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04Apr

“Breaking Free from Self-Harm: A Guide to Healing”

Everyone needs positive ways to manage life’s challenges. We’re here to guide you toward healthier alternatives to self-harm.

Defining Self-Harm: An Insight into the Behavior

When depression and anxiety overwhelm someone, they may seek a way to release the intense emotions they’re feeling. One such coping mechanism is self-harm. Self-harm, or self-injury, involves intentionally hurting oneself as a way to manage or release emotional pain. It’s important to understand that self-harm is not typically an attempt to end one’s life. Instead, it is often a way of coping with overwhelming feelings when individuals feel they have no other outlet.

If you or someone you know is engaging in self-harm, seeking support is essential. Together, we can work towards healthier ways of managing emotional distress.

Exploring the Different Ways People Engage in Self-Harm

Self-harm can take on many different forms, and it’s important to recognize that it isn’t limited to the commonly portrayed behaviors, such as cutting. Essentially, self-harm encompasses any action where someone intentionally inflicts pain on their own body. Each person’s experience with self-harm may look different, and understanding this is key in offering support and care.

  • Cutting or slicing the skin
  • Scratching or digging at the skin
  • Burning the skin intentionally
  • Carving symbols or words into the skin
  • Hitting or punching oneself, including head-banging or striking other body parts
  • Using sharp objects, like hairpins, to pierce the skin
  • Pulling out hair (trichotillomania)
  • Picking at scabs or existing wounds

These are just some examples of self-harm behaviors. It’s important to seek help and support if you or someone you know is engaging in any of these actions.

Signs of Self-Harm

Stigma creates shame and embarrassment, making it hard for people who self-harm to get help. So, look out for yourself and for your friends. If you suspect that someone in your life is selfharming, here are some warning signs to keep in mind:

  • Noticeable scars or marks on the skin
  • Recent cuts, burns, scratches, or bruises
  • Repeatedly rubbing a body part to create friction or burns
  • Keeping sharp objects readily available
  • Wearing long sleeves or pants, even in warm weather
  • Struggles with personal relationships or social interactions
  • Ongoing confusion about personal identity
  • Emotional instability, impulsive behaviors, or unpredictable actions
  • Expressing feelings of helplessness, hopelessness, or worthlessness

These may indicate self-harm behaviors, and it’s important to approach the situation with understanding and support.

Managing Self-Harm: Finding Healthier Ways to Cope

Emotions can feel overwhelming at times, and it’s completely natural to seek ways to cope with life’s challenges. If you’re turning to self-harm to manage your emotions, know that you’re not alone – we’re here to support you. Our goal is to help you find safer, healthier ways to cope and keep you on a path toward healing.

  • Seek Support: If you’re experiencing painful emotions, it’s essential to reach out for help. There are people who genuinely care and are ready to help you work through these feelings. Connecting with someone can guide you to healthier ways to manage your emotions and reduce self-harm.
  • Get Creative: Engaging in creative activities like drawing, painting, or writing can be an effective way to process emotions. When you feel the urge to self-harm, try channeling that energy into something creative. You don’t have to be perfect – the process itself brings benefits.
  • Find Your Calm: A key part of managing the urge to self-harm is discovering healthy alternatives for coping with difficult emotions. Meditation, for example, has been shown to calm the mind. You could try using apps like Headspace to guide you into relaxation and mindfulness.
  • Consult a Professional: Self-harm is a serious issue, even though it may not always be linked to suicidal thoughts. The emotional and physical risks are real. Talking to a trained professional can help you understand your emotions better and explore healthier coping mechanisms. Don’t hesitate to reach out for professional support – it’s a crucial step toward healing. You can also confide in someone close to you who can assist in connecting you with the right help.

Understanding the Reasons Behind Self-Harm

Everyone needs a way to handle their emotions. For some, self-harm becomes their chosen coping mechanism to deal with overwhelming feelings and emotional pain.

  • Process emotions: Self-harm may help some individuals deal with overwhelming feelings.
  • Distraction: It can provide temporary relief from emotional pain.
  • Physical sensation: Self-harm can be a way to feel something when numbness sets in.
  • Control: It can give a sense of control over emotions and circumstances.
  • Self-punishment: For some, it's a way to punish themselves for perceived wrongdoings.
  • Express emotions: Self-harm can be a way to express feelings they can't share openly.

Impact of Self-Harm

Self-harm can be harmful in many ways—physically, emotionally, and socially.
Physical Effects of Self-Harm:

  • Permanent scars
  • Uncontrolled bleeding
  • Risk of infection

Emotional Effects of Self-Harm:

  • Feelings of guilt and shame
  • Reduced self-worth
  • Potential addiction to the behavior

Social Effects of Self-Harm:

  • Isolation from loved ones
  • Strained relationships
  • Lying about injuries

Healing from self-harm is possible

Self-harm is often a response to emotional pain. If you're struggling, I see your pain, and recovery is possible. Overcoming self-harm means addressing the emotions behind it. While the process may seem daunting, it’s entirely doable. Here are some steps to guide your recovery:

  • First, identify why you're turning to self-harm and why you want to stop. Ask yourself, “What emotions do I feel before, during, and after self-injury? Which ones are helpful, and which are harmful?”
  • Find healthier alternatives: If you're self-harming for the physical release, consider exercise as a way to release endorphins. Kickboxing or a good spin class can help. If it's emotional expression, write down your feelings—whether in a notebook or a notes app.
  • Address underlying emotions: Explore the root cause, such as guilt. Where is it coming from? Therapy can be beneficial in tackling these deep emotions.
  • Reach out for support: Tell someone you trust about what you're going through. It may feel difficult, but opening up can provide the support you need. You can start by saying, “I’m struggling with some painful emotions and could use your support.”

Recovery is a process, but with determination and support, you can make it through. I believe in you.

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

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24Jan

“Conquering Depression: Small Steps, Big Changes”

A Closer Look at Depression

Depression is a profound feeling of hopelessness that can make it seem like nothing matters, significantly affecting one’s ability to function in daily life. Whether it’s school, work, or social interactions, depression can make even simple tasks—like getting out of bed—feel as daunting as climbing Mount Everest.

