USEFUL INFORMATION
DEPRESSION
SYMPTOMS
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Lack of interest in doing things you usually enjoy
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Feeling sad, depressed, or blue
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Sleep troubles
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Feeling tired
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Poor appetite, overeating, weight change
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Feeling bad about yourself, feeling guilty or worthless
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Trouble concentrating
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Being slow or hyperactive
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Thoughts that you would be better off dead; suicidal intentions
TREATMENT
Treatment of depression, when done correctly by an experienced professional, is a delicate yet intense process. Money minded doctors simply scribble a prescription down and move on to the next patient. In practices like ours, however, each patient is treated differently. We have the experience needed to treat patients with the exact approach that is best for them. We have a broad scope of dozens of medications from different classes of drugs that are used for treating depression, not simply antidepressants. It is not necessary that the same drug work with equal efficacy in two different patients- this is where our expertise is a benefit for the patient. We also use generic antidepressant sensitivity tests to determine response to different drugs, till the right drug can be fixed for the patient. And simply medication is not the solution. Depression needs understanding coupled with a professional approach to problem solving, including counseling, therapy, and instilling initiative in the patients themselves, all of which we provide individually to each patient. Some patients respond to just therapy, whether it is group therapy or one on one sessions with empathic psychiatrists. Some patients respond to just medication, the right medication in the right dose and their life is back on track. Some patients need both- it is the initiative of a good psychiatric practice to treat the patient according to his depression, as we do. And we are experts in the providing patients the stabilization they need, to resume their daily lives with vim and vigor, instead of trudging through the day. Depression is not an incurable disease, and it does not mean that you are doomed to be depressed for the rest of your life- the correct treatment approach will make all the difference.
OVERVIEW
Depression is one of the most misunderstood, yet commonly known serious disorders of mental health. While feeling depressed in reaction to something that has caused an emotional upheaval, or a major life change, is a normal phenomenon (indeed, it would be abnormal not to be depressed after, say, the death of a loved one), when this emotional instability and persistent low mood exceeds the normal duration of reactive depression and becomes permanent, it is a cause for concern.
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Depression has very typical features, which while characteristic, overlap with a lot of other diseases. Often, as the patients are themselves depressed, they do not even notice the changes until they become very apparent, or when their ability to carry out a normal day to day routine becomes significantly impaired, if they even notice it at all. The first features that patients, or their friends or family notice are continuous low moods, feeling as if life is pointless or that nothing has any meaning anymore, feeling negative all the time, having no focus or concentration power or will power, lack of appetite, constant fatigue and early exhaustion, insomnia or sleeping excessively, impaired memory, etc. If not the patients themselves, sometimes it’s their close friends, coworkers, or family who notice the change. Even with support, depression needs to be examined by psychiatrists who are experienced in handling these cases.
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This is because depression is a symptom of another condition as often as it is a standalone condition. A good psychiatrist will make his diagnosis only after all organic illnesses and diseases that can cause depression have been ruled out, such as hypothyroidism, for example. It is often seen that inept doctors rush into a diagnosis, start the patient on the wrong medication or ineffective dosages, and the patient who is already suffering because of his persistent low moods and physical manifestations, ends up having to suffer even more. In practices such as ours, such mismanagement is unheard of. We have a stellar array of psychiatrists who have seen numerous cases of depression, both where the depression is unrelated to any other cause, as well as when depression was a symptom of underlying conditions like manic depressive disorder, schizophrenia, post traumatic stress disorder, and Parkinson’s disease.
Depression is one of the most common clinical disorders, and many of our staff are well versed in all its manifestations enough to have been published on this topic in several noted publications, as well conducted lectures in colleges about the same.
MAJOR DEPRESSION DISORDER
This is the most severe and most common type of depression. Studies show that MDD affects 17% of population at least once throughout life. Yet MDD is commonly misdiagnosed and under treated.
DYSTHUMIC DEPRESSION DISORDER
This is a chronic, low level depression that continues lifelong. Individuals may function but can’t enjoy their life.
REACTIVE DEPRESSION
This is mild-to-moderate depression that results from traumatic events, such as a divorce or job loss.
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Depression is highly treatable, yet only about one-fifth of the millions Americans suffering from a depressive disorder are getting proper treatment.
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Depression can mimic physical illnesses and cause fatigue, muscle tension, sweating, palpitation, nausea, cold hands, difficulty swallowing, dizziness, jumpiness, upset stomach, diarrhea, constipation and other physical symptoms.
