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Psychiatrist Consultation

A psychiatric professional specialises in treating mental illnesses such as anxiety, autism, alcoholism, bipolar disorder, depression, dementia, obsessive-compulsive disorder (OCD), schizophrenia, and headaches, particularly migraines in some situations. Additionally, it focuses on the general evaluation, diagnosis, prevention, and treatment of emotional stress, mental health illnesses, and cognitive-behavioural issues that help preserve a person’s healthy well-being. For the treatment of mental disorders situations, We Medifyhome offers the best online psychiatrist consultation with the majority of psychiatrist specialists.

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Who is the psychiatric physician?

A Psychiatrist doctor (or) Psychiatrist is a medical professional who specialises in evaluating the physical and mental aspects of various psychological diseases and prescribing medication based on the patient’s condition.

A skilled psychiatrist examines mental health issues as well as any underlying medical issues that may be present, such as psychiatric symptoms including anxiety, concern, sleep issues, hallucinations, obsessive thinking, uncontrollable rage, depression, etc.

Along with prescribing the appropriate medicine and other therapies including psychosocial interventions, psychotherapy, and electroconvulsive therapy, a psychiatrist also examines the patient’s medical history in relation to the aetiology of their mental disorder.

What happens at Psychiatrist Consultation?

Our psychiatrists at Psychiatrist Consultation assess the severity of the patients’ mental illnesses, provide better counselling, write prescriptions for medications, and, if necessary, recommend psychotherapies to treat conditions like anxiety, autism, bipolar disorder, depression, schizophrenia, etc. A psychiatrist effectively oversees the therapy processes by evaluating psychological data as well as the patient’s medical history.

Using the Medifyhome app or online health portal, you may now visit the greatest psychiatrists and find the best treatment options for your mental health.

Our Best Doctors For Online Psychiatrist Consultation

Dr. Devika Rani Karri

Dr. Devika Rani Karri

Psychologist

Languages Known: Telugu, Hindi, English

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Dr. Shripuja Siddamsetty - Psychologist

Dr.Shripuja Siddamsetty

Psychologist

Languages Known: Telugu, Hindi, English

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Yes, there is a cure for premature ejaculation. Of course, many men feel disgusting to talk about this, but premature ejaculation is quite a common treatable issue.   

Some standard treatment methods for premature ejaculation that help resolve the problem in men include:

  1. Behavioral techniques
  2. Stop and start technique
  3. The pause-squeeze technique
  4. Pelvic floor exercises
  5. Condoms
  6. Medications 
  • Topical anesthetics – Anesthetic creams and sprays (benzocaine, lidocaine, or prilocaine)
  • Oral medications  – 
  • Antidepressants (Lexapro, Zoloft, Paxil, Prozac, Sarafem)
  • Analgesics (Tramadol – Ultram)
  • Phosphodiesterase-5 inhibitors (Sildenafil, tadalafil or vardenafil)
  • Potential future drug treatments – Dapoxetine, Modafinil, Silodosin

Schizophrenia is a chronic mental health disorder identified by distortions in thinking, confused thoughts, bizarre behavior accompanied by hallucinations, delusions, paranoia, less interest in social activities, poor hygiene, low sex drive, and slow physical movements.

Facts about schizophrenia:

  • Today, schizophrenia is a brain disorder that affects around two million Americans. 
  • Schizophrenia can impact anyone at any age, but in most cases, it can develop between adolescence and people of age group 30. 
  • Children also can get affected with schizophrenia but in a very rare condition. 
  • Schizophrenia damages the ability of people to think, make decisions, control their emotions, and convey them to others. 
  • Although the true cause of schizophrenia has not been identified yet, recent research studies indicate that schizophrenia involves brain structure and brain chemistry problems. 
  • Currently, Scientists are investigating viral infections, mild brain damage during birth, and genetic predisposition as potential factors.
  • Multiple Personality Disorder is unrelated to schizophrenia. A person with schizophrenia doesn’t have split personalities. Rather, they possess false ideas or might have lost touch completely with reality.
  • Individuals with schizophrenia can benefit from rehabilitation programs and develop their life-management skills better. 
  • A psychiatrist can rule out the symptoms of schizophrenia in people by conducting thorough medical examinations or neurological studies.

