Dr. Soumiya Mudgal's Clinic

Hello,

I am Dr. Somiya Mudgal, psychiatrist. We are today going to be discussing about mood disorders. Mood disorders ki hum agar baat karein toh ye ek broad category hai jisme ki hum baat kar sakte hai depression ki, hum baat kar sakte hai mania ki aur teesri problem hai mania and depression that is called as bipolar mood disorder. Usually jo case humare paas aate hai vo mood disorder ya depression ke aate hai jo ki bahut hi common pareshani hai jo ki aajkal bahut hi commonly dekhi jaati hai chahe vo 15,16, 17 saal ke bachche ho, chahe adult ho, chahe vo bade bujurg ho. Depression ki shikayat kisi ko bhi kisi bhi umar mein ho sakti hai. Uske reasons kuchh bhi ho sakte hai from sharirik beemari ho, pariwar mein koi problem ho, kisi rishtedar ya kisi ke sath anban rahna ya office mein adjustment na kar paana ya work mein bahut kyada stress hoke burn out ho jana, inme se koi bhi reason apke depression ka ho sakta hai. Do, scientific ya organic reasons of depression that is apki shareer ki hi koi bhi sharirik problem, apke deemag mein kuch chemicals ki kami hona, vo chemical hai serotonin ki kami hone se bhi depression ho sakta hai ye koi jaruri nahi hai ki apke saath kuch galat hi ho ya koi hadsa ho toh hi depression hoga. Depression ka ilaz bahut hi asan hai. Agar aap accept kar le ki apko depression hai aur apko madad ki jarurat hai toh all you have to come and see a psychiatrist. Depression ke liye medications available hai, jin sthiti mein hume lagta hai ki tanav ke reason aise hai ki hume lagta hai ki hame work karne ki jarurat hai waha pe hum psychotherapy, CBT ya BT karne ki bhi koshish karte hai patients ke sath jis se ki hum unhe adjust karne ya unn pareshaniyo ya uss mahaul mein adjust karne ki training dete hai.

Ab aayein hum bipolar mood disorder pe. Mania usually bipolar mood disorder ke sath dekha ja sakta hai. Mania ke symptoms hote hai ki ek aadmi ekdum se bahut badi badi bate karne lage, bahut badi badi demands karne lage, excessive paisa kharch karne lage, vo ye dava kare ki vo bahut bade logo ko janta hai, vo bhagwan se baate kar sakta hai, ya vo ye kahe ki log usse marne ki koshish kar rahe hai, aise baate karna aur sath mein uski neend kam hona, bhukh bahut badh jaye, sajna sawarna jyada hone lege, especially ladkiyo ke case mein, sexual needs badh jaye, ye saare symptoms mania ke hote hai. Agar symptoms iss se thode kam hai lekin isi tarike ke hai toh isse hum hypomania kahte hai. Hypomania mein psychotic symptoms, jaise ki shaque karna, waham karna ki log mujhe maar denge ya marna chahte hai, iss tarike ki baate nahi hoti lekin mania mein vo wale symptoms bhi paye ja sakte hai. Toh agar kisi insan ko pahli baar iss tarike ki beemari ho rahi hai toh vo manic disorder hai, bipolar disorder hai. Bipolar disorder ek baar agar kisime diagnose hua hai toh uss insan ko kaafi samay tak dawai ki jarurat padti hai jo ki uski beemari ko control mein rakh sake. Dawai pe rahne se frequency of episodes ki, chahe vo depression ho ya mania ho, vo ghat jaati hai. Unki intensity yaani ki severity bhi ghat jaati hai. Uski wajah se life kaafi stable ho jaati hai. Warna baar baar episodes aate hai, kabhi depression ke aate hai kabhi mania ke aate hai aur kabhi kabhi mix type ke bhi episodes aate hai jisme ki aap depression ya mania dono type ke symptoms dekhenge. Kabhi kabhi mania mein irritability bhi hoti hai, ho sakta hai apko ye symptoms badi badi bate karta na dikhe but insan kuch jyada hi energetic ho jaye aur bahut hi jyada irritable ho jaye, toh vo bhi ek hypomanic symptom ki taraf ishara karta hai.