ANXIETY AND PANIC ATTACKS
OVERVIEW
All of us have felt anxious at some point in our lives. Whether it’s right before an interview or while going onstage, anxiety is a normal response. But when this situational response becomes a constant presence in your life, anxiety becomes a crippling source of stress and tension. People who suffer from anxiety disorders have episodes accelerated heart rate, sweating, disorientation, dizziness, confusion, nervousness, palpitations, sometimes triggered by things like a stranger at the door, or having to go to a public place, or address a new crowd- it may not seem like a big task, but to people suffering from anxiety disorders, things of this magnitude can trigger panic attacks too. So what are these, and what is the treatment for anxiety and panic attacks?
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Anxiety is a disorder that needs delicate management, stemming from complete understanding of the underlying issues. Any doctor can prescribe generic medications to calm a patient down, but a team of competent and comprehending psychiatrists like ours, can get to the root of the problem- and lead the patient to understanding their problem too, for the treatment of anxiety and panic attacks. Isolating the cause of the anxiety, the trigger, and guiding the patient to controlling and negating that cause, is at the heart of our multifactorial approach, both through cognitive behavioral therapy, and medication.
TREATMENT
Cognitive Behavioral Therapy is an approach where we work with the patient to enforce their control over their anxiety. Our psychiatrists have dealt with a huge number of cases where the patients have not only managed their anxiety, but completely overcome it, through the application of Cognitive Behavioral Therapy. Treatment of anxiety and panic attacks through Cognitive Behavioral Therapy is immensely effective, when applied by an experienced team of psychiatrists, such as our panel.
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Additional approaches like meditative therapy also help. And, if the patient needs a two pronged approach, then we also prescribe suitable anti anxiety medications. Depending upon the symptoms, treatment of anxiety and panic attacks can require sedatives, anxiolytics, antidepressants, and treatment of any other disorders the patient might be silently suffering from. Because anxiety can be a symptom as often as it is a disorder. Victims of abuse, patients with Post Traumatic Stress Disorder, people with severe social anxiety, all suffer the same general features in their panic attacks, but the method of approaching the treatment for all of them is different.
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Not only just the treatment of anxiety and panic disorders, but the counseling each patient needs, is different too. It takes an experienced doctor to understand a patient, and only a doctor who understands a patient can treat him fully, as we strive to do. A professional yet empathetic approach is at the core the treatment of anxiety and panic disorders, and we maintain an excellent track record of patients who have been freed from both. Patients who are anxious already should not be subjected to haphazard doctors.
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Our practice is located just a hundred yards from the site of the 9/11 tragedy, and we have treated a multitude of people who endured from the traumatic events of that horrible day, who came away alive, but suffered PTSD from the events. Behavioral therapy and talking therapy are common tools, but we employ innovative practices for the benefit of the patients, with EMDR intervention, and even group therapy, so that patients find solidarity and support in a reassuring atmosphere, from where they can analyze and discuss their problems without self consciousness, at peace.
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While anxiety and panic attacks are both completely curable, the right set of psychiatrists makes the difference in improving their quality of life, and we strive to do just that.
SOCIAL PHOBIA
OVERVIEW
Social phobia, also known as social anxiety disorder (SAD), is a common condition characterized by an intense, persistent fear of being watched, judged, or negatively evaluated in social or performance situations. This fear can significantly interfere with daily activities, relationships, and work or school performance.
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Individuals with social anxiety disorder may experience:
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Emotional symptoms: Intense fear of social situations, worry about embarrassment or humiliation, and avoidance of social interactions.
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Physical symptoms: Blushing, sweating, trembling, nausea, rapid heartbeat, or difficulty speaking.
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Behavioral symptoms: Avoidance of social situations, such as speaking in public, attending parties, or initiating conversations.
TREATMENT
Social anxiety disorder is treatable, and several approaches have proven effective:
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Psychotherapy: Cognitive-behavioral therapy (CBT) is the most effective treatment, helping individuals identify and challenge negative thought patterns and gradually face feared social situations.
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Medications: Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) like paroxetine (Paxil) and sertraline (Zoloft), can help reduce symptoms.
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Self-help strategies: Practicing relaxation techniques, gradually exposing oneself to social situations, and building social skills can also be beneficial.