Nightfall or night discharge occurs when some men ejaculate in sleep, unknowingly usually at late night or early morning hours. This issue usually worsens due to the weakness in muscles and nerves of the penis due to previous poor history of excessive masturbation, fluctuation in hormones, thinning of semen viscosity, and a full bladder. This nightfall problem is common among youngsters and gets faded down with increasing age. It is a psychological problem rather than a sexual problem. 

Here are some natural remedies to get rid of nightfall:

  • Meditation: Improves concentration and works effectively in controlling nightfall.
  • Exercise and Yoga: A person can control their body, mind, and soul. 
  • Bathing with essential oils: Relaxes your body and mind and induces sound sleep.
  • Changes in diet: Avoid acidic foods, and add amla (gooseberry), onions, garlic, bottle gourd, fenugreek, celery, milk, yogurt, and honey in your diet. 

Apart from these natural remedies, you still feel the problem persists; you can consult a sex specialist, an andrologist, or a psychologist for nightfall problems.

What is Depression?

Depression is a mental health problem involving mood disorder that consists of constant sadness and loss of interest in daily life activities. Major depressive disorder is the leading cause of mental disability around the world. It can cause many emotional and physical problems and decreased performance  at home or office. In depressed people, suicidal ideas or thoughts persist often. Women are more prone to depression than men.  

Symptoms of Depression

  • Low mood
  • loneliness
  • anxiety
  • loss of interest in daily activities 
  • change in eating habits
  • weight loss or gain
  • agitation and restlessness
  • slowed movement and speech
  • weakness 
  • feeling of worthlessness
  • confusion
  • headaches
  • difficult to make decisions
  • reduced sexual desire
  • suicidal thoughts
  • lack of proper sleep

What can you do to get out of Depression?

Mild, moderate, and severe depression in patients can be treated effectively. Many depression patients respond well to the treatment. 

The treatment for depression includes – 

  • Medications (Antidepressants) 
  • Psychotherapy – Cognitive behavioral therapy (CBT)
  • Medical procedures – Electroconvulsive therapy (ECT) and Transcranial magnetic stimulation (TMS) therapy
  • Counseling
  • Self-help & coping
  • Lifestyle changes

Impact of Depression on Daily life

  • Depression is a mental disorder that affects your physical and psychological well-being.
  • It also affects your thinking ability, mood, personal feelings, behavior, and physical health. 
  • A person with depression always feels tired and has trouble during night sleep. 
  • It decreases a person’s ability to perform work in and out effectively, and as a result, you feel low all the time. 
  • People with depression may face difficulty making decisions due to lack of concentration and memory issues.
  • Depression also plays a crucial role in nutrition and appetite. It makes people gain weight and leads to obesity-related problems like type 2 diabetes.
  • Depression and stress are closely associated and negatively impact the immune system, resulting in infections and diseases. 
  • Heart problems are linked to depression conditions. 
  • Some people feel embarrassed to talk about depression mood disorders because they feel it was a flaw or weakness of their character and avoid treatment. 
  • Usually, in the case of teenagers and kids, depression leads them to social withdrawal, isolation from family members, and addiction to drug abuse.

Obsessive-Compulsive Disorder (OCD) is a common, long-lasting mental and behavioral disorder in which a person has recurring, uncontrollable, persistent thoughts (obsessions) and an urge to perform certain routines repeatedly (compulsions) that causes disturbance in the usual thinking and functioning of an individual. 

People with OCD disrupt their daily routine by assuming that their obsessions are unrealistic and have difficulty coming out of their obsessive thoughts and compulsive actions.

