Male | 14
क्या दवा बच्चे के आक्रामक प्रकोप को नियंत्रित करने में मदद कर सकती है?
नमस्ते डॉक्टर, मैं आपके लिए एक मरीज़ (14 वर्ष) के बच्चे को लाना चाहता था, मैंने एक सारांश तैयार किया है जिसे आप नीचे देख सकते हैं। सारांश रोगी आक्रामक और उत्तेजक व्यवहार प्रदर्शित करता है, जिसमें बार-बार क्रोध (दिन में दो से तीन बार) होता है, जो मौखिक और शारीरिक दोनों होते हैं। पहला गंभीर विस्फोट अगस्त के पहले सप्ताह में हुआ। इन प्रकरणों के दौरान, वह हिंसक हो जाता है और अपने माता-पिता और भाई सहित अपने निकटतम लोगों पर हमला करता है। उनके भाषण पर "ख़राब" होने के आरोप और उनके ख़िलाफ़ साजिश के दावे किए गए हैं। विस्फोटों के बाद, वह पछतावापूर्ण व्यवहार प्रदर्शित करता है, रोता है और अपराधबोध दिखाता है। शारीरिक हमले गंभीर होते हैं और खुद को या दूसरों को नुकसान पहुंचाने का जोखिम पैदा करते हैं। वह असामान्य व्यवहार भी प्रदर्शित करता है जैसे कि वस्तुओं और लोगों पर थूकना और उन्हें चाटने का प्रयास करना। रोगी के इतिहास से पता चलता है: * प्रारंभिक बचपन में स्कूल में पढ़ाई जारी रखने में कठिनाइयाँ * छोटे भाई (उससे 2 वर्ष छोटा) के साथ प्रतिस्पर्धा * छोटे भाई-बहन के प्रति पक्षपात के कारण माता-पिता द्वारा उपेक्षा या उपेक्षित महसूस करना संभव *स्कूल में दोस्तों की कमी * आँख मिलाने, ध्यान देने और आत्मविश्वास की कमी जैसी समस्याएँ पहले विस्फोट से पहले, उन्होंने इसके संकेत दिखाए: * आँख मिलाने से बचना * ध्यान देने में कठिनाई * संकेत दिए जाने पर प्रदर्शन करने या बोलने में आत्मविश्वास की कमी शुरुआती विस्फोट के बाद मरीज फिलहाल न्यूरोलॉजिस्ट की देखरेख में है। कई प्रकरणों के बावजूद, हम संयम का उपयोग किए बिना ट्रिगर्स की पहचान करने या विस्फोटों को कम करने में असमर्थ थे। ----- बच्चा फिलहाल अपने घर प्रयागराज में रह रहा है। हम उन्हें शारीरिक मुलाक़ात के लिए लाना चाहते थे लेकिन उनकी हालत बहुत जल्दी बेकाबू हो गई। हम आशा कर रहे थे कि सारांश के आधार पर यदि आप कोई दवा लिख सकें या कुछ सुझाव दे सकें जिससे वह यह बता सके कि हम उसे शारीरिक परीक्षण के लिए प्रयागराज से लखनऊ लाने में सक्षम हो सकें। उसकी हालत बहुत गंभीर है और बदतर होती जा रही है. कृपया यथाशीघ्र संपर्क करें
मनोचिकित्सक
Answered on 10th Sept '24
आप जिस 14 वर्षीय बच्चे से निपट रहे हैं, उसके साथ यह एक कठिन स्थिति है। ऐसा प्रतीत होता है कि वह आक्रामक व्यवहार, क्रोध और अपनी भावनाओं पर नियंत्रण की कमी से पीड़ित है। ये लक्षण विभिन्न कारणों से हो सकते हैं, जिनमें भावनात्मक संकट, अंतर्निहित मानसिक स्वास्थ्य समस्याएं या तंत्रिका संबंधी स्थितियां शामिल हैं। जैसा कि वह पहले से ही देख रहा हैन्यूरोलॉजिस्टस्थिति का उचित आकलन और इलाज करने के लिए स्वास्थ्य देखभाल टीम के साथ संचार बनाए रखना महत्वपूर्ण है। उसके मूड और व्यवहार को नियंत्रित करने में मदद के लिए उसे दवाएं दी जा सकती हैं।
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Questions & Answers on "Psychiatriy" (348)
Mere pas etizolam and escitalopram oxalate tblt h ..ye sahi h kya..etizola plus 10 ..pehle me etilaam s leti thi 0.5 ...ab mere ko doctr ne ye likhi to kya me ye le sakti hu na
Female | 31
Etizolam and Escitalopram Oxalate are both okay for the treatment of anxiety and depression. By your past history of taking Etizolaam, your doctor might have prescribed Etizola Plus 10 to be of help with anxiety. To adhere to your doctor's orders is very important. Remember, it's a good idea to tell your psychiatrist about any problems or side effects you may have.