CAUSES AND RISK FACTORS
The exact cause of social anxiety disorder is unknown, but several factors may contribute:
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Genetics: A family history of anxiety disorders may increase the risk
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Environmental factors: Negative experiences, such as bullying, rejection, or humiliation, may contribute to the development of social anxiety disorder.
STRESS
OVERVIEW
Stress is a natural response to challenges or demands, manifesting physically, emotionally, and mentally.
Stress arises when the body reacts to perceived threats or demands, triggering the “fight or flight” response. This response involves the release of hormones like adrenaline and cortisol, preparing the body to respond to danger. While this mechanism is essential for survival, prolonged activation can lead to health issues.
Symptoms of Stress
Stress can manifest in various ways:
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Physical: Headaches, muscle tension, fatigue, sleep disturbances, and digestive problems.
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Emotional: Irritability, anxiety, depression, and feelings of being overwhelmed.
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Cognitive: Difficulty concentrating, memory problems, and constant worrying.
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Behavioral: Changes in appetite, procrastination, increased use of alcohol or drugs, and social withdrawal.
CAUSES AND RISK FACTORS
Common stressors include:
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Life changes: Moving, job transitions, or loss of a loved one.
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Work-related pressures: Deadlines, workload, or conflicts with colleagues.
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Financial difficulties: Debt, unexpected expenses, or job insecurity.
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Health concerns: Chronic illness or caring for a sick family member.
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Daily hassles: Traffic, long queues, or minor disagreements.
TREATMENT
Effective stress management techniques include:
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Physical activity: Regular exercise can reduce stress hormones and improve mood.
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Mindfulness and relaxation: Practices like meditation, deep breathing, and progressive muscle relaxation can alleviate stress.
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Healthy lifestyle: Maintaining a balanced diet, ensuring adequate sleep, and limiting caffeine and alcohol intake.
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Social support: Connecting with friends and family can provide emotional support and reduce feelings of isolation.
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Time management: Prioritizing tasks and setting realistic goals can help manage workload and reduce stress.
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Short term use of medications may alleviate stress related insomnia, anxiety and mood swings
For immediate stress relief:
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Guided imagery: Visualizing calming scenes can promote relaxation.
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Deep breathing: Slow, deep breaths can activate the body’s relaxation response.
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Short walks: A brief walk can clear the mind and reduce tension.
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Journaling: Writing down thoughts and feelings can provide clarity and reduce stress.
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Aromatherapy: Using essential oils like lavender can have calming effects.
PTSD
OVERVIEW
Post traumatic stress disorder has been in the news lately, because of all the cases of soldiers suffering form it on their return from active duty. While no doubt, it is a considerable burden for them, Post Traumatic Stress Disorder or PTSD can happen to anyone exposed to a traumatic situation, even children. The causes for PTSD could be anything that puts the person in an unbearably stressful situation, especially one that causes or could have caused serious physical harm. Take this as an illustrative example. Suppose you’re alone in an elevator and the lights suddenly go out, or the power goes out and elevator stops midway. It’s not an immediately urgent or fatal position for you to be in, but even if you’re on the first floor or have no history of claustrophobia, your first reaction is of fear and panic, even though you know you’re safe. Now try to equate that with a situation where physical harm in inevitable, like a war zone where shelling is going on, or a child who has survived a school shooting, or a woman who has survived rape. These are all situations which leave behind intense emotional scarring- which causes PTSD.
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The symptoms of PTSD can be very telling. Patients have flashbacks of the event, they tend to visualize the whole situation over and over again, and spend hours analyzing the way things should have been, or could have been. Severe emotional responses to normal, otherwise nonstressful situations can occur, with physical symptoms like palpitations, accelerated heart beat, sweating, tremors and panic attacks, accompanied by severe social anxiety. Patients of PTSD also may have insomnia or recurrent nightmares of the event, which adversely affects their quality of life even more. In some cases, PTSD patients block out the entire event form their memory altogether, but that does not always help with the symptoms that develop regardless.
TREATMENT
Treatment of PTSD needs to have a cognitive, multifactorial approach. In a practice like ours, which is located just a couple hundred yards away from the site of the 9/11 disaster, we are very experienced in recognizing and understanding Post Traumatic Stress disorder. PTSD is not a disease, it is a reaction to a stressful event and cannot be cured simply by writing down some pills to fix the issue. PTSD requires intensive therapy to get to the root of the traumatic event. How it affected the patient, how it could have otherwise affected the patient, the patient’s response, there are many things that we consider before deciding upon and starting a comprehensive treatment approach that will cover all bases. We have extensive experience in treating patients of PTSD as well as other overlapping anxiety disorders.