Obsessions

Obsessions are persistent thoughts, imaginations, or impulses that cause distressing emotional disturbances such as anxiety. Many people with OCD realize that excessive thoughts, images, or impulses are the outcome of their minds. 

Hence, most OCD people try to distract themselves by getting engaged in other activities.

Common Obsession Symptoms:

  • Fear of various contaminations – Fear of feeling contaminated by touching entities that others have been touched, including biological, physical, or chemical contaminants. 
  • Doubts – Possesses doubts whether the door has been locked, the gas stove is turned off, or lights are turned off and also have difficulty tolerating delays.
  • Concern about Orderly Manner – Feels extreme stress over the things/objects that are not appropriately arranged. 
  • Invasive thoughts of sounds and images – visualizing images of driving a car rashly into a crowd, aggressive thoughts of losing control over yourself and hurting others, making huge sounds, or thoughts of shouting an obscenity in public places.
  • Aggression Thoughts – imagining unpleasant sexual images or possessing thoughts of sex.

Compulsions

Compulsions are repetitive mental behaviors that a person feels forced to perform in reaction to an obsession. 

Some of the compulsions can be considered excessive responses directly related to an obsession (For example, excessive hand washing due to the fear of contamination).   

Common Compulsion Symptoms:

  • Excessive Washing and Cleaning: Excessive hand washing until the skin becomes dry, over brushing teeth, taking a shower often, and repeated cleaning of household things.
  • Checking – Checking door locks, switches, appliances, and stoves repeatedly.
  • Orderliness – Expecting things to be arranged in a specific orderly manner. 
  • Counting – Have an urge to repeatedly count to a certain number or in specific patterns.
  • Reassurance – Demand over reassurance or seeking approval constantly.

Routine – Following a strict routine or rituals like silently repeating a prayer, word, or phrase.

  1. Obsessive-Compulsive Disorder (OCD) can have an overwhelming impact on a person’s daily life. 
  2. The thoughts of an OCD person create a significant level of anxiety and interfere with everyday activities like eating, drinking, reading, general cleaning, washing, shopping, etc.  
  3. People who have compulsion and obsession symptoms may take many hours in a day, and this may cause major distress, thereby hindering their family and social relationships. 
  4. Apart from this, they also have a negative impact on career. The condition of OCD is far closely linked to anxiety and depression, so it becomes hard for OCD people to interact with others. 
  5. A person with OCD is more likely to struggle with social situations; even they don’t hide their symptoms from other folks. 
  6. The factor of ‘avoidance’ becomes the center point for increasing problem in severe OCD conditions. 
  7. An OCD person avoids any kind of effort that initiates to trigger their obsessive fears.
  8. Patients with OCD disorder possess a poor quality of life compared to normal people. Their mental health, emotional aspects and social behaviour are badly affected due to severe obsessions and compulsions. 
  9. The long term effects of OCD include – 
  10. Social anxiety
  11. Depression
  12. Panic disorder
  13. Chances of substance abuse

What is Migraine?

A migraine is an intense headache that causes severe throbbing pain or a pulsing sensation, usually on one side of the head. It is often accompanied by nausea, vomiting, and extreme sensitivity to sound and light. The migraine pain can interfere with your daily activities, lasting for hours to days. Migraine attacks are triggered by alcohol, stress, hormonal fluctuations, caffeine, allergic foods, and inconsistent sleep patterns.

Researchers revealed that migraine is the sixth most disabling neurological disease, and about 12% of Americans possess this genetic trait disorder.