As a mental health professional, I want you to know that you don’t have to face this mountain alone. Reaching out for help is a sign of strength, not weakness, and it can provide you with the tools and support needed to make the climb easier. Remember, it’s okay to take small steps. You’ve got this, and together, we can work toward brighter days.

Warning Signs

There are several key signs that may suggest you’re dealing with more than just occasional sadness. As a mental health professional, I believe it’s important to recognize these indicators to address them effectively.

According to the American Psychological Association, symptoms of depression can include:

  • A persistent low mood that lasts all day, every day, for an extended period.
  • Significant weight loss or changes in appetite without intentional efforts.
  • Persistent fatigue or lack of energy, even after adequate rest.
  • Feelings of worthlessness or excessive guilt.
  • Difficulty concentrating or making decisions.
  • Recurring thoughts of death or self-harm.

If you recognize any of these symptoms in yourself or someone you care about, please know that help is available. You don’t have to face this alone—there are effective ways to manage and overcome these challenges.

Overcoming Depression: Steps to Take

Depression can make you feel isolated and alone, but you don’t have to face it by yourself. I’m here to remind you that support is available, and you are not alone in this journey. Together, we can work through these challenging times.

Here are a few ways to begin addressing your feelings of sadness:

1. Reach Out for Help

Connecting with someone you trust can make a significant difference. Talking to a real person can provide immediate relief and help you explore long-term strategies to lift yourself out of the darkness.

2. Prioritize Self-Care

When you’re feeling low, even basic self-care can seem overwhelming. Start small—focus on one task, like eating a meal, getting dressed, or taking a shower. Choose one thing, and take it one step at a time. Small victories add up.

3. Open Up to Someone You Trust

Depression often makes social interactions feel difficult, but maintaining connections is a powerful way to heal. Reach out to a friend or loved one. Start with a simple text, such as:
"Hey, I’ve been struggling lately and could use some company. Are you free to catch up?"
Letting someone in can provide comfort and support when you need it most.

4. Seek Professional Help

Remember, mental health is just as important as physical health, and sometimes, professional guidance is necessary. Talking to a mental health professional can help you develop a tailored plan to manage your depression. It’s never too early to seek help, and reaching out could unlock the tools and resources you need to feel better.

Taking the first step can feel daunting, but it’s a step toward healing. You’ve got this, and I’m here to help you along the way.

Types
Some of the frequently encountered types of depression are:

As a mental health professional, I’d like to share insights into some of the most common types of depression. Understanding these can be the first step toward finding the right support and treatment:

1. Major Depression

Major Depression, as identified by the National Institute of Mental Health, is the most common form of depression. It involves experiencing symptoms such as feelings of worthlessness, guilt, and a loss of interest in activities you once enjoyed, lasting for two weeks or more.

2. Bipolar Disorder

While Bipolar Disorder is distinct from depression, it often includes depressive episodes. These are characterized by mood swings, where you may go from extreme highs to very low periods of depression. Recognizing these patterns is key to effective management.

3. Postpartum Depression

The hormonal changes that occur after childbirth can sometimes trigger symptoms of depression. Postpartum Depression is more than just the "baby blues"—it’s a serious condition that requires care and attention. If you’re struggling, please don’t hesitate to reach out for help.

4. Premenstrual Dysmorphic Disorder (PMDD)

PMDD is a severe form of depression that some women experience in relation to their menstrual cycle. It’s more intense than typical PMS and can impact both the mind and body. Understanding the hormonal link can help guide appropriate treatments.

5. Seasonal Affective Disorder (SAD)

For some individuals, changes in seasons, particularly the transition to winter, can bring on feelings of depression. This is known as Seasonal Affective Disorder (SAD). The shorter days and colder weather often contribute to these symptoms, but you don’t have to wait for the next season to feel better—professional help can make a difference.

If you recognize any of these patterns in yourself or a loved one, remember that help is available. These conditions are treatable, and early intervention can lead to significant improvements.

What Contributes to Depression: Causes and Risk Factors

When it comes to depression, several factors can increase the likelihood of experiencing this condition. As a mental health professional, I want to help you understand some of the key risk factors and causes:

1. Family or Personal History

Your personal or family history can play a significant role in the development of depression. If you’ve had previous episodes of depression or if there’s a history of mental health conditions in your family, your risk may be higher.

2. Major Life Stressors

Significant life changes or stresses—such as the loss of a loved one, the end of a relationship, moving to a new place, or changing careers—can trigger depression. Trauma or difficult experiences can also be contributing factors.

3. Chronic Health Conditions or Medications

Living with chronic illness can increase your vulnerability to depression. Additionally, certain medications used to treat various conditions can have depression as a side effect. It’s important to speak with your healthcare provider if you suspect this might be a contributing factor.

4. Drug and Alcohol Use

Substance abuse, including alcohol and drugs, can both contribute to and worsen depression. Addiction can interfere with the brain's chemistry, making it harder to manage depressive symptoms.

5. Gender and Age

Women, particularly those in their late teens to early 30s, are at an increased risk of depression. Hormonal changes, societal pressures, and life transitions during this time can all contribute to vulnerability.

If you recognize any of these risk factors in your own life, it's important to take proactive steps. Understanding the causes can help guide treatment and lead to a more effective approach to managing depression.

Effective Approaches to Treating Depression

Depression, even in its most severe form, is treatable. The earlier you seek help, the more effective the treatment. Typically, treating depression involves a combination of therapy and medication. Additionally, there are other important factors to consider when managing depression:

  1. Exercise Regularly: Physical activity can significantly boost mood and reduce stress.
  2. Prioritize Sleep: Establish a consistent sleep routine for better mental health.
  3. Stay Connected: Spend time with loved ones and accept help when needed.
  4. Be Patient: Understand that improvement will take time, and progress may be gradual.
  5. Stay Informed: Work with your doctor to learn what helps and what doesn’t.
  6. Consult Your Doctor: Discuss your feelings and explore treatment options with a healthcare professional.

