्त्वपूर्ण जानकारी हेतु आभार व्यक्त करता हूं।
Yeah well said
Very useful information
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A 30 year old male patient came with complaints of preoccupation with cleanliness repeated hand washing repeated checking ghabrahat episodes mild irritability since last 1 year patient has h/s/o manic episode one and a half year ago for which patient has taken medications for around 3 months (reports n/a). pt. is smoking bidhi × 6 years about 15/day wt will be ur complete DX. how will u manage this patient.Dr. Khan Parvaiz Ahmad2 Likes14 Answers
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ADJUSTMENT DISORDER Work problems, going away to school, an illness — any number of life changes can cause stress. Most of the time, people adjust to such changes within a few months. But if you continue to feel down or self-destructive, you may have an adjustment disorder. An adjustment disorder is a type of stress-related Mental illness. You may feel anxious or depressed, or even have thoughts of suicide. Your normal daily routines may feel overwhelming. Or you may make reckless decisions. In essence, you have a hard time adjusting to change in your life, and it has serious consequences. You don't have to tough it out on your own, though. Adjustment disorder treatment — usually brief — is likely to help you regain your emotional footing. SYMPTOMS Adjustment disorders symptoms vary from person to person. The symptoms you have may be different from those of someone else with an adjustment disorder. But for everyone, symptoms of an adjustment disorder begin within three months of a stressful event in your life. Emotional symptoms of adjustment disorders Signs and symptoms of adjustment disorder may affect how you feel and think about yourself or life, including: Sadness Hopelessness Lack of enjoyment Crying spells Nervousness Jitteriness Anxiety, which may include Separation anxiety Worry Desperation Trouble sleeping Difficulty concentrating Feeling overwhelmed Thoughts of suicide Behavioral symptoms of adjustment disorders Signs and symptoms of adjustment disorder may affect your actions or behavior, such as: Fighting Reckless driving Ignoring bills Avoiding family or friends Performing poorly in school or at work Skipping school Vandalizing property Length of symptoms How long you have symptoms of an adjustment disorder also can vary: 6 months or less (acute). In these cases, symptoms should ease once the stressor is removed. Brief professional treatment may help symptoms disappear. More than 6 months (chronic). In these cases, symptoms continue to bother you and disrupt your life. Professional treatment may help symptoms improve and prevent the condition from continuing to get worse. When to see a doctor Sometimes the stressful change in your life goes away, and your symptoms of adjustment disorder get better because the stress has eased. But often, the stressful event remains a part of your life. Or a new stressful situation comes up, and you face the same emotional struggles all over again. Talk to your doctor if you're having trouble getting through each day. You can get treatment to help you cope better with stressful events and feel better about life again. If you have suicidal thoughts If you or someone you know has thoughts of suicide, get help right away. Consider talking to your doctor, nurse, a mental health professional, a trusted family member or friend, or your faith leader. If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately. Or call a suicide hot line number. In the United States, you can call the 24-hour National Suicide Prevention Lifeline at 800-273-8255 (toll-free) to talk with a trained counselor. CAUSES Researchers are still trying to figure out what causes adjustment disorders. As with other mental disorders, the cause is likely complex and may involve genetics, your life experiences, your temperament and even changes in the natural chemicals in the brain. RISK FACTORS Although the cause of adjustment disorders is unknown, some things make you more likely to have an adjustment disorder. Among children and teenagers, both boys and girls have about the same chance of having adjustment disorders. Among adults, women are twice as likely to be diagnosed with adjustment disorders. Stressful events One or more stressful life events may put you at risk of developing an adjustment disorder. It may involve almost any type of stressful event in your life. Both positive and negative events can cause extreme stress. Some common examples include: Being diagnosed with a serious illness Problems in school Divorce or relationship breakup Job loss Having a baby Financial problems Physical assault Surviving a disaster Retirement Death of a loved one Going away to school In some cases, people who face an ongoing stressful situation — such as living in a crime-ridden neighborhood — can reach a breaking point and develop an adjustment disorder. Your life experiences If you generally don't cope well with change or you don't have a strong support system, you may be more likely to have an extreme reaction to a stressful event. Your risk of an adjustment disorder may be higher if you experienced stress in early childhood. Overprotective or abusive parenting, family disruptions, and frequent moves early in life may make you feel like you're unable to control events in your life. When difficulties then arise, you may