Symptoms of Migraine:

  • Feeling very warm (sweating) or cold (chills),
  • Sensitivity to light, sound, and odors, 
  • Nausea and vomiting, 
  • Upset stomach,  
  • Abdominal pain,
  • Loss of appetite, 
  • Fever (rare), 
  • Fatigue,
  • Pale skin color (pallor),
  • Dizziness and blurred vision,
  • Diarrhea (rare),
  • Bloating,
  • Constipation,
  • Fluid retention,
  • Severe thirst,
  • Increased urination, 
  • Nasal congestion,
  • Neck pain, stiffness,
  • Muscle stiffness, 

Impact of Migraine on daily life:

  • Migraine impacts every aspect of our daily life, including household activities, school, college, office work, and social activities. 
  • It negatively impacts, leading to feelings of hopelessness, frustration, and worry.
  • Migraine influences social interactions and communication, leading to other mental health disorders like depression and anxiety. 
  • Due to sound and light sensitivity problems, migraine people avoid social gatherings. 
  • A person with migraine may not be able to do justice to their roles and responsibilities in the family.  
  • Migraine can also impact your earning potential at work, attention, and work productivity. 
  • In simple, migraine impacts overall personal and professional life.

Migraine does not have any long-term health complications, but it adversely affects your quality of life over a period. However, certain medications, lifestyle changes, and natural home remedies help manage your migraine pain fast.

Medications during an acute migraine episode:

  • Pain killers → paracetamol, aspirin, ibuprofen
  • Triptans → Imitrex, Sumatriptan
  • Dihydroergotamines (Migranal)
  • Antiemetics – Medications of anti-nausea and anti-vomiting

Medications used to reduce the frequency of migraine episodes:

  • Beta-blockers
  • Anti-seizure medications
  • Antidepressants,
  • Immuno-modulators
  • Botox injections

Lifestyle changes:

  • A healthy and nutritious diet 
  • Staying hydrated
  • Yoga and meditation
  • Stress management
  • Avoiding smoking and alcohol consumption
  • Sound sleep

Natural home remedies:

  • Applying a hot or cold compress to your head and neck to get relief 
  • Taking rest in a quiet and darkroom 
  • Massage your temples
  • Include diet rich in magnesium and vitamin B12
  • Consume plenty of normal water or lemon water

What is Anxiety Disorder?

Anxiety Disorder is a group of mental disorders identified by notable and uncontrollable feelings of anxiety and fear. 

Generally, anxiety is a normal response to stress and fear is an emotional response associated with a fight or flight reaction. 

 The feelings of anxiety and fear are strong in people suffering from anxiety disorder and last for a long duration, with symptoms including restlessness or worries, sleeping problems, and dizziness or fast heartbeats.

Types of Anxiety Disorders:

  • Generalized Anxiety Disorder (GAD) 
  • Social Anxiety Disorder (SAD)/Social Phobia
  • Agoraphobia
  • Separation Anxiety Disorder

Symptoms of Anxiety Disorder:

  • Sweating
  • Trembling
  • Dry mouth
  • Dizziness
  • Feeling nervous, restless, or tense
  • Difficulty Concentrating
  • Having the urge to avoid things that trigger anxiety
  • Having a sense of impending danger, panic, or doom
  • Feeling panic, fear, and uneasiness.
  • Fear of Nightmares
  • Having trouble sleeping
  • Having an increased heart rate
  • Experiencing gastrointestinal (GI) problems
  • Heart palpitations
  • Intensely or obsessively avoiding feared objects or places
  • Repeated thoughts or flashbacks of traumatic experiences
  • Uncontrollable, obsessive thoughts.
  • Muscle tension
  • Cold, sweaty, numb, or tingling hands or feet
  • Irritability
  • Fatigue

Impact of anxiety Disorder on daily life:

  • Anxiety disorders involve excessive stress and worrying about situations in a person’s life. 
  • Anxiety impacts a person’s relationships with others, disrupts self-confidence and ability to complete regular tasks at home or office.
  • Undoubtedly, at some point, everyone might have experienced the signs of sweaty palms and fast heart rate due to occasional anxiety. However, if it is the actual anxiety disorder, it becomes a barrier to everyday life.   
  • If a person suffers from anxiety disorder over a prolonged period, they should consider it a serious mental health disorder and be given proper treatment to ease the symptoms and overcome the anxiety problem.