By combining these strategies with professional treatment, you’ll be on the right path to managing your depression.

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

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22Jan

“Managing Loneliness: A Path to Emotional Well-being”

We've all experienced loneliness at some point—whether it's being left out of a gathering, feeling forgotten by friends, or simply not having found your close circle yet. It's normal to feel lonely from time to time. However, when loneliness lingers, it can take a serious toll on your mental well-being.

Indicators of Loneliness

When the feeling of being alone and disconnected lingers for long periods, even while surrounded by others, what might start as quality, rejuvenating alone time can transform into crippling loneliness. Chronic loneliness can lead to:

• Low energy or brain fog

• Difficulty falling asleep or staying asleep

• Loss of appetite or disinterest in food

• Increased alcohol or drug use

• Feelings of hopelessness, worthlessness, or deepening depression

• Heightened anxiety

• Frequent illnesses or feeling run-down

• Physical discomforts like headaches, stomachaches, or muscle tension

• Compulsive shopping or excessive attachment to material possessions

• Spending excessive time binge-watching television

The Various Faces of Loneliness


If you’re feeling lonely, the chances are you are actually not alone in that feeling. In fact, loneliness is so common that researchers have classified the feeling into three main categories:

  • Situational Loneliness – This type of loneliness often arises when there’s a significant change in your life. It could be starting at a new school, moving to a new place, or adjusting to a new routine. These shifts can make it hard to connect with familiar faces and places. The good news is that, with time, as you adapt to these changes, this feeling of isolation usually fades.
  • Developmental Loneliness – You might start feeling like everyone else is moving forward in life—getting promotions, starting families, or achieving milestones—while you feel stuck or left behind. This sense of being overlooked or not progressing as others can trigger feelings of loneliness and isolation. It’s important to remember that everyone moves at their own pace.
  • Internal Loneliness – This is a bit tricky because it happens even when you’re surrounded by people. You could be at your favorite hangout spot, with friends around you, yet still feel an overwhelming sense of loneliness. Internal loneliness often stems from feeling disconnected from the world, even in social settings, and is more about how you perceive your relationships rather than the reality of being alone.

Root Causes of Loneliness

You might be going through a significant change in your life, or perhaps the friends you once connected with no longer seem to understand you. Maybe you're struggling to find someone you can confide in. There are countless reasons why loneliness can surface. If you're unsure why you're feeling this way, reflect on whether any of the following events have occurred recently in your life:

  • Moving away from family or friends can create distance and loneliness.
  • Losing a loved one or friend may leave you feeling isolated.
  • Transitioning to living alone can lead to loneliness.
  • Difficulty meeting new people due to accessibility issues.
  • Poor physical or mental health can increase isolation.
  • Avoiding social situations because of fear of rejection.
  • Retirement, job loss, or quitting a job can cause disconnection.
  • Living in a foreign country or facing culture shock can amplify loneliness.
  • Being in a geographically isolated area can make you feel cut off.
  • Spending excessive time on social media can heighten feelings of loneliness.

Ways to Cope with Loneliness

Ask for help if you are feeling lonely. You can also try:

  • Reach out to loved ones: In today’s connected world, it’s easier than ever to reach out to friends and family. Even if they’re far away, a simple message can remind them you’re thinking of them. You might say something like, “Hey, I’ve been missing you lately. How have you been?”
  • Start small interactions: Sometimes, loneliness can be alleviated by small connections with people around you. Whether it’s the barista making your coffee or the familiar face you see at the store, greeting them with kindness can boost both your mood and theirs.
  • Seek a community: Research shows that finding people with similar interests plays a key role in improving mental health. Try joining activities like group workouts, community clubs, or even attending local events. Platforms like Meetup can help you find people nearby who share your hobbies.
  • Consider getting a pet: Pets are not only comforting but can also improve mental health by reducing anxiety and stress. Plus, pets can help you connect with other pet owners, whether through pet-friendly parks or social events, giving you the chance to meet new people while enjoying time with your furry friend.

"Reach out for support. You're not alone."

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

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20Jan

Awareness of Risk Factors and Warning Signs of suicide

There is no single cause of suicide, but certain risk factors and warning signs can increase the likelihood of an attempt. Recognizing these signs could help save lives.

What factors contribute to suicide?

According to Dr. Praveen Godara, suicide doesn’t stem from a single cause. It often arises when stressors and health challenges combine, leading to overwhelming feelings of hopelessness and despair. Depression, the most common condition linked to suicide, is frequently undiagnosed or untreated. Mental health conditions like depression, anxiety, and substance use disorders, when left unaddressed, significantly heighten the risk. However, Dr. Godara emphasizes that with proper management and support, most individuals living with these conditions can lead fulfilling and engaged lives.

Factors That Increase Suicide Risk

Risk factors are characteristics or conditions that increase the chance that a person may try to take their life.

Health-Related Risk Factors

  • Mental health conditions: Depression, anxiety, bipolar disorder, schizophrenia, substance use problems, aggression, mood instability, or poor relationships.
  • Chronic physical health issues: Persistent pain or debilitating conditions.
  • Traumatic brain injuries: Physical damage impacting brain function.

Environmental Risk Factors

  • Access to lethal means: Firearms, drugs, or other harmful tools.
  • Chronic stress: Harassment, bullying, unemployment, or ongoing relationship struggles.
  • Major life events: Rejection, divorce, financial crises, or significant losses.
  • Exposure: To another’s suicide or sensationalised portrayals of suicide.

Historical Risk Factors

  • Previous attempts: A strong indicator of future risk.
  • Family history: Suicide or mental health conditions in the family.
  • Childhood trauma: Abuse, neglect, or early-life adverse experiences.

Recognising these factors is the first step toward providing support and intervention.

Red Flags for Suicide Risk

When concerned that someone may be suicidal, pay close attention to any changes in their behavior or the appearance of entirely new patterns. These changes are particularly alarming if they follow a painful event, significant loss, or major life change. Many individuals who contemplate suicide show warning signs through their words or actions, and recognizing these signals can be crucial.