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We also have extensive experience in providing counseling in different applications, such as cognitive behavioral therapy for PTSD, in which we help patients analyze the events objectively, and consider the things that have caused them stress, and how they can now overcome it. We assist the patients in reaching healthy conclusions for themselves, and see how the negative impact of the situation can be overcome. We employ a multitude of approaches, such as Exposure therapy, in which hesitant patienst are helped to discuss the event over and over again, till it no longer weighs upon them with the fear or control it has before. In addition to common practices like talk therapy and anti anxiety and anti depressant medications, we also make use of innovative and highly effective EMDR intervention. Group therapy is also an open option for patients, to communicate and interact with people who have been in stressful situations not unlike their own, thus offering them even more understanding and support. Our practice has extensive experience in treating and helping patients of PTSD resume a normal and functional life.
ADHD
DIAGNOSIS OF ADHD
OVERVIEW
ADHD or Attention Deficit Hyperactive Disorder is a condition that first becomes apparent in childhood, although sometimes it may remain undiagnosed till late adolescence or adulthood. In children the symptoms are very characteristic and diagnosis can be reached easily. With progressive age, though, the symptoms show slight variations that can be attributed to changed lifestyle. For example, while children with ADHD and adults with ADHD have the same complaints of inability to pay attention for prolonged periods of time, focus on work, be distracted easily, but instead of abrupt, rude and hyperactive behavior, adults complain of restlessness, insomnia, anxiety and irritability spontaneously. In children this problem comes to the forefront more easily when a child’s grades drop or his performance in comparison to the rest of their class, or when his aggressive or out of control behavior cannot be attributed to ‘being spoilt’ anymore.
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ADHD in adults generally continues from childhood, where it has not been diagnosed. Our practice consist of a team of psychiatrists with years of experience in identifying and diagnosing cases of ADHD as early in the course of the disorder as possible. Over the years, we have helped thousands of adults with ADHD restore their control over their life, predominantly high functioning people, and we have helped them lead a normal life, no different from anyone else who does not have ADHD. We have extensive experience in managing ADHD in adults and helping them function as normal people, instead of having them suffer or lag behind their peers.
TREATMENT
Treatment for patients of ADHD includes drugs that help stabilize the patient as well as improve their focus and concentration. But it’s not just medication that is needed. We offer options like Cognitive Behavioral Therapy, that helps patients analyze and gain control over their shifts at their own pace and in their ways, and ADHD specific therapy, In addition, we conduct sessions teaching relaxation therapy and stress management, counseling for better time management, talk therapy with our team of psychiatrists- by which we help in giving patients the ability to establish control over their lives and their careers without having to compromise on any front, just because they have ADHD. Career control is especially boosted by our help with ADHD coaching and organizational skills training. Even on the personal front, with the kind of support and counseling our practice offers, patients regain their ability to maintain and let their interactions with other people improve, with better management of moods and anxiety issues, thus improving their quality of life.
FACTS ABOUT ADHD
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ADHD is a biological disorder. It has one of highest genetic powers of transmission when compared to other psychiatric illnesses (i.e. schizophrenia or bipolar disorder ). The genetic power of ADHD transmission is as high as human height transmission.
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A key symptom of ADHD is attention problems, not hyperactivity; some patients are not hyperactive. Other frequent complaints include lack of motivation and feelings of boredom.
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ADHD undermines performance in educational and professional areas and is often destructive to the social life and relationships of those afflicted. Studies show that people with untreated ADHD score 20 points lower of their actual IQ performance.
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5-7% of the population suffer from ADHD which doesn’t end with childhood and persists throughout adult life. Still, ADHD is a hot topic of public debate about its very existence. ADHD is a rarely diagnosed and consequently undertreated disorder which as a bottleneck chokes personal potential if allowed to remain untreated.
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Efficacy of medications, specifically stimulants, is as high as 90 % .This is on a very top level of chronic illness control in medicine in general.