What can you do to get out of Depression?

Anxiety disorder can be treated well if identified early.    

Treatment includes: 

  • Mind Control and Stress Management Techniques.

Premature Ejaculation (PE) is a type of sexual dysfunction. It occurs when a man ejaculates semen sooner or has an orgasm before sexual intercourse or less than a minute after he or his partner would like to begin. Though there is no particular time for ejaculation during sex, there is a chance of losing erection soon due to premature ejaculation problems. 

As a result, partners feel frustrated and embarrassed and tend to avoid sexual intimacy. One out of three men may experience this common sexual issue at some point in their lifetime. Premature ejaculation is not something to worry about; psychological and biological factors play a crucial role in the delay of ejaculation. It is a common treatable condition in men.

Medically, the major symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration occurs. 

The symptoms of premature ejaculation can be classified into two types:

Primary or Lifelong PE symptoms: 

  • Lifelong premature ejaculation occurs always or nearly always of the time before sexual penetration or within a minute of penetration.
  • Negative consequences such as frustration, distress, or avoidance of sexual intimacy may arise.

Secondary or Psychological PE symptoms:

Both partners may experience these symptoms.

  • Anxiety
  • Depression
  • Mental distress
  • The difficulty of interpersonal aspects
  • Embarrassment
  • Decreased confidence in the relationship
  1. Emotional factors such as guilt, stress, anxiety play a major role in aggravating the problem of premature ejaculation in men. 
  2. Due to embarrassment, some men with premature ejaculation find the problem with intimacy and break their relationship soon.
  3. In some cases, PE can be a problem for men with Erectile Dysfunction (ED) because the penis doesn’t remain firm enough for sex performance.

Different treatment options help men to get out of premature ejaculation problems. They include: 

  1. Behavioral techniques: 95% of men found better by implementing behavioral techniques such as stop and start, pause-squeeze techniques.
  • Stop and start technique – In this technique, you or your partner can stimulate your male sex organ (penis) until you feel an orgasm. Stop the stimulation for about 30 seconds and repeat the process three or four more times before you ejaculate.
  • The pause-squeeze technique –  When you feel like you are about to reach orgasm, you or your partner can gently squeeze the head of your penis for about 30 seconds until you lose your erection.  This process can be repeated several times before ejaculation occurs.
  1. Pelvic floor exercises: Researchers have found that weak pelvic floor muscles contribute to premature ejaculation in men. So as to strengthen the muscles, kegel exercises need to be practiced. The right muscles have to tighten by stopping urine in midstream, hold tight for about 3 seconds and release again for 3 seconds. Practice this exercise at least three times a day for better results.
  1. Condoms: To maintain a long-lasting experience, wearing a condom may desensitize and reduce the intensity of PE in men.
  2. Seek Counselling: A psychiatrist can help you find a better solution to your premature ejaculation issue and suggest you right treatment that may include medications.
  3. Medications: 
  • Oral medications  – 
  • Antidepressants (Lexapro, Zoloft, Paxil, Prozac, Sarafem)
  • Analgesics (Tramadol – Ultram)
  • Phosphodiesterase-5 inhibitors (Sildenafil, tadalafil or vardenafil)
  • Topical anesthetics – Anesthetic creams and sprays (benzocaine, lidocaine, or prilocaine)
  • Potential future drug treatments – Dapoxetine, Modafinil, Silodosin

What is Old age psychiatry?

Geriatric psychiatry or old age psychiatry is a subfield of psychiatry that deals with diagnosing, treating, and preventing mental disabilities in older people.  E.g., depression, dementia, Parkinson’s disease, Alzheimer’s disease, and delusional disorder. A geriatric psychiatrist is a licensed physician who can prescribe medications for older patients. 