Answered on 19th Sept '24
Dr. Vikas Patel
Is xanax safe for a 14 year old
Female | 14
No, Xanax is not safe for the age of 14. Xanax is a highly-addictive drug and doctors prescribe only for anxiety or panic disorders in an adult.
Answered on 23rd May '24
Dr. Vikas Patel
My son is suffering from moderate ocd but not able to control compulsions
Male | 16
Moderate OCD may mean he cannot stop the repetitive thoughts or actions he has. Common symptoms such as compulsive handwashing, constantly checking things, or being orderly can be present. Ancient aliens are one possible cause of OCD and it is possible that also genetics, brain chemistry, and life stress are responsible. Therapy, medication, and family support can be some of the ways to help people with OCD.
Answered on 5th Sept '24
Dr. Vikas Patel
I’m 24 years old. Issues I have ADHD, Emotional and behavioral regulation issues, compulsive and impulsive habits, when I’m upset I have emotional outbursts, i have repetitive movements such as fidgeting, pacing back and forth, tapping, switching posture when standing and sitting, hyper focus on things I’m interested in, obsessive thoughts that are sometimes uncontrollable, occasional depression, and social anxiety sometimes i create a different personality depending on who I’m talking to, I can’t really stare strangers in the eyes, I’m socially awkward aswell, I tend to over explain and over analyze things, fear of rejection, fear of neglect, fear of loss, fear of never being truly loved, emotionally intense outbursts, voyeuristic and fetishistic tendencies, abnormal arousal, complex and complicated emotions that are hard to cope with and understand, Dysgraphia. I was wondering if I could possibly have some undiagnosed autism?
Male | 24
It could be possible that you have autism. Possible symptoms of autism may include, for example, difficulty with social interactions, rigid behavioral patterns, strong interests, and heightened sensitivity to sensory stimuli. A genetic-environmental factor mixture is thought to be one of the autism causes. Undergoing a thorough evaluation by a psychiatrist is the best way to gain more precise insight into your symptoms and the possible diagnoses.
Answered on 18th Sept '24
Dr. Vikas Patel
Can i take librium for alcohol withdrawal symptoms if i had my last drink this morning
Male | 29
It is not advisable to stay on Librium without seeking medical advice while you are coping with alcohol symptoms of withdrawal. The doctor will assess your condition and only after that make an expert recommendation on the suitable treatment. You must see a psychiatrist who knows all about addiction medicine for the correct assessment and treatment to be done.
Answered on 23rd May '24
Dr. Vikas Patel
Hello 2 years ago, I had ED, only sometimes (once or twice a month i used to get very hard errection otherwise it was very very spongy like) - I then had panic attacks diagnosis and started taking serlift and etizom for 5 months now. I noticed my muscles and body is grown and also I get hard errection when i have a strong desire. Sometimes twice a day but when i am sad again, i again have the problem. Is my ed because of this panic attacks? Will it go away automatically forever or can it come back after i stop medicines?
Male | 26
You’ve had a tough time dealing with erectile dysfunction before, and sometimes, medical conditions can be a cause. Feeling down or stressed can also affect your ability to get an erection. The good news is that your current medication seems to be helping. As your mental health improves, your ED might get better as well.