Warning sign: Talk
If someone talks about:

  • Wanting to end their life
  • Feeling hopeless or like there's no reason to live
  • Feeling like they're a burden to others
  • Experiencing unbearable pain or feeling trapped

Warning sign: Behavior
Certain behaviors may signal risk, especially following a painful event or loss:

  • Increased use of substances like alcohol or drugs
  • Searching for ways to end their life
  • Withdrawing from regular activities or isolating from loved ones
  • Drastic changes in sleep patterns
  • Saying goodbye or giving away valued possessions
  • Exhibiting aggression or fatigue

Warning sign: Mood
Individuals contemplating suicide often exhibit moods like:

  • Depression or anxiety
  • Loss of interest in things they once cared about
  • Irritability or feelings of humiliation/shame
  • Agitation, anger, or sudden relief as if they’ve found a solution

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

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16Jan

Empowering Parents to Protect Teens: Understanding Suicide and Support

Dr. Praveen Godara emphasizes that parents can approach suicide prevention much like they address other health or safety concerns for their children. By gaining the right knowledge, parents can better understand the factors that heighten the risk of suicide and identify the protective measures that offer the strongest support.

Should Parents Be Concerned About Teen Suicide?

Dr. Praveen Godara highlights that suicide among teens is a growing issue, frequently discussed in the news and portrayed in popular media. As a parent, you have a vital role in supporting your child’s mental health. By recognizing the risk factors and warning signs of suicide, being present and approachable, engaging in empathetic and caring conversations, and understanding that professional help is always available, you can make a meaningful difference in your child’s well-being. Your awareness and support can be life-changing.

How Can I Help Protect My Teen or Tween From Suicide Risk?

Dr. Praveen Godara advises parents to teach and model healthy habits for mental well-being, just as they do for physical health. Prioritizing your own mental health, discussing it openly, and seeking therapy when needed can set a powerful example for your child.

When children see you face challenges and learn from mistakes in an open and honest way, they begin to understand that it’s okay to struggle and grow. This helps them build resilience, compassion for their own missteps, and empathy for others. It also normalizes the understanding that life can be challenging and unpredictable for everyone at times.

Dr. Godara recommends checking in with your child regularly, beyond the routine of daily tasks like homework. Inviting deeper conversations can foster trust and connection. Guidance on how to approach these discussions is available on this page.

For children with a history of depression, anxiety, suicidal thoughts, self-harm, or substance use, Dr. Godara emphasizes closer monitoring and seeking professional support when needed, whether during critical periods or for ongoing care in chronic conditions

How Can I Tell If My Child’s Behavior Is Normal Teenage Moodiness or Something More Serious?

Dr. Praveen Godara explains that during puberty, changes in a child’s body and brain often lead to behavioral shifts, such as moodiness, irritability, and distancing themselves from parents. These are typically part of normal adolescent development. However, parents should be concerned if they observe signs of hopelessness, worthlessness, withdrawal from friends or activities, or thoughts and behaviors related to suicide—these are not typical aspects of teenage angst.

Dr. Godara advises parents to trust their instincts. You know your child’s usual patterns of behavior, how they react to frustration and challenges, and what their good and bad days look like. If their behavior seems to go beyond these norms, it may indicate deeper physical or mental health issues.

Engaging your child in open, compassionate conversation is essential. It helps you understand what they are experiencing and gauge the severity of their struggles. If your teen or tween’s sleep, energy, appetite, motivation, or ability to handle frustration does not return to normal within a few days, Dr. Godara strongly recommends consulting a GP or mental health professional to ensure they receive the appropriate support.

How to Talk to Your Teen About Mental Health and Suicide
It’s vital to approach conversations about mental health and suicide with sensitivity and care. As a parent, don't shy away from these difficult topics. Start by simply asking your teen, “How are you really doing?” or “Is there anything on your mind that you'd like to talk about?” This opens the door for a conversation without feeling forced.

When they share, listen deeply and without judgment. Resist the urge to immediately offer solutions. Instead, focus on understanding their emotions and perspective. Ask open-ended questions like, “What’s been going on that’s been tough for you lately?” or “Can you tell me more about how that made you feel?” These questions help your teen reflect and share more about their experiences.

It’s important to validate their feelings. Even if you don’t fully understand what they’re going through, acknowledging their emotions can make a huge difference. You might say something like, “I can see this is really weighing on you,” or “That sounds really difficult.”

Keep the lines of communication open, but don’t pressure them to talk before they’re ready. Let them know that you are always available to listen, without judgment. Reassure them that their mental health matters and that it’s okay to ask for help when they need it.

By creating an environment where your teen feels heard, supported, and understood, you are helping them feel less alone in their struggles. Let them know they can turn to you with anything, no matter how tough it may seem.

Approaching Conversations About Mental Health Across Different Age Groups

When it comes to discussing mental health and suicide, the approach should vary slightly depending on your child’s age group, but the core principles remain the same. At Sharda Neuropsychiatry Hospital, we emphasize the importance of adapting your language to suit your child’s developmental stage and level of self-awareness.

For younger children (ages 8 to 12), you may want to focus on how they’re feeling physically and emotionally. Ask about things like stomachaches, headaches, or if they’ve been feeling upset or angry more often. If you notice signs that they seem overwhelmed, hopeless, or trapped, it’s important to ask direct questions, such as, “Have you ever thought about hurting yourself or ending your life?” This helps open the door for them to express difficult emotions in a safe and non-judgmental space.

For older children and teens (ages 13 to 17), their level of emotional awareness typically increases, so the conversation can dive deeper into their perceptions and emotional struggles. At this age, they might experience mood swings, sleep disturbances, feelings of hopelessness, or a sense of being trapped. You can approach the topic by asking about these feelings: “Have you been feeling really down lately?” or “Have you been finding it hard to sleep or concentrate?” It’s important to explore their thoughts and listen attentively to their concerns, offering your support without judgment.