While diagnosis of ADHD may seem simple enough based on the characteristic symptoms, it takes knowledge and experience like ours to correctly classify and diagnose ADHD and ADD. The approach to treatment depends solely on getting the right diagnosis. We also make sure that ADHD is not being mistaken for another condition with masquerading symptoms, or to identity ADHD that is being wrongly treated as another condition. Our initial evaluation takes into account clinical features, a complete comprehensive history, and neuropsychological testing which will help us give every patient the correct diagnosis, to both establish or rule out ADHD and ADD.
INSOMNIA
OVERVIEW
Sleep is one the most basic human necessities. When your sleep cycle gets compromised for a short while, you can make up for it, but prolonged periods of sleep deprivation, irregular or interrupted sleep can have a hugely negative impact on the quality of life. Insufficient sleep also interferes with our ability to carry out day to day activities to our full potential. This is why insomnia should not be overlooked or ignored.
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Insomnia can be due to many causes. Some like jet lag, adjusted circadian rhythms because of traveling or mountain climbing, are transient. However, good psychiatrists know that they need to treat insomnia like a symptom, not a disease. Our practice has extensive experience in treating patients who are suffering from insomnia, whether it is in the acute stage or chronic insomnia. Not only does our team of psychiatrists focus on the treatment or management of insomnia, but we also emphasize on getting to the root cause of the patient’s insomnia. Some patients have reactive sleeplessness after a major emotional upheaval. Some have anxiety related insomnia. Occasionally it is accompanied by organic illness as well. In all cases, our facility is equipped to treat all forms of insomnia to the maximum benefit of the patient.
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Insomnia can occur because of mental illnesses like PTSD, generalized anxiety disorder, mania, ADHD, and sometimes due to a rebound mechanism after discontinuing sedative drugs. The treatment approach for all of them varies. A lot of conjecture exists about seeking treatment for insomnia, with the fear that drugs that induce sleep can cause addiction, dependence and withdrawal. To avoid this, we utilize prescription of drugs that are non habit forming, and we are ready to help with powerful sleep behavioral technique as well as multiple medications options. We would be glad to overcome common bias that all or majority of sleeping agents are addictive.
TREATMENT
On the front of therapy, our panel of psychiatrists is excellently backed in management of insomnia to supplement the medical management as well. We are well versed in providing Cognitive Behavioral Therapy for management of insomnia, which has been shown to be even more effective than certain sedative drugs. By the application of cognitive behavioral therapy we help the patient form a sleep wake cycle with control over their lifestyle, which is hugely beneficial. Our psychiatrists also guide patients through lifestyle and environment modification, which are one of the best ways to control and negate insomnia. We advise patients on sleep wake cycles, diet and exercise changes, mood and behavioral control, everything that patients need to establish a healthy lifestyle with sufficient sleep every night. We also guide the application of hypnotherapy and relaxation therapy, in patients who will benefit from it. The psychiatrists on our panel are very learned with the prescription of drugs to help patients as well, both sedative and drugs needed to manage co morbid conditions. We even prescribe drugs that are non habit forming, for patients who do not wish to use potentially addictive drugs. Our practice has years of experience in dealing with patients who have insomnia, and our thorough expertise helps them lead a normal life again.
TYPES OF INSOMNIA
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Transient Insomnia: Transient insomnia lasts up to one week and often occurs in response to stressful events in a person’s life, such as new job, upcoming deadlines, or exams. In many people it recurs each time stressful events arise.
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Intermittent Insomnia: Intermittent insomnia lasts for 1 to 6 months and usually occurs when more serious and ongoing stress in present. This frequently includes extreme mental stress like injury, loss of loved ones, financial crisis, or physical factors line noises, sounds, or uncomfortable sleeping arrangements.
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Chronic Insomnia: Chronic insomnia is any insomnia that lasts more than 6 months. People with chronic insomnia frequently have a lifestyle or other medical issues that contribute to their sleeplessness. This includes: chronic pain, frequent headaches, depression and other mood disorders, many medications, stimulant or alcohol use, sleep apnea, RLS (restless leg syndrome), and shift work.
FAMILY ISSUES
OVERVIEW
Family dynamics can be both a source of great support and significant stress. Whether it's ongoing conflict, communication breakdowns, or unresolved trauma, challenges within the family system can impact everyone’s emotional well-being. These issues often stem from differences in values, unmet expectations, or major life transitions such as divorce, relocation, or illness.
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Tension within families can manifest in many ways, including frequent arguments, emotional distancing, or strained relationships between parents and children. Left unaddressed, these conflicts can lead to feelings of resentment, loneliness, or anxiety, and they can ripple into other areas of life such as work, school, or personal relationships.