have trouble coping. Other risk factors may include: Other mental health problems Exposure to wars or violence Difficult life circumstances COMPLICATIONS Most adults with adjustment disorder get better within six months and don't have long-term complications. However, people who also have another mental health disorder, a substance abuse problem or a chronic adjustment disorder are more likely to have long-term mental health problems, which may include: Depression Alcohol and Drug addiction Suicidal thoughts and behavior Compared with adults, teenagers with adjustment disorder — especially chronic adjustment disorder marked by behavioral problems — are at significantly increased risk of long-term problems. In addition to Depression, substance abuse and suicidal behavior, teenagers with adjustment disorder are at risk of developing psychiatric disorders such as: Schizophrenia Bipolar disorder Antisocial personality disorder PREPARING FOR YOUR APPOINTMENT If you have symptoms of an adjustment disorder, make an appointment with your primary care doctor. While adjustment disorders resolve on their own in most cases, your doctor may be able to recommend coping strategies or treatments that help you feel better sooner. What you can do To prepare for your appointment, make a list of: Any symptoms you've been experiencing,and for how long Key personal information, including any major stresses or recent life changes, both positive and negative Medical information, including other physical or mental health conditions, and names and dosages of any medications or supplements you're taking Questions to ask your doctor so that you can make the most of your appointment Ask a family member or friend to go with you to the appointment, if possible. Someone who accompanies you can help remember what the doctor says. For adjustment disorder, some basic questions to ask your doctor include: What do you think is causing my symptoms? Are there any other possible causes? How will you determine my diagnosis? Is my condition likely temporary or long term (chronic)? Do you recommend treatment? If yes, with what approach? How soon do you expect my symptoms to improve? Should I see a mental health specialist? Do you recommend any temporary changes at home, work or school to help me recover? Should people at my work or school be made aware of my diagnosis? Are there any brochures or other printed material that I can have? What websites do you recommend? Don't hesitate to ask questions during your appointment anytime you don't understand something. What to expect from your doctor Be ready to answer your doctor's questions so you have time to focus on your priorities. Your doctor may ask: What are your symptoms? When did you or your loved ones first notice your symptoms? What major changes have recently occurred in your life, both positive and negative? Have you talked with friends or family about these changes? How often do you feel sad or depressed? Do you have thoughts of suicide? How often do you feel anxious or worried? Are you having trouble sleeping? Do you have difficulty finishing tasks at home, work or school that previously felt manageable to you? Are you avoiding social or family events? Have you been having any problems at school or work? Have you made any impulsive decisions or engaged in reckless behavior that doesn't seem like you? What other symptoms or behaviors are causing you or your loved ones distress? Do you drink alcohol or use illegal drugs? How often? Have you been treated for other psychiatric symptoms or Mental illness in the past? If yes, what type of therapy was most helpful? TESTS AND DIAGNOSIS Adjustment disorders are diagnosed based on signs and symptoms and a thorough psychological evaluation. To be diagnosed with adjustment disorder, you must meet criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM). This manual, published by the American Psychiatric Association, is used by mental health professionals to diagnose mental conditions and by insurance companies to reimburse for treatment. For an adjustment disorder to be diagnosed, several criteria must be met, including: Having emotional or behavioral symptoms within three months of a specific stressor occurring in your life Experiencing more stress than would normally be expected in response to the stressor, or having stress that causes significant problems in your relationships, at work or at school — or having both of these criteria An improvement of symptoms within six months after the stressful event ends The symptoms are not the result of another diagnosis Types of adjustment disorders Your doctor may ask detailed questions about how you feel and how you spend your time. This will help pinpoint which type of adjustment disorder you have. There are six main types. Although they're all related, each type has certain signs and symptoms: Adjustment disorder with depressed mood.Symptoms mainly include feeling sad, tearful and hopeless, and experiencing a lack of pleasure in the things you used to enjoy. Adjustment disorder with anxiety.Symptoms mainly include nervousness, worry, difficulty concentrating or remembering things, and feeling overwhelmed. Children who have adjustment disorder with anxiety may strongly fear being separated from their parents and loved ones. Adjustment disorder with mixed anxiety and depressed mood. Symptoms include a mix of Depression and anxiety. Adjustment disorder