At Sharda Neuropsychiatry Hospital, we encourage parents to maintain an open line of communication with their children, tailoring the conversation to their age and emotional maturity. By using appropriate language and creating a supportive environment, you can help your child feel heard and understood, ensuring they know they’re not alone.

  • Dr. Praveen Godara
    Sharda Neuropsychiatry Hospital

What to Do If Your Child Is Not Ready to Talk?

If your child isn’t ready to talk, it’s important to leave the door open for future conversations. Gently reassure them by saying, “Whenever you’re ready to talk, I’m here to listen and support you,” and “I won’t judge you, and I’ll always be here, no matter what challenges you face.”

Often, your child may open up when you least expect it. This might happen while you’re side-by-side, engaged in an activity, or even in a casual setting like the car. These moments can feel less intimidating, making it easier for them to express their thoughts.

When your teen starts to open up, be careful not to immediately offer solutions or say things like, “You should…” or “Why didn’t you…?” Instead, focus on listening and providing understanding. Your role is to offer support and patience, allowing them to share their feelings on their own terms.

What If I’m Concerned My Child Is Thinking About Suicide?

If you're concerned that your child might be struggling with suicidal thoughts, it's crucial to address your concerns directly. Don’t hesitate to ask them if they’re experiencing mood changes, increased stress, or having thoughts of suicide. Asking your child about suicide won’t increase their risk or plant the idea—it opens the door for you to offer support and let them know that you care deeply enough to have this important conversation.

You could say, “It sounds like you’ve been going through a lot lately. Has it ever felt so tough that you thought about ending your life?”

If your child indicates they’ve been thinking about suicide, take their feelings seriously. Listen to them attentively, and continue to offer care and support. You can say things like, “Can you tell me more about what you’re going through? I’m really sorry you’re feeling this way, and I want to understand more about how it’s affecting you. I’m here for you, no matter what. There’s no problem too big that we can’t get through together. I’ll keep supporting you, and we’ll make sure you get the help you need to feel like yourself again.”

It’s essential to talk about the importance of seeking professional help, especially if you believe your child may be at immediate risk. Reassure them that you’re there for them unconditionally, and you’ll ensure they get the support they need to navigate through this difficult time.

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20Dec

Overcoming Bipolar Mood Disorder: A Guide by Dr. Praveen Godara

By Dr. Praveen Godara, Consultant Psychiatrist, Sharda Neuropsychiatry Hospital

Bipolar Mood Disorder, a condition often misunderstood, is a serious mental health disorder that causes extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). At Sharda Neuropsychiatry Hospital, we believe that with proper treatment, support, and understanding, individuals with bipolar disorder can lead happy, productive lives.

Understanding Bipolar Mood Disorder

Bipolar Mood Disorder affects millions of people worldwide, disrupting their ability to think, feel, and act in ways they once did. It’s not just about feeling “happy” or “sad” — it’s about experiencing intense emotional states that can interfere with daily life.

Types of Bipolar Mood Disorder:

  1. Bipolar I Disorder: Characterized by at least one manic episode, often followed by depressive episodes.
  2. Bipolar II Disorder: Involves hypomanic episodes (less severe than full mania) and major depressive episodes.
  3. Cyclothymic Disorder: Alternating periods of hypomanic and depressive symptoms over at least two years without fully meeting criteria for a manic or depressive episode.

Signs and Symptoms

Manic or Hypomanic Symptoms:

  • Feeling overly elated or irritable
  • Decreased need for sleep
  • Racing thoughts or fast speech
  • Increased energy, often leading to risky behaviors

Depressive Symptoms:

  • Persistent sadness or emptiness
  • Fatigue or low energy
  • Difficulty concentrating
  • Feelings of worthlessness or thoughts of self-harm

These symptoms can vary from person to person and may even coexist in what’s known as a “mixed episode.”

What Causes Bipolar Mood Disorder?

While the exact cause isn’t clear, research points to a combination of factors:

  • Genetics: A family history of bipolar disorder increases the risk.
  • Brain Chemistry: Imbalances in neurotransmitters like dopamine and serotonin may play a role.
  • Life Events: Stress, trauma, or major life changes can trigger episodes.

Treatment for Bipolar Mood Disorder

Bipolar Mood Disorder is a lifelong condition, but effective treatments can help manage symptoms and improve quality of life. At Sharda Neuropsychiatry Hospital, we provide a comprehensive and personalized approach to care.

1. Medication:

Mood stabilizers, antipsychotics, and sometimes antidepressants are used to manage the highs and lows of bipolar disorder.

2. Psychotherapy:

Therapeutic interventions like Cognitive Behavioral Therapy (CBT) can help patients understand their symptoms, recognize triggers, and develop coping mechanisms.

3. Lifestyle Management:

Establishing routines, ensuring adequate sleep, and engaging in physical activity can significantly reduce the risk of episodes.

Why Visit Sharda Neuropsychiatry Hospital?

At Sharda Neuropsychiatry Hospital, we understand the complexities of bipolar mood disorder. Our team, led by experienced professionals, including myself, Dr. Praveen Godara, is dedicated to providing the highest level of care.

Here’s what we offer:

  • Comprehensive Diagnosis: A thorough evaluation to ensure an accurate diagnosis.
  • Personalized Treatment Plans: Tailored therapies to suit individual needs.
  • Supportive Environment: Compassionate care for both patients and their families.

We aim to not just treat the disorder but to empower individuals to regain control over their lives.

Take the First Step Towards Recovery

Bipolar Mood Disorder can feel overwhelming, but you don’t have to face it alone. Seeking professional help is the most important step you can take. At Sharda Neuropsychiatry Hospital, we are here to walk this journey with you.

Why Choose Us?

  • State-of-the-art facilities
  • Expert-led treatment protocols
  • Commitment to holistic mental wellness

A Message from Dr. Praveen Godara

Mental health is just as important as physical health. Bipolar Mood Disorder is a manageable condition, and with the right treatment and support, you can lead a fulfilling life.

