Showing posts with label top psychiatrist delhi. Show all posts
Showing posts with label top psychiatrist delhi. Show all posts

Wednesday, 23 November 2016

I AM A VERY SHY PERSON. IS THIS NORMAL? CAN THIS BE OVERCOME?

Hi friends,
               It is common knowledge that many of us are very outgoing while many of us are rather shy and like to stay to ourselves.  A small number are so shy that they cannot effectively carry out their jobs or enjoy life as they would have wanted to? So is this normal or abnormal? More importantly, is there a way to change it, and if yes, how? That is what we will be discussing today!
The extent of shyness varies from person to person - so too, the exact nature and cause. In a lot of people, shyness is their nature, a part of their personality, whereas in others, it is a psychological disorder. In still others, it is a combination of both a personality with a superimposed disorder. 

Let us consider the personality part first. (Read http://drsathyaprakash.blogspot.in/2016/08/what-are-different-personality-styles.html) Interestingly, a section of people who keep to themselves are not really keen on meeting others – they are quite happy with themselves and do not feel the need to meet others. This kind of personality is often called a schizoid personality. They may seem rather cold and unemotional to others, and often have few or no friends.  But then there is another section, who would want to be amongst others, want to go out but their anxiety and apprehension prevents them from doing so. The same anxiety often interferes with their academic, career and romantic pursuits. . This kind of personality is often termed as an anxious-avoidant personality.  This section of people often suffers a great deal without realizing that this aspect of their personality, although natural and common, can actually be changed and improved upon. 

Now for the disorder part; social phobia or social anxiety disorder is now gaining increasing attention by the day. People with this disorder are otherwise rather normal, but are plagued by marked anxiety in social situations. In the more severe instances, persons may be unable to talk even on phone or make simple conversations with people for daily needs. Unlike an anxious avoidant personality where the ‘symptoms’ have been present since childhood (and hence part of the nature), in case of a social anxiety disorder, there is often a change from one’s previous self. Such a change, many a time, is precipitated by an important or not so important incident. 

         But irrespective of the debate on what is normal and what is abnormal; what is a personality issue and what is a disorder, it is quite clear that a lot of people would want an improvement in this kind of a situation. So what are the options? Broadly, the options can be divided into medicines and non-medicine based strategies.

Medicines are useful only in the moderate to severe forms of social phobia and very severe forms of anxious avoidant personality disorders. Even in these scenarios, they need to be combined with other modalities such as psychotherapy.
      The non-medicine related aspects includes several strategies such as cognitive behavioral therapy, behavioral therapy, behavioral activation, structuring of routine, relaxation exercises, regular exercise and yoga. In fact, it is often the combination of many of these medicine and non-medicine strategies that often works best.

Therefore the bottom-line is this: If one loves to be alone, does not want to change it, that is alright and fine. But if one is distressed and wants to change the scenario, it is quite possible. So don’t wait and suffer alone! Seek help and enjoy life!

So that was the discussion for this week friends. Hope you liked it!

Please let me know if you want me to discuss any specific issue by typing in the comments section below.



So until next time, STAY HAPPY!


Dr. Sathya Prakash, MD, Dip. CBT

Consultant Psychiatrist, Psychotherapist and Behavioural Sciences Expert





Wednesday, 1 June 2016

ARE PSYCHIATRIC DISORDERS CURABLE?

Are psychiatric disorders treatable? Are they curable? How long will I have to take medications?
These are some of the common questions clients ask me.

The answer to the first question is easy! Yes, they are treatable.
The second and third? Not so simple! Are they curable? Depends on the condition in question and what you mean by a cure.
Medications, how long? Again depends on the condition.

Let me explain the answers to second and third questions in more detail. Psychiatric disorders are of many different kinds. Many disorders such as depression, adjustment disorders, certain anxiety disorders often go away by themselves, or with relatively brief treatment. But without treatment, they may last longer and have a higher possibility of emerging again. However, more severe forms of illnesses such as obsessive compulsive disorder, bipolar disorder and schizophrenia will more likely continue unabated without treatment, although there may be periods of relative freedom from symptoms. With treatment, the story can be different! For instance, up to 30% of patients with schizophrenia lead normal lives with treatment and another 30-40% experience only mild problems.
 If leading a normal life after treatment is what you call a cure, well then, a large proportion of patients with schizophrenia may be considered cured!

So how long do I continue treatment?
 For an isolated depressive episode or adjustment disorder, medications may not be needed at all! 
Even if they are needed, few months at best should suffice. However, if we are looking at schizophrenia or bipolar disorder, the situation gets trickier. Longer the illness (or more the number of episodes), lengthier the treatment.

So if treatment is sought early, the duration of treatment is shorter and outcome better; a double benefit! So in the first instance or episode, close to an year of treatment may suffice.
But if treatment is sought late, or medications are not taken regularly, it results in poor outcome as well as longer duration of treatment; a double whammy!

Therefore, for the best case scenario, consult early, take treatment regularly and get cured quickly!

Hope this helps!
STAY HAPPY!

If you need to contact me, feel free to write in at
 stayhappy.prakash@gmail.com

You might also want to check out my you tube channel Stay Happy!

Dr. Sathya Prakash, MD, Dip. CBT


Consultant Psychiatrist, Psychotherapist and Behavioural Sciences Expert

lybrate.com/dr.sathyaprakash

About Me

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Dr. Prakash is a highly accomplished mental health expert with qualifications from both Indian and western universities. He is a gold medalist from the prestigious All India Institute of Medical Sciences, New Delhi. He is a winner of several national and international awards. Besides treating patients he has a keen research interest and has published over 50 research papers in national and international journals. He is frequently present at scientific conferences in India and overseas where he has made numerous presentations. LYBRATE.COM/DR.SATHYAPRAKASH