Symptoms of Mental Illness in Older People:

  • Dementia (e.g., Alzheimer’s disease)
  • Depression
  • Late-onset psychosis (e.g., Schizophrenia)
  • Delirium
  • Social withdrawal
  • Fatigue and energy loss
  • Trouble sleeping
  • Confusion

What can you do to get out of Depression?

  • Old age or geriatric psychiatry is well practiced as a multidisciplinary stream associated with geriatric medicine and neurological specialists. 
  • Old age psychiatrists mainly focus on age-related concepts like depression and psychosis. 
  • Generally, elderly people with depression symptoms show poorer functioning than people with chronic health conditions like hypertension, lung disease, etc. 

Impact of Old Age on daily life:

  • Mental health has a great impact on the physical health of older adults. 
  • Older people experience stressors more commonly in future life like declining functional abilities, chronic pains, reduced mobility, or other health complications.
  • They feel isolated, lonely and also face some psychological distress where they require long-term care to overcome the old age issues.
  • Many older adults aged 60 or above suffer from mental disorders or neurological disorders and other health problems like hearing loss, speech, memory loss, diabetes, and osteoarthritis. 
  • Mental health disorders like dementia affect older people by weakening their memory, behavior, thinking, and ability to perform daily activities.

A sexual problem is any physical or psychological issue that prevents you or your partner from enjoying a sexual activity or getting sexual satisfaction. Stress, anxiety, differences in libido levels, erectile dysfunction in men, delay or absence of orgasm, and environmental factors are some reasons for sexual problems in people. Nearly 31% of men and 43% of women face some difficulty during sexual activity. In addition, some medical conditions like hormonal imbalances, diabetes, heart disease, obesity, high blood pressure, neural disorders, and high cholesterol can affect your sex life.

In men: 

  • Inability to achieve or maintain a full erection (erectile dysfunction)
  • Delayed or absent ejaculation when sexually stimulated (retarded ejaculation)
  • Inability to ejaculate before intercourse (premature ejaculation)

In women:

  • Inability to achieve orgasm
  • Insufficient vaginal lubrication during intercourse (vaginal dryness)
  • Dyspareunia – Pain with sexual intercourse due to spasm of the vaginal muscle
  • Vulvodynia – inflammation of the vulva.

Common Symptoms of sexual problems in men and women:

  • Lack of sexual desire or interest
  • Pain during intercourse
  • Inability to become aroused
  1. Sexual problems in men and women have a great impact on their relationships. Many women experience sexual problems at some point in their lives. 
  2. The sexual act involves a complex interaction of emotions, experiences, physiology, lifestyle, and intensity of relationships. 
  3. Failure of any component can affect both partners’ sexual desire and satisfaction. 
  4. If a sexual problem affects your relationship and bonding or makes you worry much, then make an appointment with your doctor to rule out the underlying health issues and get a better solution. 

To solve your sexual problem, seek the help of a professional who can understand your emotional and physical health conditions. Right diagnosis and medication and some regular exercises, weight loss, and stress management can improve your sex life.

FAQs

A psychiatric consultation is a comprehensive evaluation of the factors such as psychological, biological, medical, social interactions, and emotional distress. The patient’s condition is studied thoroughly in psychiatric consultation, and the triggering health issues are noted. After a complete health assessment, evaluation, and medical investigations are performed, the patient will be provided medications and other psychotherapies to treat their mental health problems.

A mental health consultation is defined as an interaction between a mental health specialist and the consultee (patient). The Psychiatrist or mental health specialist counsels the patients, prescribes antidepressant medications and recommends psychotherapies to treat mental disorders.

The cost of Psychiatric consultation depends upon the health condition and treatment required by the patient.

A good diagnosis and treatment related to mental, emotional, or behavioral issues of health can be expected from a psychiatric consultation. For example, if a person gets affected by any mental disorder, a psychiatrist’s role is crucial in treating the emotional pain of the mentally ill patient.

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