If you or a loved one is struggling with symptoms of bipolar mood disorder, I encourage you to visit us at Sharda Neuropsychiatry Hospital. Let us help you overcome this disorder and find your path to healing.

Don’t let bipolar mood disorder define you. Take control today.

Dr. Praveen Godara
Consultant Psychiatrist, Sharda Neuropsychiatry Hospital.

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19Dec

Understanding Schizophrenia: Insights by Dr. Praveen Godara

By Dr. Praveen Godara, Consultant Psychiatrist, Sharda Neuropsychiatry Hospital

Schizophrenia is a complex mental health disorder that affects how a person thinks, feels, and behaves. Often misunderstood, this condition is not about "split personalities" but involves a range of symptoms that can deeply impact an individual's quality of life. At Sharda Neuropsychiatry Hospital, we specialize in treating such conditions with care and evidence-based methods. Let’s delve into what schizophrenia is, its causes, symptoms, and treatment options.

What is Schizophrenia?

Schizophrenia is a chronic brain disorder characterized by episodes of psychosis, where individuals lose touch with reality. It typically manifests in late adolescence or early adulthood, though its onset can vary. This disorder disrupts one's ability to think clearly, manage emotions, make decisions, and interact with others effectively.

While schizophrenia affects less than 1% of the population worldwide, its impact on patients and their families is profound. Early diagnosis and treatment can significantly improve outcomes.

Symptoms of Schizophrenia

Schizophrenia symptoms are categorized into three groups:

  1. Positive Symptoms:
    • Hallucinations (hearing, seeing, or feeling things that aren't there)
    • Delusions (strong beliefs not based on reality)
    • Disorganized speech or behavior
  2. Negative Symptoms:
    • Reduced emotional expression
    • Lack of motivation or interest in daily activities
    • Social withdrawal
  3. Cognitive Symptoms:
    • Difficulty focusing or concentrating
    • Impaired decision-making
    • Problems with working memory

Causes of Schizophrenia

The exact cause of schizophrenia remains unclear, but research points to a combination of genetic, biological, and environmental factors:

  • Genetics: A family history of schizophrenia increases the risk.
  • Brain Structure and Chemistry: Abnormalities in brain structure or chemical imbalances, particularly in dopamine and glutamate, are linked to the disorder.
  • Environmental Triggers: Stressful life events, trauma, or prenatal exposure to infections or malnutrition may contribute.

At Sharda Neuropsychiatry Hospital, we approach each case holistically, considering these factors to create personalized treatment plans.

How is Schizophrenia Treated?

Though schizophrenia is a lifelong condition, modern treatments can help individuals lead fulfilling lives. Treatment generally includes:

1. Medication:

Antipsychotic medications are the cornerstone of treatment. They help manage symptoms by balancing brain chemicals.

2. Psychotherapy:

Cognitive Behavioral Therapy (CBT) and other therapeutic approaches aid patients in coping with challenges, improving social skills, and reducing relapse rates.

3. Rehabilitation:

Vocational and social skills training enables patients to integrate back into society and improve their quality of life.

4. Family Support:

Family education and involvement play a vital role in providing emotional and practical support to the patient.

At Sharda Neuropsychiatry Hospital, we combine medical expertise with compassionate care, ensuring that both the patient and their family receive comprehensive support.

Breaking the Stigma Around Schizophrenia

One of the biggest challenges for individuals with schizophrenia is societal stigma. Misunderstandings about the disorder can lead to isolation and discrimination. As a mental health advocate, I urge society to foster a culture of understanding and acceptance.

Remember, schizophrenia is a medical condition like any other, and with the right support, people with this disorder can thrive.

When to Seek Help?

If you or a loved one are experiencing symptoms of schizophrenia, early intervention is key. At Sharda Neuropsychiatry Hospital, our team of specialists provides expert diagnosis and treatment tailored to individual needs.

Closing Thoughts

Schizophrenia is a complex disorder, but it is manageable with the right approach. At Sharda Neuropsychiatry Hospital, we are dedicated to helping individuals regain control of their lives and achieve mental well-being. If you suspect someone you know might be struggling, don't hesitate to reach out.

For more information or to book a consultation, visit Sharda Neuropsychiatry Hospital today.

Dr. Praveen Godara
Consultant Psychiatrist, Sharda Neuropsychiatry Hospital

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Behavioural disorders
04Dec

Understanding Childhood Behavioural Disorders: Services and Solutions

By Dr. Praveen Godara, Consultant Psychiatrist, Sharda Neuropsychiatry Hospital

Childhood is a crucial stage of development, but sometimes children exhibit behavioral issues that can be distressing for both parents and the child themselves. These issues may stem from various factors, including genetics, environment, and emotional or developmental struggles. Childhood behavioural disorders refer to a range of problems that affect a child's behavior and emotional responses. At Sharda Neuropsychiatry Hospital, we offer specialized care and support to help children and families overcome these challenges.

What Are Childhood Behavioural Disorders?

Childhood behavioural disorders refer to patterns of behavior in children that deviate from the social and developmental norms. These behaviors can interfere with a child's ability to function in daily life, including at home, school, and in social situations. These disorders can vary in severity and can affect a child's emotional, academic, and social well-being.

Common Types of Childhood Behavioural Disorders:

  1. Attention-Deficit/Hyperactivity Disorder (ADHD)
    Children with ADHD often exhibit impulsive behavior, hyperactivity, and difficulties with attention and focus. This can result in challenges at school and home, as children may struggle with staying on task or following instructions.
  2. Oppositional Defiant Disorder (ODD)
    Children with ODD may frequently argue with authority figures, defy rules, and display negative or defiant behavior. This can disrupt family dynamics and cause significant stress for parents and teachers.
  3. Conduct Disorder
    This disorder is characterized by aggressive behaviors, rule violations, and a disregard for the rights of others. Children with conduct disorder may engage in dangerous behaviors, such as bullying, vandalism, or theft.
  4. Anxiety and Depression in Children
    Though anxiety and depression are commonly associated with adults, they can also manifest in children. Symptoms may include excessive worry, sadness, irritability, withdrawal from social activities, and changes in behavior at home and school.
  5. Learning Disorders
    Children with learning disabilities, such as dyslexia or dyscalculia, may struggle with reading, writing, or mathematics, affecting their academic performance and self-esteem.

