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Counselling for cognitive behavior therapy, bulimia nervosa, trichotillomania - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   how can I help yu
User :   hey
User :   are you really a docto im talking to?
Doctor :   yes
Doctor :   You are assured
Doctor :   Please continue with thw quiery
User :   well im having trouble wih my eye i have been picking out my eye lashes for 2 years now and dont no what to do
User :   ive tryed everything to try and stop and not 1 thing has HELPED!!!
User :   its anoying!
User :   and im not sleeping
User :   properly
Doctor :   are you concerned
Doctor :   about the picking of lashes
Doctor :   or anythoing else
User :   yeah i am cause everything i do to try and stop it never works! and its imbaressing me alot
User :   it bothers me'
User :   no i am starting to develope a eating problem to
User :   now*
Doctor :   ok
User :   yeah
Doctor :   any other symptoms
Doctor :   what is the problem with eating
Doctor :   can you please describe that
Doctor :   this behaviour is called Trichotillomania
Doctor :   which is an impulse control behaviour
User :   well when i eat i feel like throwing up after i eat because i feel fat and if i throw up i can get rid of weight quicker i only eat 1 meal a day whitch is my dinner i dont eat morning tea at school or lunch or breakfast! just dinner and i dont want to put weight on ! i can go without food for 3 days and some days ill get so hungry i shove the food down my throat and then after im soo full i wont eat for a couple of days or i might even make myself throw up i cant help it
Doctor :   This mainly needs counselling
User :   well i do have a councellor but he doesnt help me nomore he comes to my house evry saturday but i give up on him cause he doesnt even help me !
User :   my mum maybe gonna get me a female councillor
Doctor :   ok
User :   yeah
Doctor :   there are also some medicines alng with psychgotherapy
User :   for what my eating problem or my eye problem?
Doctor :   you dont have eye problem
Doctor :   yoiu Cognitive-Behavior Therap
Doctor :   done
User :   what thats?
Doctor :   seeks to alter behavior by identifying the precise factors that trigger hair pulling and teaching skills to interrupt and redirect responses to those triggers.
Doctor :   it is Habit Reversal Training
User :   where do i go for that?
Doctor :   encourage hair pullers to develop an increased awareness of the times of day, emotional states, and other factors that promote hair pulling
User :   ive been to a doctor
User :   and he said just dont pull
User :   but its not that easy
Doctor :   as an important precursor to being able to control the behavior.
Doctor :   The eating disorder is somewhat assosciated wiht it
Doctor :   it is called Bulimia nervosa
User :   so what is that what you think i might have?
Doctor :   these are the two i can think of now
User :   yeah
Doctor :   Bulimia nervosa and Trichotillomania
Doctor :   and both of them require those therapies i told you
Doctor :   abnd ssome medicines too
Doctor :   you need to see a psychiatrist
User :   i have one
User :   but i feel he dont help when i need it
User :   he doesnt really show me ways of dealing with it
User :   he just ses stop and simple and easy
User :   but its not that easy'
User :   so when he comes every saturday i dont talk to him nomore
User :   i ignore him'
Doctor :   Ok
User :   i made myself throw up once tonight!
Doctor :   but counselling is the only solution for this
User :   without my mum knowing
User :   or anyone i just pretended i was feeling sick
Doctor :   You should keep your mom informed abou ti
Doctor :   which country are yu chatting from
User :   she might make me look like im syco though?
User :   australia
User :   hold on be right back toilet
Doctor :   ok
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
User :   im back
User :   i did it
User :   so what shold i do
User :   and how could i tell my mum that i made myself throw up?
User :   its kinda freaky and imbaressing and it might make me feel bad!:(
Doctor :   There is nothing to feel bad
Doctor :   about it
Doctor :   it is a very common illness in that part of the world
Doctor :   and you should not be embarassed about it
Doctor :   only thing yu have to pull up all the spirits
Doctor :   and learn to follw the advice of the counsellor as much as possible
Doctor :   you shoud take initiatves in going to him
Doctor :   for the counselling sessions
Doctor :   you will be very much alright in couple of months if you follow the therapy sessions day in and day out
User :   what happends if it gets worser?
Doctor :   you should be hospitalised
User :   what happends if my mum take it wrong way?
Doctor :   for the sessions
Doctor :   to make you stick to them
Doctor :   you should seek help from you mom
Doctor :   and ask her to help you in all ways
Doctor :   assure her that you will follow the advices properly
Doctor :   and get it right to normalcy
Doctor :   dont fear about your mom she is yours
Doctor :   she never does when you dont want something to happen
Doctor :   try to communicate with ther
Doctor :   her
Doctor :   properly
Doctor :   ok
Doctor :   We have a long queue of patients waiting for the medical advise please login back for other queries.
Doctor :   I shall close now
User :   ok i will
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
User :   login again
User :   thanks
Doctor :   Good kid
User :   hi again
Doctor :   hi
User :   was i talking to you before
User :   ?
Doctor :   yes
User :   ok
User :   so should i tell my mum
User :   and should i tell her right away or not?
Doctor :   yes
Doctor :   it is better to keep her informed
Doctor :   u can tell her right away
Doctor :   anything else u want to know about
User :   so i should do that?
User :   teachers at school no a little about it
Doctor :   dont disclose to ur teacher
Doctor :   but u can tell ur mom
User :   what do you mean by that?
Doctor :   when u feel comfortable
User :   disclose my teacher?
Doctor :   not right now
Doctor :   u can ask the counselor
Doctor :   if he says
User :   my teacher already no
User :   she noticed my hait at the begining of the year
User :   habit*
Doctor :   ok
User :   is there any councilors i can chat to on here?
Doctor :   ok
Doctor :   We offer to fix up an appointment with the specialist to talk to you over phone or chat with you on internet. That will be a paid service.
User :   so theres no councilor i can talk to on here?
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   so
User :   dos that mean i can talk to you anytime i need to
User :   ?
Doctor :   sure
Doctor :   u can post any medical query
Doctor :   u have
Doctor :   you can have a Free Live Chat with one of our doctors online between 9am-9pm IST (GMT+5:30) on all 7 days a week at WWW.WWWW.WW Alternatively, you can speak with them over phone at +91-80-0000 between 12noon-6pm IST from Monday to Friday.
Doctor :   yes from 9am to9pm,
User :   oh
User :   thats Great
Doctor :   IST 7 days a week
User :   !
Doctor :   anything else u want to know
User :   well when ever i need to have a chat ill just come ehre
User :   no im fine
Doctor :   sure u can
User :   you helped me enough ill come back tomorow
Doctor :   we are happy to help u overcome
Doctor :   ur problem
User :   Thanks Doctor :)
Doctor :   sure
Doctor :   take care
Doctor :   ur welcome
User :   Bye xx
Doctor :   have XXXXXXXX day
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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