with disturbance of conduct. Symptoms mainly involve behavioral problems, such as fighting or reckless driving. Youths may skip school or vandalize property. Adjustment disorder with mixed disturbance of emotions and conduct. Symptoms include a mix of Depression and anxiety as well as behavioral problems. Adjustment disorder unspecified.Symptoms don't fit the other types of adjustment disorders, but often include physical problems, problems with family or friends, or work or school problems. TREATMENTS AND DRUGS Most people find treatment of adjustment disorder helpful, and they often need only brief treatment. Others may benefit from longer treatment. There are two main types of treatment for adjustment disorder — psychotherapy and medications. Psychotherapy The main treatment for adjustment disorders is psychotherapy, also called counseling or talk therapy. You may attend individual therapy, group therapy or family therapy. Therapy can provide emotional support and help you get back to your normal routine. It can also help you learn why the stressful event affected you so much. As you understand more about this connection, you can learn healthy coping skills to help you deal with other stressful events that may arise. Medications In some cases, medications may help, too. Medications can help with such symptoms as Depression, anxiety and suicidal thoughts. Antidepressants and anti-anxiety medications are the medications most often used to treat adjustment disorders. As with therapy, you may need medications only for a few months, but don't stop taking any medication without talking with your doctor first. If stopped suddenly, some medications, such as certain antidepressants, may cause withdrawal symptoms. LIFESTYLE AND HOME REMEDIES There are no guaranteed ways to prevent adjustment disorder. But developing healthy coping skills and learning to be resilient may help you during times of high stress. Resilience is the ability to adapt well to stress, adversity, Trauma or tragedy. Some of the ways you can improve your resilience are: Having a good support network Seeking out humor or laughter Living a healthy lifestyle Learning how to think positively about yourself If you know that a stressful situation is coming up — such as a move or retirement — call on your inner strength in advance. Remind yourself that you can get through it. In addition, consider checking in with your doctor or mental health provider to review healthy ways to manage your stress.Dr. Mohd Shafi10 Likes10 Answers
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Dear friends .... now a days .. so many patients with Corex or Tuusex or ( Codeine Addiction ) are coming with 3 bottle of syrup per day .........& are unable to leave because of severe with drawl ..... & affecting their personal social life .....& sexual life - leading to Divorce n marital discord ... & we treat successfully .... with latest medicine Injection n RTMS therapy ..... I am getting lot of inquiry after people ... seeing you tube ... my video testimony of a patient who was Corex addict & succesfully treated ... & living a normal life .... so i thought of giving all the relevant details about the treatment so that you can also do it at your clinic ... n can help millions ... in our country ... thanks to curofy for let us share our expetise with 1,500,00 fellow collegue doctors compiled with internet 50 sites added with my clinical experience .... Hope it will help you n our India ....young people Codeine Deaddiction What is Codeine? Codeine is part of a group of drugs known as opioids, Opioids interact with opioid receptors in the brain and elicit a range of responses within the body, from feelings of pain relief, to relaxation, pleasure and contentment1 Codeine is used to provide relief from a number of conditions, including: · Pain : Mild to moderate pain, Severe pain (when combined with aspirin or paracetamol) · Cough : Dry irritating cough · Diarrhoea · Cold and flu (when combined with antihistamines and decongestants)1 Codeine is usually swallowed and comes in different forms, including: · Tablets · Capsules · Suppositories · Soluble powders and tablets · Liquids1 Other names Codeine may also be known by a brand or trade name. Some common examples are: Codeines' other names Generic name Brand names Aspirin and codeine Aspalgin®, Codral Cold & Flu Original® Ibuprofen and codeine Nurofen Plus® Paracetamol and codeine Panadeine Forte®, Panamax Co® Paracetamol, codeine and doxylamine Mersyndol® and Mersyndol Forte®, Panalgesic® Overdose If the dose is too high, you might overdose. If you experience any of the below symptoms, Inability to pass urine · Severe constipation and obstructed bowel · Agitation · Cold clammy skin with a bluish tinge · Mental numbness · Very slow, shallow breathing · Hallucinations and sometimes seizures · Coma and death1 Using codeine with other drugs Codeine taken with alcohol can cause mental clouding, reduced coordination and slow breathing.1 Withdrawal Giving up codeine after using it for a long time is challenging because the body has to get used to functioning without it. Withdrawal symptoms usually start within a few hours after the last dose and become strongest between 48 and 72 hours.3 These symptoms can include: · Cravings for codeine · Dilated pupils ( eye) · Abdominal cramps, diarrhoea, nausea, vomiting · Lack of appetite · Runny nose and sneezing · Yawning and difficulty