Causes of Childhood Behavioural Disorders

While the exact cause of childhood behavioural disorders can vary, several factors may contribute to their development, including:

  • Genetics: Family history of behavioral or mental health disorders may increase the likelihood of a child developing a similar condition.
  • Environmental Factors: Exposure to trauma, abuse, neglect, or stressful home environments can play a role in the development of these disorders.
  • Neurological Factors: Changes or imbalances in the brain’s structure and chemistry can contribute to the development of behavioral issues.
  • Social and Peer Influences: The child’s interaction with peers, teachers, and social groups can have a significant impact on their behavior.

Treatment and Services for Childhood Behavioural Disorders

At Sharda Neuropsychiatry Hospital, we provide comprehensive treatment for children struggling with behavioral disorders. Our approach is individualized, ensuring that each child receives the care they need to thrive.

1. Psychological Assessment

The first step in treatment involves a thorough psychological assessment. Our team of experts will evaluate the child’s behavior, emotional responses, and cognitive abilities. This helps in diagnosing the condition and understanding the root causes.

2. Behavioral Therapy

Behavioral therapy, including Cognitive Behavioral Therapy (CBT), is a key component of treatment. Through this therapy, children learn to understand their thoughts, emotions, and actions, helping them develop healthier ways of responding to situations.

3. Parent Training and Support

Parents play an essential role in managing childhood behavioral disorders. We provide training and guidance to help parents understand their child’s needs, implement effective strategies at home, and foster a supportive environment for positive change.

4. Medication

In some cases, medication may be prescribed to help manage symptoms, especially for conditions like ADHD. Our team will monitor the child’s progress closely and make adjustments as needed.

5. School and Social Support

Collaboration with schools and social services is vital to ensuring that the child receives consistent support in all areas of their life. We work with educators and counselors to implement strategies that promote a positive learning experience and social development.

Understanding Autism Spectrum Disorder: A Brief Overview by Dr. Parveen Godara

Autism Spectrum Disorder (ASD) is a developmental condition that affects how individuals communicate, interact, and process sensory information. Symptoms can vary widely, ranging from mild social difficulties to more severe challenges with communication and repetitive behaviors. Early diagnosis and intervention are crucial in managing the condition effectively.

ASD can manifest in various ways, including limited speech, difficulty with social interactions, sensory sensitivities, and a strong preference for routine. While there is no cure, behavioral therapies like Applied Behavior Analysis (ABA), speech therapy, and social skills training can help individuals develop essential life skills.

As a psychiatrist, I focus on a personalized approach to treatment, providing support not only for the individual with ASD but also for their families. Early intervention can significantly improve the quality of life, enabling individuals with ASD to lead fulfilling, independent lives. If you suspect someone may have ASD, seeking professional guidance is the first step.

Why Choose Sharda Neuropsychiatry Hospital?

At Sharda Neuropsychiatry Hospital, we specialize in treating Childhood Behavioural Disorders with a compassionate, family-centered approach. Our experienced team of psychiatrists, psychologists, and counselors work together to provide a comprehensive treatment plan for your child.

Visit Us for Consultation

If your child is exhibiting signs of a behavioral disorder, early intervention is crucial for long-term success. We invite you to visit Sharda Neuropsychiatry Hospital for a consultation. Together, we can help your child overcome their challenges and unlock their full potential.

Dr. Praveen Godara
Consultant Psychiatrist, Sharda Neuropsychiatry Hospital

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Anxiety Disorders
28Nov

Anxiety Disorders

Overcoming Anxiety Disorders: A Comprehensive Guide by Dr. Praveen Godara

Anxiety disorders are among the most common mental health issues today, affecting millions worldwide. As a psychiatrist dedicated to mental health, I, Dr. Praveen Godara, understand the profound impact that anxiety can have on daily life. Anxiety can manifest in various forms—generalized anxiety disorder, panic disorder, social anxiety, and specific phobias—each presenting unique challenges. However, with the right strategies and support, overcoming Anxiety Disorders is possible.

Understanding Anxiety Disorders

Anxiety disorders involve excessive fear or worry that can be debilitating. Symptoms may include restlessness, rapid heartbeat, difficulty concentrating, irritability, and sleep disturbances. For many, these feelings can interfere with personal and professional lives, leading to a cycle of avoidance and distress. It’s crucial to recognize that anxiety is not just a personal weakness; it is a treatable medical condition.

Strategies to Overcome Anxiety Disorders

  1. Seek Professional Help: The first step in managing anxiety is consulting a mental health professional. As a psychiatrist, I provide comprehensive evaluations to determine the underlying causes of your anxiety and develop an individualized treatment plan.
  2. Medication Management: In many cases, medications such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines may be prescribed. These medications can help balance brain chemicals that affect mood and anxiety levels, providing relief from symptoms.
  3. Psychotherapy: Cognitive-behavioral therapy (CBT) is one of the most effective treatments for anxiety disorders. Through CBT, patients learn to identify and challenge negative thought patterns, develop coping strategies, and gradually confront their fears in a safe environment.
  4. Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation, yoga, and deep-breathing exercises, can help reduce anxiety symptoms. These techniques promote relaxation and improve your ability to manage stress.
  5. Establish a Routine: Creating a daily routine can provide structure and predictability, which can alleviate feelings of anxiety. Incorporate regular physical activity, healthy meals, and sufficient sleep into your routine to enhance overall well-being.
  6. Limit Caffeine and Alcohol: Both substances can exacerbate anxiety symptoms. Limiting or eliminating these from your diet may lead to significant improvements in your mental health.
  7. Stay Connected: Building a strong support network of friends and family can provide comfort and understanding. Sharing your experiences with others can reduce feelings of isolation and help you feel more grounded.
  8. Gradual Exposure: For specific phobias or social anxiety, gradual exposure to the feared situation or object can help desensitize your anxiety response. This process, often guided by a therapist, allows you to confront fears in manageable steps.
  9. Set Realistic Goals: Break tasks into smaller, achievable goals. Celebrate your progress, no matter how small, and avoid overwhelming yourself with unrealistic expectations.
  10. Educate Yourself: Understanding anxiety disorders and their treatment options empowers you to take control of your mental health. Knowledge can reduce fear and uncertainty, making it easier to engage in your treatment process.