Bahut jaruri hai ki iska ilaz kiya jaye. Dusra ye hai ki agar koi insan sath mein nasha karta hai ya koi aur goliya leta hai ya kisi aur treatment ki dawaiya leta hai, kisi aur beemari ki dawaiya leta hai toh chances hai ki unn dawaiyo se manic symptoms ya psychotic symptoms badne ke ho jaate hai. Toh jaruri hai ki khud baithkar ilaz na karein, apne concerned psychiatrist se consult karein. Dawaiya usually, jo symptoms ke sath aap aate hai, chahe depression ho, chahe mania ho, in case of bipolar disorder usually hum mood stabaliser pe first rely karte hai. Second is anti-psychotic dawaiya pe hum rely karte hai, jo ki bahut safe category mein aati hai. Aur teesra, agar depressive symptoms ho toh hum anti depressing dawaiya bhi dete hai but the main mode of treatment is mood stabaliser jo ki kaafi lambe samay tak leni padh sakti hai. Par agar aap unhe le toh apki quality of life and apki well being bani rahti hai. So agar aap ke aas paas kisi ko bhi depression hai, bipolar disorder ke signs lagte hai ya manic symptoms lagte hai toh please apne doctor se jarur sampark karein. Dawaiya aur ilaz saari jindagi ke liye nahi hote hai, usually ek self limiting time hota hai, jaise hi aap symptoms free ho jaate hai, uske baad kuchh maintainance phase mein rakhke, usually ye ilaz band ho jaate hai. Aadhe se jyada log iss bhram mein ilaz nahi karate ki ek baar dawai shuru ho jayegi toh saari jindagi khani padegi. But fact ye hai ki quality of life ke upar hume iss fact ko itni importance nahi deni chaiye ki hum saari jindagi dawai khayeinge. Dusra ye hai ki ye sach nahi hai ki sabhi logo ko sari jindagi dawai khaana padta hai, bahut hi kam log aise hote hai jinhe kaafi lambe samay tak dawai ki jarurat padti hai. Lekin ilaz na karane se problem ki severity badne ke chances aur uske long duration tak baad mein fir chalne ki ashanka badh jaati hai. Toh bahut jaruri hai ki agar apko iss tarike ke symptoms lagte hai toh aap apna ilaz karaye.

Thank You!

Hello,

I am Dr. Somiya Mudgal, consultant psychiatrist. Hum aaj baat karenge addictions ke baare mein. Addictions kai prakar ke ho sakte hai jaise ki, most commonly jo addiction hum dekhte hai vo hota hai sharab ka, cigarette ka, paan ka. Uske alawa addictions kai baar apko neend ki dawaiyo ka bhi mil jayega, aap dekhenge addictions ho sakte hai gaanja ka, affeem ka, pot ka, hash ka. Ye different tarike ke addictions hai jo ki chhoti umar se kaafi badi umar ke logo mein dekhe ja sakte hai, jinki wajah se life mein kaafi problems aa sakti hai. Usually addictions ke shuru hone ki reasons hoti hai ki log peer pressure ki wajah se karte hai. Kisiko lagta hai ki unki life bahut kharab chal rahi hai toh vo solution hai ya medicine hai. Ya Koi complain karta hai ki neend nahi aati hai toh hum alcohol lete hai toh koi nasha karte hai. Usually isi tarike ke reasons hote hai toh koi nasha karna shuru karta hai. Unfortunately ye saare hi substances ye saari hi cheeje habit ban jaati hai, eventually chhote dose se kaam nahi chalta and dheere dheere addiction badta jata hai. Addictions se hone wali problems ke baare mein baat karein toh addiction se do tarike ki problems hongi, ek toh aapko sharirik problem hogi jaise ki apka lever kharab ho sakta hai, akpo hotho ka cancer ho sakta hai, lungs ka cancer ho sakta hai, apko lever ka cancer ho sakta hai, aur cancer ke last stage se pahle aapko choti choti lever ki aur beemariya, lungs ki beemariya bhi apko ho sakti hai.

Parantu, mukhya taur pe jo problems dekhi jaati hai aur jo sabse pahle dikhai deni shuru hoti hai vo hoti hai mansik beemariya, jaise ki long term addicton karne ke baad ghabrahat, baicheni ki pareshani ban jaana, udasi ki pareshani ban jaana, daure padne ki pareshani ban jaana, ya fir severe pareshani jaise ki pagalpan, jisko hum psychosis kahte hai, bhi ho sakti hai. Inn pareshaniyo se peecha chhudane ka jo tarika hai vo ye hai ki agar apko lagta hai ki apke ghar pariwar mein ya apko khud ko iss tarike ki koi problem ho rahi hai, iss tarike ka koi nasha kar raha hai, chahe vo alchohal ka ho, vo chahe ciggerate, paan ka ho ya ganja ko ho ya opioid ka ho, neend ki goli ka ho, cough syrup ka ho, toh ye jaruri hai ki aap treatment karaein warna dheere dheere aadat badti jati hai aur uske baad usse chhodna mushkil ho jata hai. Achchi baat ye hai ki, humesha ye samjha jaata hai ki ek baar nashe ki aadat lag gayi toh kabhi chhutegi nahi, ye baat sach nahi hai. Haan chhudana mushkil hai par asambhav nahi hai. Dusri baat ye hai ki log samjhte hai ki uske liye ek nasha mukti kendra mein band hona hoga aur wahi rahna padega, bahut kharcha hoga aur iss wajah se log samne nahi aate ya arthik samsayao ki wajah se ye sochte hai ki ye na karein, toh ye bhi sach hai.