sleeping · Trembling, aching muscles and joints · Goosebumps, fever, chills, sweating · Restlessness, irritability, nervousness, depression1,2 Therapies Gradual discontinuation of opioids, Counseling, Supportive therapy and Opioid substitute / replacement therapy Two of the most common drugs used as substitutes during the treatment of opioid dependence are methadone and buprenorphine. When it comes to the treatment of codeine addiction, Buprenorphine is the substitute typically used. The aim of a substitute for codeine is that it can be administered during the detox process when you are trying to break free from your medication. Withdrawal from any type of opiate drug can lead to a range of rather unpleasant withdrawal symptoms, but the use of a drug such as buprenorphine can lessen the severity of the process. He or she will, for example, determine the dose to be taken, which will usually be between 12mg and 16mg. Your doctor might introduce Buprenorphine slowly while at the same time decreasing your dose of codeine. This helps to limit the type and severity of withdrawal symptoms that you might experience. Codeine is also known under the following street names: · Cough syrup · Coties · T-Threes · Schoolboy · Lean · Purple · Drank · Sizzurp Codeine Abuse Statistics · In 2016, the number of paracetamol deaths was 219. Twenty-eight per cent of those involved a paracetamol compound that included codeine. · The number of people attending hospital in England with opiate poisoning in 2015/2016 was 11,660. This related to drugs such as codeine, oxycodone, fentanyl, and morphine. · Codeine is available on prescription only in 25 countries, although it remains legal to purchase it in pharmacies and other outlets in the UK. · In 2015, the UK consumed almost 16% of the world’s share of codeine, second only to India with 19.3% and ahead of the United States with 12.8%. Some of the more common co-occurring disorders of opiate/codeine abuse include: · generalised anxiety disorder · panic disorder · post-traumatic stress disorder · obsessive compulsive disorder · major depressive disorder · Treating withdrawal With a doctor’s guidance, you can typically avoid severe withdrawal side effects. Your doctor will likely advise you to taper off your codeine use slowly rather than suddenly stopping the drug. Gradually reducing your use allows your body to adjust to less and less codeine until your body no longer needs it to function normally. Your doctor can help you through this process or refer you to a treatment center. They may also suggest behavioral therapy and counseling to help you avoid relapse. Your doctor may also suggest certain medications depending on whether you have mild, moderate, or advanced withdrawal symptoms. For mild pain and other symptoms Your doctor may suggest non-narcotic medications to ease more mild withdrawal symptoms. These medications may include: · pain medications such as acetaminophen (Tylenol) and ibuprofen (Motrin, Advil) to help reduce mild pain · loperamide (Imodium) to help stop diarrhea · hydroxyzine (Vistaril, Atarax) to help ease nausea and mild anxiety For moderate withdrawal symptoms Your doctor may prescribe stronger medications. Clonidine (Catapres, Kapvay) is often used to reduce anxiety. It can also help ease: · muscle aches · sweating · runny nose · cramps · agitation Your doctor may also prescribe a long-acting benzodiazepine such as diazepam (Valium). This drug can help treat muscle cramps and help you sleep. for advanced withdrawal symptoms If you have severe withdrawal, your doctor may try different options. For instance, they may switch you from codeine to a different medication, such as a different opiate. Or they may prescribe one of three medications that are commonly used to treat opiate addiction and severe withdrawal symptoms: · Naltrexone blocks opioids from acting on the brain. This action takes away the pleasurable effects of the drug, which helps prevent relapse of misuse. However, naltrexone may not stop drug cravings due to addiction. · Methadone helps prevent withdrawal symptoms and cravings. It allows your body function to return to normal and makes withdrawal easier. · Buprenorphine produces weak opiate-like effects, such as euphoria (a feeling of intense happiness). Over time, this drug can reduce your risk of misuse, dependence, and side effects from codeine. WHERE DO DRUGS COME FROM? Drugs like cannabis and heroin come from plants. Other drugs are man-made in laboratories.Dr. Vinod Kumar Goyal12 Likes9 Answers
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HOMOEOPATHY acts even on PSYCHIATRIC,NEUROLOGICAL,PSYCHOLOGICAL disorders- ailments Whether its anxiety,depression,bipolar disorder,substance abuse,INSOMNIA,MR,AUTISM,ADHD,psychological ailment etc.. When comparing the treatment percentage of allopathy & homoeopathy medicines for these ailments homoeopathy acts better as compare to allopathy my personal clinical experience of last 3years in different states under different doctors of both the background allopathy & homoeopathy, In my clinic also . when these type of patients came to me what I actually observe after long sessions of more than 1hour along with counseling, homoeopathic & psychiatric case taking these patients need time to catharsise themselves,they are actually taking treatment under allopathy which uttermost & most of the time not actually they need.. Drug dependency on