Why Choose Dr. Praveen Godara?

Choosing the right mental health professional is crucial for your journey toward recovery. Here’s why patients choose me:

  • Personalized Care: I prioritize individualized treatment plans tailored to each patient’s unique needs and circumstances. Your journey is unique, and I will work closely with you to develop strategies that resonate with you.
  • Comprehensive Approach: My practice integrates both medication management and psychotherapy, ensuring a holistic approach to treatment. This combination increases the likelihood of successful outcomes.
  • Compassionate Environment: I strive to create a safe, supportive space where you can openly discuss your fears and challenges. Building trust is essential in the therapeutic relationship, and I am committed to being a source of understanding and encouragement.
  • Proven Track Record: With years of experience in treating anxiety disorders, I have successfully helped numerous patients regain control of their lives. Many of my patients have reported significant improvements in their anxiety levels and overall quality of life.

Conclusion for Anxiety Disorders

Anxiety disorders can be challenging, but with the right support and treatment, you can overcome them. As a dedicated psychiatrist, I, Dr. Praveen Godara, am here to guide you on your path to recovery. If you or a loved one is struggling with anxiety, don’t hesitate to reach out for help. Together, we can develop a comprehensive plan that empowers you to manage your anxiety and embrace a healthier, more fulfilling life.

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ketamine infusion Therapy
26Nov

Ketamine Infusion Therapy

Overcoming Mental Health Conditions with Ketamine Infusion Therapy: A Message from Dr. Praveen Godara

As a psychiatrist committed to providing effective treatments for mental health conditions, I, Dr. Praveen Godara, have seen firsthand how overwhelming and debilitating mental illness can be. Conditions like treatment-resistant depression, anxiety disorders, and PTSD can significantly affect a person’s quality of life, making it feel like no escape is possible. However, I want to emphasize that even in the most challenging cases, hope exists—and one of the most promising advancements in mental health care is Ketamine Infusion Therapy.

Understanding Ketamine Infusion Therapy

Ketamine Infusion Therapy is a revolutionary treatment option for patients who have not responded well to traditional therapies like medication or psychotherapy. While ketamine was initially used as an anesthetic, researchers discovered its powerful antidepressant and anti-anxiety effects when administered in low, controlled doses. Unlike traditional antidepressants, which can take weeks to show results, ketamine often works within hours or days, providing rapid relief from symptoms.

This treatment is particularly effective for patients suffering from:

  • Treatment-resistant depression: When standard antidepressants fail, ketamine can offer rapid and lasting relief.
  • Severe anxiety and panic disorders: Ketamine can help regulate the brain’s response to anxiety triggers.
  • Post-traumatic stress disorder (PTSD): Ketamine may reduce the intensity of traumatic memories and alleviate associated anxiety and depression.

How Ketamine Works

Ketamine works differently from traditional antidepressants, which primarily target serotonin, dopamine, and norepinephrine systems in the brain. Ketamine acts on a neurotransmitter called glutamate, which plays a crucial role in the brain’s plasticity—the ability to adapt and form new connections. By stimulating the growth of new neural pathways, ketamine helps the brain "rewire" itself, leading to lasting changes in mood and mental function.

During a ketamine infusion, the medication is administered through an IV over a 40-minute to one-hour session, depending on the patient’s specific needs. The treatment is conducted in a controlled, clinical environment under careful medical supervision to ensure safety and effectiveness. Most patients require a series of infusions over several weeks for the best outcomes, but many experience significant improvement after the first few sessions.

Why Choose Dr. Praveen Godara for Ketamine Infusion Therapy?

While there are many healthcare providers offering ketamine treatments, it’s essential to choose someone who has extensive expertise in both the medical and psychiatric aspects of this therapy. Here’s why I believe I am uniquely qualified to help you overcome your mental health challenges:

  1. Personalized Care: Every patient is different, and I approach each case with individualized care. Before starting ketamine infusion therapy, I perform a comprehensive evaluation to ensure the treatment is appropriate for you, taking into account your medical history, mental health condition, and personal needs.
  2. Experienced Psychiatrist: With years of experience treating complex mental health conditions, I specialize in cases where traditional treatments have failed. My deep understanding of mental illness allows me to create effective treatment plans tailored to each patient’s specific challenges.
  3. Holistic Approach: I don’t just focus on the symptoms; I take a holistic approach to mental health care. I integrate ketamine infusion therapy with other proven treatments such as cognitive-behavioral therapy (CBT), medication management, and lifestyle changes to maximize the chances of recovery.
  4. Compassionate Care: Mental illness can make you feel isolated, but with me, you’re not alone. I provide a supportive, compassionate environment where patients feel safe, understood, and empowered to overcome their challenges.
  5. Proven Results: I have successfully treated numerous patients with ketamine infusion therapy, helping them achieve remarkable improvements in mood, functioning, and overall quality of life. For many of my patients, ketamine has been the breakthrough treatment that allowed them to regain control of their lives.

Take the First Step Towards Healing

If you or a loved one is struggling with depression, anxiety, or PTSD that hasn’t responded to conventional treatments, I encourage you to explore ketamine infusion therapy as a potential solution. As a specialist in this field, I am here to guide you every step of the way, ensuring that your treatment is safe, effective, and tailored to your needs.

Remember, mental illness doesn’t have to control your life. With advanced treatments like ketamine infusion therapy and personalized care, it is possible to regain hope, find relief, and live a fulfilling life. Reach out today to schedule a consultation and begin your journey toward healing.

Dr. Praveen Godara
Psychiatrist
Helping you overcome mental illness with compassion and cutting-edge treatment options.

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