Agar koi bhi insan nasha chhodna chahta hai aur vo puri tarah se taiyar hai toh OPD basis pe bhi hum nasha mukti kar sakte hai. Isme humara do tarike ka phase hota hai. Ek hota hai humara detox phase, jisme ki hum aapko thoda jaldi jaldi bulayeinge kyunki dawaiya jaldi jaldi badalti hai. Uss samay hum apke shareer se aur apke khun se jo nasha hai usse nikal rahe hai, jis se ki apko jyada pareshaniya bhi na ho aur shareer se nasha chala jaaye. Dusre maintenance phase mein humara jo uddeshya hota hai vo hota hai apko vo dawaiya dena jis se apki nasha karne ki ichcha kam ho. Uske saath saath hum apko therapy aur aisi bahut saari strategies sikhate hai jis se ki aap apne aapko nashe se dur rakhe. Hamesha nasha chhodne ke liye jaruri hai ki aap motivated rahe, apne pariwar ka sath de, apne pariwar ko ye baat jarur batayein ki aap kisi nasha mukti kendra mein ja rahe hai ya kisi nasha mukti doctor se mil rahe hai ya madad le rahe hai, kyuki kabhi kabhi ye jaruri hota hai ki agar koi complication ya pareshani aa rahi hai toh apke ghar ke sadsya doctor se consult kar sake. Chhodna bahut aasan hai par agar aap nahi chhodte hai toh bahut saari mansik beemariyo ka shikar hone ka chances rahta hai jaise ki maine apko pahle bhi bataya tha aur jo ki severe form mein fir apki sharirik health aur mansik health, dono ko hi bahut bure tarike se bigad sakti hai. Agar aapke aas paas kisiko bhi nashe ki problem hai ya apke pariwar mein hai toh ummeed na chhode aur kisi bhi nasha mukti kendra ya nasha mukti doctor se jarur milein.

Thank You!

Hello!

I am Dr. Soumiya Mudgal, the consultant psychiatrist. Today we will be talking about issues of depression and anxiety in children. Depression and anxiety in children can be seen in children as early as at the age of 5-6. Some cases have been reported in toddlers also but usually what we see is depression and anxiety in children of 7-8 years. And largely in today's date among teenagers. Usually, the complaint with which they come up are that of pain, vague pains, poor performance at school, refusal to go to school, misbehavior at home. And these are the complaints with which the parents get their children but the fact is when we usually assess the children the reasons for such things as depression. Depression can be because of the reason that the child is having a poor adjustment at the school or they are having academic problems. There can also be some issues at home which the child is facing.

In severe cases and extreme cases, we can also have complaints of physical and mental abuse at school or in the home areas. So these things have to be evaluated and the child has to be evaluated. But off late we are also suffering a lot of problems suggesting parents that the children need treatment because of the taboo around it. People think that once they start medication, the child can become dependent but that is not the case. The child can be treated with behavioral therapy, cognitive behavioral therapies and in extreme cases, if needed, medications are to be given.

Why it should not be neglected is because if the child is not neglected, it can lead to poor development of the personality, recurrent complaints and academic failures. It can also lead to a child attempting to things like running away from home, suicidal attempts, or refusal to attend to the family duties of the house and people and at the school. So this can have a serious effect on his growth and advancement to further life. So I would advise all the parents and children those who have such a problem should always get their child evaluated and seek help if needed.

Thanks!

Hello everybody!

I am Dr. Soumiya Mudgal, the consultant Psychiatrist. Today we are going to be talking about the topic of Obsessive Compulsive Disorder. Obsessive Compulsive Disorder is known as a disorder where you can have impulses or ideas or actions where you do one work or thought repeatedly. This can be a very disturbing illness and is quite commonly seen in people. But usually, people do not recognize it very early because they do not have much knowledge about the problem or fear to accept it. So obsessive-compulsive disorder is very much treatable if you, in time come and see the doctor. There are usually three types of course - for a short time of illness it comes if it gets treated it goes off, then there is a waxing and waning course which comes and goes but it is always ideal to have a treatment for that and then there are some people who have to live with this illness for a longer duration of time or lifelong.

But with medication, everything settles down. Treatment is usually in the form of two ways. One is medication. Usually, medication use is accessorized. The other one is behavioral therapy. Both are equally beneficial but together they give out better results. So I would advise you to take treatment for the obsessive-compulsive disorder because it is very much treatable and give you a sense of a happy life. So the treatment is very easy and is available at most of the psychiatry centre. All you have to do is go with your problem, tell your doctor, assessment is done regularly and medication is managed accordingly. Hiding the illness or not recognizing it makes life very difficult and in severe conditions, it can lead to depression and as severe conditions like suicidal ideation and suicidal attempts. So I would advise anybody who has this problem or if there is anyone around you having symptoms of OCD, please consult a psychiatrist.

Thanks!