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Cognenitive behavioral treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User :   few yrs back i had heavy alcohol intake ...and had probs with life..and i quited that...sometimes i drink ..but very rarely...once in few months...the problem is ...i finished my higher education two yrs back...i dont have interest in anything ..i didnt go for job..didnt even try ..i tink of doing something and dont do it may be because of llaziness or i dont kinow ...i just need some help on it ...
User :   hello?
Doctor :   hi
User :   i have given my prob in the above message
User :   ur solution sir
Doctor :   pls. giv me few secs to go through.
User :   is it a personality disorder
User :   ok sure..take ur time
Doctor :   ok
Doctor :   May I ask you a few questions before I can Advise you better ?
User :   sure
Doctor :   May I know your age please ?
User :   27
Doctor :   May I know since when you have probs. in life and startde taking alcohol ?
User :   2003 i starated drinking for ejoyment with friends and stopped on 2008 when i failed in love .. istoped drinking
User :   and again i started after few months and then stopp;ed it i drink very
User :   rarekly once in few months on social occation
Doctor :   Ok.
Doctor :   From 2003 to 2008 , how did you fair in your career ?
User :   did a great project and earned lots of money and that spoiled me in drinking more and more and lost all those
Doctor :   And how was your relation with everyone, friends & family ?
Doctor :   from 2003-2008
User :   2008 yr it was not good due to love prob in my house,..after that fine and before that als ofine
User :   from 2003
User :   - 2008 realtion in my family is fine
Doctor :   Ok.
Doctor :   Do you think failure in love life caused any psychological derrailment or stress on you ?
User :   no .it was becaue i was fully immersed in alchol
User :   and wehn i stopped it ...i had the marriage proposal from the girl and their family and rejection from my side
User :   and couldnt take the deicsion...and she left me..
Doctor :   Ok.
Doctor :   But do you feel it has some effect on you ?
User :   i failed in my 12th standard and my dad shouted one day..immediately i went to job anger and didnt get any money from my parents
Doctor :   Ok.
User :   but for past few yrws on those problem dad has shouted a lot ..but i think of doing someting that time and ..that temperment goes away nextday
Doctor :   Ok.
User :   like i m missing the burning desire...
User :   thats what i think ..
Doctor :   You mean to say that after Intermediate /12 th Std. you took up a job and then again you came back continued studies and now you dont have the desire to work , is that it ?
Doctor :   Have I got you right ?
User :   yes
Doctor :   Ok.
Doctor :   May I know if you are able to concentrate on anything for long ?
User :   yeh sure...if i start a work i just finish it i develop websites and things..but the problem is i dont start....
Doctor :   Ok.
User :   not consistent...may be
Doctor :   This is a very small psychiatric problem which needs slight amount of counselling and treatment called CBT.
User :   CBT?
User :   u mean congnitive
User :   therapy?
Doctor :   Yes,
The problem you have is called Impulsive type of ADHD.
User :   ok
User :   so what should i do now ?
Doctor :   I shall ask you a few questions, please let me know in yes or no .
User :   ok sure
Doctor :   Do you find any co-relation : 1.Chooses highly active, stimulating jobs
2.Avoids situations with low physical activity or sedentary work
3.May choose to work long hours or two jobs
3.Do you Seek constant activity
4.Do you get Easily bored
5. Impatient
6. Intolerant to frustration, 7.easily irritated
8.Impulsive, 9.snap decisions and 10.irresponsible behaviors
11.Loses temper easily, angers quickly
Doctor :   If you do not answer here, no issue , just jot it down and see or evaluate for yourself.
User :   i m mreading it now ..can u wait for a min
Doctor :   No issue at all.I shall wait.
User :   .May choose to work long hours
User :   i think that suits a bit
User :   nothing other than that
User :   sometimes impulsive
Doctor :   Ok.
User :   four yrs back i used to get short tempered..but not for past few yrs..i m sure about . it
User :   i changed myself a bit after that boozing history...even whe n i booze heavily..i dont fight ..and i m in control..that which i learnt from my past...
Doctor :   OK. That is good.I would advise you to get a Psychiatrist's consultation physically on this and who can evaluate you closely and suggest you an action plan. Usually CBT is the best way to treat or get better.
User :   what do they do in C|B||T|
User :   ?
Doctor :   I would like to first commend you one thing that you are trying to help yourself and most of them are in self denial.
Doctor :   Dont worry you will get better in no time
User :   thank u
Doctor :   CBT is a scientific behavioural therapy where the psychiatrist and psychologist treat you together with counselling,dialogue, undrestanding,discussions and behavioural and attitudnal help.
User :   ic.
User :   do u know any such placfe which is very good chennai?
User :   how long that therpy has to be taken?
Doctor :   They rarely use medication , but if they feel they might ask you to take a very low dose of some medication.
Doctor :   In chennai,Dr Das is the best.
User :   i wont take any medic...because from i childhood..i ahve been trained to take ..natural ones..99% i dont go to medicine...unless otherwise its serious
Doctor :   That is good.
Doctor :   No issues you can let him know.
Doctor :   Dr.Gatham das is there on our panel too.
User :   ok ..
Doctor :   If you want you can have a phone conversation with him on a specialist enquiry basis.
Doctor :   Do you have anyhting else to ask ?
User :   its btter to talk to him by person..that would be better i think
User :   nothing and i dont want my conversation to be published
Doctor :   Thank you for ocnsulting me, Take care, bye for now
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