psychotropic,antidepressive ,antiepileptic drugs Weaken their body like noother These patient actually need the care,affection,proper diet,bed rest,meditation section,natural treatment,open air,good friends,friendly climate,counseling sections under xperienced counselor,family-friends-society support which acts as a supportive therapy along with well selected HOMOEOPATHY MEDICINE..but not every homoeopath is been able to handle these type of cases esp. When the clinical & practical knowledge of homoeopaths only upto books & cold,cough.. Need to be perfectely train,learn in applied clinical homoeopathy 1 of the senior young known psychiatric physician from jammu with medical background who is working in a well reputed army hospital in jammu came to me with his problem of having his patient not been able to cure because he told me directly with his views with sincerity that sir we know that in allopathy we dont have any cure or proper treatment for these patient we are just managing it very well & in long term cases there seems to be much more complications with these drugs along with withdrawl symptoms & drug-dependency So,i am very much impressed with the way he told me the truth of the big pharma industry of these days which is simply based on business standard rather than cure based medicines... No more drug dependency,no harmful sideeffects.. dont take it as lightly as you think Homoeopathy has answer for even these type of ailments Homoeopathy medicines acts not only on physical but mental level too Treatment is purely on symptom symptomatology individualistic base which is rapid,gentle,permanent.. Consult your nearest genuine experienced registered homoeopathic physician. Dr.sahilmhc(multispeciality homoeopathic clinic)jammu Email-drsahilmhcclinicjammu HOMOEOPATH Professional COUNSELOR PSYCHOLOGIST DIETITION MENTAL HEALTH Profesional DRUG ABUSE-DRUG DE-ADDICTION EXPERT Plz SHARE YOUR VIEWS....Dr. Sahil Gupta0 Like3 Answers
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Anxiety is an emotion characterized by an unpleasant state of inner turmoil. Everyone feels anxious now and then. It’s a normal emotion. For example, you may feel nervous when faced with a problem at work, before taking a test, or before making an important decision. Anxiety disorders are different, though. They are a group of mental illnesses, and the distress they cause can keep you from carrying on with your life normally. For people who have one, worry and fear are constant and overwhelming, and can be disabling. But with treatment, many people can manage those feelings and get back to a fulfilling life. Types of Disorders Anxiety disorder is an umbrella term that includes different conditions: Panic disorder. You feel terror that strikes at random. During a panic attack, you may also sweat, have chest pain, and feel palpitations (unusually strong or irregular heartbeats). Sometimes you may feel like you’re choking or having a heart attack. Social anxiety disorder. Also called social phobia, this is when you feel overwhelming worry and self-consciousness about everyday social situations. You fixate about others judging you or on being embarrassed or ridiculed. Specific phobias. You feel intense fear of a specific object or situation, such as heights or flying. The fear goes beyond what’s appropriate and may cause you to avoid ordinary situations. Generalized anxiety disorder. You feel excessive, unrealistic worry and tension with little or no reason. HOMOEOPATH Phosphorus: People needing this may be bright-eyed, social, loving, and empathic—but when frightened, they are excitable, suggestible, “spaced out, ” easily vexed, fearful of robbers, and in need of reassurance. They gulp cold water (but then either vomit it or get nauseated by it) and are much worse at night. Their anxiety often has something to do with love; they worry endlessly about the object of their attachment not returning their affections. They can be very angry about rejection and obsess on it. Pulsatilla: Sensitive, easily upset people who need a great deal of consolation and reassurance and are as changeable as an April day. They tend toward childish rumination and pouting if they don’t get the attention and emotional security they crave, quickly becoming fearful of rejection. Dependent on others for reassurance. Worse in warm rooms, being covered in bed, and after eating rich foods; better from fresh air, mild exercise, and consolation. Silica: Lack self-confidence and fearful of new undertakings, especially speaking in public. Yielding, yet obstinate. Overly conscientious/anxious about trifles (obsessive); they overwork and exhaust themselves to avoid failure. Chilly, thirsty, chronically constipated, and better with consolation and sympathy. Stramonium: Night terrors, both in sleep and waking states. The person is anxious, obsessive-compulsive, and feels forsaken or alone in the wilderness (similar to Pulsatilla); but a mild demeanor may mask violence of thought or action. Mania, delirium, or diabolical delusions may be present. HOMOEOPATH HOMEOPATH HOMEOPATHY BEST HOMEOPATHIC DOCTOR BEST HOMEOPATHIC PHYSICIAN HOMOEOPATHIC DOCTOR PSYCHOLOGIST BEST HOMEOPATHIC PSYCHOLOGIST BEST CHILD PSYCHOLOGIST SEXOLOGIST BEST HOMEOPATHIC SEXOLOGIST. For more info visit us at http://www.drthakkarhomoeopath.in/updates/anxiety-is-an-emotio/5c149a949449bf00011c00a0?utm_source=facebookpageDr. Kalpesh Thakkar5 Likes3 Answers