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Understanding and healing family issues often requires a closer look at how each member relates to the others, as well as the roles, boundaries, and communication patterns that have developed over time. Therapy can provide that neutral space to explore these dynamics and create healthier ways of connecting.
GRIEF
OVERVIEW
Grief is a natural and deeply personal response to loss, often triggered by the death of a loved one, but it can also stem from other significant life changes such as divorce, illness, or losing a job. It affects people in different ways—emotionally, mentally, and even physically. While some may move through the grieving process with time and support from others, others may find themselves feeling stuck or overwhelmed by sadness, guilt, anger, or numbness.
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Grieving is not a linear process, and there is no “right” way to experience it. People may cycle through stages of denial, bargaining, depression, and acceptance in their own unique order and timeframe. When grief begins to interfere significantly with daily life, or persists intensely for a long period, it can be helpful to seek professional support.
TREATMENT AND SUPPORT
Therapists provide a safe, compassionate space to process grief. They can help individuals understand their emotions, identify coping strategies, and move toward healing at a pace that feels right. Therapy may involve exploring memories, expressing unspoken thoughts or regrets, and working through feelings of guilt or helplessness that sometimes accompany loss.
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Grief counseling can also support those who are anticipating loss (such as with terminal illness) or dealing with complex grief—when the loss is traumatic, sudden, or associated with unresolved issues. Therapists may use techniques like talk therapy, narrative therapy, or mindfulness approaches to help individuals find meaning and adapt to life after loss.
PMS PMDD MENOPAUSE
COMMON EMOTIONAL SYMPTOMS
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Anxiety, panic, or increased fears
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Forgetfulness/difficulty concentrating
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Sadness/feeling moody
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Irritability, hostility, or aggressiveness
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Poor impulse control
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Feeling guilty
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Poor self-image, self-accusations
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Change or loss of sex drive
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Lower tolerance for noise/light
COMMON PHYSICAL SYMPTOMS
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Headache or backache
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Swelling of ankles, feet, and hands
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Abdominal cramps, heaviness, or pain
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Muscle spasms
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Breast tenderness
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Weight gain
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Acne flare-ups
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Nausea
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Bloating, constipation, or diarrhea
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Decreased coordination
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Food cravings
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Painful menstruation
FACTS ABOUT PMS AND PMDD
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PMS affect up to 75% of women during their childbearing age.
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5-7% of women suffer from the most severe form of PMS – Premenstrual Dysphoric Disorder; some of them also suffer from depressive disorder.
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PMS/PMDD are treatable conditions. Treatment options include different medications, psychotherapy (biofeedback, relaxation training, cognitive-behavioral therapy), or combination of both. Neurotransmitters testing and correction with natural remedies also may be beneficial for some patients.
MENOPAUSE
Menopausal symptoms may vary in presentation and severity. Certain medications may help to alleviate and control associated discomfort. Our integrative treatment also combines various types of psychotherapy (biofeedback, relaxation technique, cognitive-behavioral therapy, other therapy modes when appropriate) and alternative medicine – correction of neurotransmitters with natural remedies.
EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR)
OVERVIEW
EMDR is a specialized form of psychotherapy designed to help individuals process and heal from traumatic or distressing life experiences. Originally developed to treat post-traumatic stress disorder (PTSD), EMDR has since been found effective for a range of issues including anxiety, grief, and phobias.
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The therapy is based on the idea that trauma can overwhelm the brain’s natural ability to heal, leaving painful memories stuck in a raw, unprocessed state. These unhealed memories can continue to cause emotional distress long after the event itself. EMDR uses a structured approach that involves recalling traumatic memories while engaging in bilateral stimulation, such as guided eye movements or tapping.
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The goal of EMDR is not to erase the memory, but to help the brain reprocess it in a way that reduces its emotional intensity. Over time, clients often find that the memory no longer feels as overwhelming or triggering, and they gain a new perspective on the event.
HOW EMDR CAN HELP
EMDR therapy typically follows an eight-phase protocol, including preparation, identifying target memories, and the reprocessing phase itself. During reprocessing, clients focus on a distressing memory while the therapist guides them through bilateral stimulation. This process allows the brain to “digest” the memory, much like how we process daily events during REM sleep.
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Clients often report that after several sessions, the emotional charge of the traumatic memory begins to fade. They may develop more adaptive beliefs about themselves—for example, shifting from “I am powerless” to “I survived and I’m strong.”