Answered on 14th Oct '24
Dr. Vikas Patel
Hello Mera man hamesha ashant rehta hai mujhe suicide karne ka man hota hai main apni jindagi se haar chuki hu mujhe mere Ghar se dur jana h I feel depression all time kya karu samjh nahi aa raha kya karu
Female | 19
Perhaps you are suffering from symptoms of depression. It would be wise to turn to a psychiatrist for professional medical advice, evaluation, and therapy that specifically suits your condition.
Answered on 23rd May '24
Dr. Vikas Patel
My son does not want to understand anything about how he is waiting his life and what should do for himself to independent
Male | 25
It seems like your son is having difficulties taking over the control and decision-making process. I would suggest contacting a therapist or counselor who treat particularly young adults. A mental health professional can assist your son with the development of confidence necessary to regain control over his life.
Answered on 23rd May '24
Dr. Vikas Patel
Last Two three days she is suffering from vomiting sensation headache vomiting feeling restless, sad, sucidical thoughts
Female | Nikita paliwal
All these could be symptoms of depression, which affects both the body and the mind. You may feel tired all the time, lose interest in things that used to make you happy, or even think about hurting yourself when you are depressed. These emotions should not be kept to oneself and talking to someone such as a counselor or therapist who can offer help through different methods including therapy sessions or medication might be a good start.
Answered on 19th June '24
Dr. Vikas Patel
How to overcome from the habit of masturbation, always my mind diverted towards sex and I not able to concentrate on studies.
Male | 16
Masturbation is a natural and healthy act. On the other hand, if it is affecting your daily life and your ability to focus on studies it might be a symptom of a deeper problem. It is advised that you seek the help of a mental health professional or a sex therapist.
Answered on 23rd May '24
Dr. Vikas Patel
Doctor I had headache in past so I took paracetamol Now I study but during study I have overthinking so much how I can remove it & how can I focus on studies without any distraction with discipline & consistency
Female | 16
If you are enduring the pain of a headache and overthinking while studying, it is vital to attend to the root issue. I advise you to refer to a neurologist to exclude possible medical problems of headache origin. As well, you can try to get support from the mental health professionals, like psychiatrists, who can show you how to manage your tendency to overthink and develop the necessary discipline and consistency in studies.
Answered on 23rd May '24
Dr. Vikas Patel
I am a 20 yr old boy , basically I had experienced a breakup 1 month ago , due to which I am unable to sleep at night , I am having mental issue like overthinking and all sometimes depression issue , Suggest me some medicine which will help me to sleep ????..
Male | 20
It's important to address your sleep and mental health concerns with a specialist like a psychiatrist. They can offer guidance and recommend suitable treatments, which may include therapies or medications tailored to your specific needs. Seeking professional help is key to managing sleep disturbances and emotional challenges effectively.
Answered on 2nd July '24
Dr. Vikas Patel
I don’t know what’s wrong with me. I’ve just had this weird feeling that something in my body is off for a couple of days. I don’t know what happened but I was doing stuff non stop for 2 days and I just broke down crying and couldn’t breath. Nothing remotely bad seemed to trigger it. It’s like I try to be normal and socialise and do stuff but it’s so much harder for me than my friends I feel like such a bad person but I literally just can’t be with anyone for long and I start to get really tired and low. I don’t want to do anything and I don’t want to leave the house. I have also lost my appetite and don’t want to eat anything. I always have vivid dreams of something bad happening. I don’t know what’s wrong with me it’s like I feel ill but there’s nothing wrong with me to make me I’ll I feel crazy
Female | 16
You are likely to be going through symptoms of anxiety or stress, which can be so crippling that they can cause you to lose your appetite and get less sleep. These feelings are common and nothing to be afraid of. Take care of yourself by practicing relaxation techniques such as deep breathing, talking to a trusted person or psychiatrist, and getting regular exercise.
Answered on 9th Sept '24
Dr. Vikas Patel
Sleep disorder with talking,moving ,punching etc in dreams.Twice fallen from bed in dream.