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EMDR is especially helpful for people who struggle to talk about their trauma in detail. Because the emphasis is on the brain’s internal processing, rather than verbal discussion alone, it can be a more accessible and less overwhelming path to healing for many individuals.
COGNITIVE BEHAVIORAL THERAPY (CBT)
OVERVIEW
Cognitive Behavioral Therapy (CBT) is one of the most widely used and researched forms of psychotherapy. It's based on the idea that our thoughts, feelings, and behaviors are all connected, and that by changing unhelpful thought patterns, we can influence our emotional responses and actions in a positive way.
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CBT is structured, goal-oriented, and often short-term, making it a practical choice for individuals dealing with a wide range of issues—such as anxiety, depression, OCD, phobias, and more. It helps people identify negative or distorted thinking patterns and replace them with more balanced, realistic thoughts.
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This approach is highly collaborative, meaning the therapist and client work together to understand the client’s specific challenges and develop strategies to improve their mental health and quality of life. Many clients appreciate the hands-on tools CBT offers to manage symptoms in everyday situations.
HOW CBT CAN HELP
During CBT, clients learn to recognize automatic thoughts that may be fueling distress, such as catastrophizing, black-and-white thinking, or excessive self-criticism. By examining the evidence for and against these thoughts, clients can begin to see situations more clearly and respond in healthier ways.
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CBT also focuses on behavior. Clients may work with their therapist to gradually face fears, engage in positive activities, or break cycles of avoidance and procrastination. These behavioral changes reinforce new ways of thinking and can lead to meaningful improvements in mood and self-esteem.
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One of the most empowering aspects of CBT is that it equips clients with lifelong skills. Whether someone is managing a specific condition or simply looking to improve their emotional resilience, CBT can be a powerful foundation for personal growth and long-term change.
MEDICATION MANAGEMENT
OVERVIEW
While society and people as a whole are accepting of the concept of psychiatric illnesses nowadays, there still is a lot of confusion regarding the matter. For example, a person with emotional issues, anxiety or depression can seek help with the matter more easily now than say, a few years ago, but managing the medication that has been prescribed to him or her is still a skill that most psychiatrists lack.
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Medication is prescribed to cure an illness, but it is absolutely essential to know which medication can be given, at what strength, the advantages and disadvantages of one medication over the other- all factors that only the best and most experienced psychiatrist practices like ours, know how to do best.
MEDICAL MANAGEMENT FOR STRESS, DEPRESSION AND OTHER NEEDS
Prescribing medication for psychiatric illnesses is not a matter of memorizing the drug names, it’s all about application. The same spectrum of drugs can be used for a variety of disorders and symptoms, for example antidepressants are also prescribed for anxiety, and sometimes in cases of psychosis too. The exact mechanism or action, the dosages and the combination of drugs may be standardized, but there still may be a variation in the effect seen from patient to patient. This is why it is necessary to have a practice like ours for consultation, with tremendous experience in accurate and patient customized prescriptions and drug dosages, and monitoring the response as well.
This holds true especially for older patients. Older patients are more likely to be on multiple medications at the same time, whether it is for organic illnesses or physical and hormonal conditions; evidently, the drugs need to be taken in a way that is best for both the patient’s physical and psychological health- again something that only psychiatrists with experience can do. There are possible interactions, contraindications, and sometimes, budgeting issues as well, for example for senior citizens on a fixed post retirement income. All these need planning and correct medical management approaches, something we have extensive experience in. Our doctors have examined a vast number of patients with overlapping approaches that could be not be treated the same way, so we take an individualized approach for every patient. Whether it is the drugs we prescribe, the various forms of therapy and counseling, or the lifestyle changes we encourage, each patient is given optimum medical management through our practice. Because it’s not just allopathic medicine that we need to be well versed in- some patients take herbal preparations, or simultaneously use traditional medicines- all of which need to be examined and approved for use with, or separately from the drugs we prescribe.
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The aim of our practice is to ensure that our patients receive the best care possible from us, so that they in turn can have the highest quality of life. Medical management is key in stabilizing psychiatric illnesses, whether it’s a case of anxiety or full blown paranoid schizophrenia, excellent medical management, like the kind we provide to our patients, helps patients rebuild their lives such that their psychiatric illness does not hold them back from living their life to the fullest, and to their maximum potential.