Male | 64
It seems that you have parasomnias which is a kind of sleep disorder that causes abnormal movements, behavior, and emotions during sleep. It is recommended to contact a sleep specialist for accurate diagnosis and therapy. They can help find the triggers of sleep disorders and suggest the best treatments.
Answered on 23rd May '24
Dr. Vikas Patel
Hi..my name is Ben. I suffer from scisfrinia. Paranoyer. Phsycoses and I'm vampire . I stop taking medication. My mind is playing me the voices are tell me bite somone and barking at me...there is dog inside of me Im barking and. Angry
Male | 40
Symptoms of schizophrenia include hearing voices, paranoia, as well as seeing or feeling things that others do not see. In reality, these symptoms return when you are not on your medication, so it is crucial to talk with your healthcare provider about restarting your medication. Your psychiatrist can teach you ways to cope with the symptoms and suggest the natural ways to make you feel better.
Answered on 5th Aug '24
Dr. Vikas Patel
My sister took 5 escitalopram and 2 mirtazapine together should I take her to hospital
Female | 18
Taking 5 escitalopram and 2 mirtazapine pills together can put your sister in great danger. This mix of medicines may make her very sleepy, confused, and give her a fast heartbeat or even seizures. These drugs can interact badly and harm her body. It is crucial to take her to the hospital right away so doctors can help her feel better and stop serious problems from happening.
Answered on 23rd May '24
Dr. Vikas Patel
I have time phobia.Sir I cannot study
Male | 17
The fear or anxiety related to time or the passage of time can make it challenging to focus on studying and other tasks. To cope up., break your study sessions into smaller, clear goals, set a regular study schedule, and use time management techniques. Practice relaxation and limit distractions.
Answered on 23rd May '24
Dr. Vikas Patel
Hello i had a panic attack yesterday and my hands and feet were going numb also my mouth so i went to the ER they did 2 syringes in my stomach of Aqua then they did one behind of diazepam i am a regular smoker and i wanted to smoke could i? If i cant should i buy a no nicotine pack?
Female | 16
The numbness of hands, feet, and mouth is the result of decreased blood flow in panic attacks. The effect of smoking on the body can make people suffer from panic attacks. Given the fact that you were prescribed diazepam at the ER, smoking might hurt it. Stay away from smoking as it is better for you. If you are in bad shape and have to, you can try a no-nicotine pack.
Answered on 26th Aug '24
Dr. Vikas Patel
Why I am feeling anxious and dizziness . Sometimes feel like cannot breathe fully
Male | 21
Feeling anxious, dizzy, and having trouble breathing happens when you're stressed, having a panic attack, or low iron. Slow breaths help. Talk to someone. Try relaxation exercises - breathe deep. Eat well, sleep lots. If it persists, tell someone you trust or see a psychiatrist.
Answered on 1st Aug '24
Dr. Vikas Patel
I have been taking paliperidone for the past month. I have been out of it for a couple days so I decided to take some Seroquel to help with the voices and whatnot that I have been hearing. Is there any need to be concerned about the drug interactions if I haven't had any paliperidone I close to 48 hours?
Male | 37
Switching between medicines like paliperidone and Seroquel is tricky. Even if time passed since your last paliperidone dose, drug interactions may happen. Mixing them risks dizziness, drowsiness, and uneven heartbeats. Consulting your doctor for personalized advice is wise.
Answered on 20th July '24
Dr. Vikas Patel
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Frequently Asked Questions
How can I prevent panic attacks after eating?
Can certain smells or flavors in food trigger a panic attack?
Can panic attacks after eating be a symptom of a thyroid disorder?
Can panic attacks after eating be triggered by social anxiety or phobias related to food?
Are panic attack after eating more common in individuals with a history of eating disorders?
Can panic attacks after eating be a sign of an underlying mental health condition?
Can changes in blood pressure or heart rate after eating trigger a panic attack?
Can certain eating habits or rituals contribute to panic attacks after eating?
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