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Symptoms and Diagnosis of Social Anxiety Disorder

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Social anxiety disorder sometimes referred to as social phobia, is a type of anxiety disorder that reasons extreme fear in social settings. People with this disorder have trouble talking to people, meeting new people, and attending social gatherings. They fear being judged or scrutinized by others. They may understand that their fears are irrational or unreasonable, but feel powerless to overcome them.

Social anxiety is different from shyness. Shyness is generally short-term and doesn’t disrupt one’s life. Social anxiety is persistent and debilitating. It can affect one’s ability to:

  • work
  • attend school
  • develop close relationships with people outside of their family

People with social anxiety disorder (SAD) experience significant and chronic fear of social or performance-related situations in which there is the possibility of becoming embarrassed, rejected, or scrutinized. In these conditions, people with SAD almost always experience physical symptoms of anxiety.

Physical Symptoms

The physical symptoms of SAD can be extremely distressing. Common physical symptoms include:

  • Blurred vision
  • Blushing
  • Chest pain
  • Chest tightness
  • Chills
  • Diarrhea
  • Dizziness
  • Dry mouth

Cognitive Symptoms

Social anxiety disorder also involves cognitive symptoms, which are dysfunctional thought patterns. People with this condition are bothered by negative thoughts and self-doubt when it comes to social and performance-related situations.

Below are some common symptoms that you may experience:

Negative beliefs: Strongly held beliefs about your inadequacy in social and/or performance-related situations3

Negative bias: A tendency to discount positive social encounters and magnify the social capabilities of others

Negative thoughts: Automatic negative evaluations about yourself in social or performance-related situations


Reasons Why You Cannot Sleep at Night

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If you find yourself lying awake at night, waiting desperately for sleep to come, you may wonder about the reasons why you can’t sleep. This is most commonly due to insomnia, but there are other situations and causes that might unexpectedly impact your ability to sleep. Discover the reasons why you can’t sleep at night and seek appropriate treatment.


Insomnia is simply the inability to fall or stay asleep. It also describes sleep that is unrefreshing and of poor quality. It may occur over the short-term, often as the result of an identifiable stressor, and be called acute insomnia. It also may become a more chronic situation. Insomnia can lead to great distress, and in exceptional circumstances, it may be fatal (such as in fatal familial insomnia).

Restless Legs Syndrome (RLS)

For those who are afflicted with restless legs syndrome (RLS), the symptoms associated with it are simply identifiable. Most people with RLS describe an unpleasant sensation in their legs that happens during the evening, often as they are falling asleep, and is relieved by movement. These movements may become extreme enough that you can’t sleep. If associated with uncontrolled movements of the arms or legs—such as in periodic limb movement syndrome (PLMS)—it might even make it difficult for your bed partner to sleep.

Poor Sleep Hygiene

There are multiple reasons why you can’t sleep at night, but discovering a few of these reasons may provide some guidance in treatment. The most likely culprit contributing to your inability to sleep is simply poor sleep hygiene. This odd phrase refers to the behaviors, habits, and choices that might make it difficult for you to sleep. If you can’t sleep, it might be due to your sleep environment, an irregular sleep schedule, or other things that are ruining your sleep. Fortunately, many of these issues can be addressed once they are recognized, with significant improvements in your capability to sleep.


How to Deal With the Stress of Being Jobless during Covid.

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The stress of unemployment can take a serious toll on your well-being under any circumstance. But during the coronavirus pandemic, your stress levels may be even higher than normal.

With our current situation and the state of the global economy, there is a much lower chance of landing a new job anytime soon. And it’s unclear when social distancing measures will end or what shape the economy will be in when you are able to return to work.

The Link Between Unemployment and Mental Health

Unemployment has been linked to a greater risk of depression, anxiety, suicide, substance abuse, and violence.

Here are several reasons why not having a job can take a serious toll on your psychological well-being:

Difficulty paying for basic necessities: Reduced income makes it problematic to purchase food and pay for housing. The associated stress makes it difficult to stay mentally healthy.

Lack of purpose: Not contributing to society and not bringing home any income to support the family can leave some people feeling as though their lives lack meaning and purpose.

Reduced social interaction: Not having a job can mean less social interaction, which takes a direct toll on mood and well-being.

Tackle the Problem       

It’s essential to take action that will help solve your problems when you’re unemployed, such as looking for resources that help you manage your financial strain and looking for employment.

This action might include things such as:

Apply for unemployment: Filing for unemployment may reduce your financial strain.

Look for new job opportunities: Whether you search for a new full-time job, or you look for ways to make money, actively searching for work can help you feel better.

Create a budget: Creating a budget can help you gain a better sense of control over your financial condition.

Manage your payments: Explaining your situation to your credit card company, mortgage lender, and other financial institutions may help lower your payments. Financial institutions may also grant you more time to pay your bills.


The nicotine in any tobacco item promptly retains into the blood when an individual uses it. After entering the blood, nicotine quickly invigorates the adrenal organs to discharge the hormone epinephrine (adrenaline). Epinephrine animates the focal sensory system and expands circulatory strain, breathing, and pulse. Likewise with medications, for example, cocaine and heroin, nicotine initiates the cerebrum’s prize circuits and furthermore builds levels of the compound ambassador dopamine, which fortifies remunerating practices. Studies propose that different synthetic substances in tobacco smoke, for example, acetaldehyde, may upgrade nicotine’s consequences for the mind.

What are other wellbeing impacts of tobacco use?

Despite the fact that nicotine is addictive, the greater part of the serious wellbeing impacts of tobacco use originates from different synthetics. Tobacco smoking can prompt lung malignancy, interminable bronchitis, and emphysema. It builds the danger of coronary illness, which can prompt stroke or respiratory failure. Smoking has likewise been connected to different malignancies, leukemia, waterfalls, Type 2 Diabetes, and pneumonia. These dangers apply to utilization of any smoked item, including hookah tobacco. Smokeless tobacco expands the danger of disease, particularly mouth malignant growths.

How does tobacco use lead to dependence?

For some, who use tobacco, long haul cerebrum changes welcomed on by proceeded with nicotine introduction bring about habit. At the point when an individual attempts to stop, the person may have withdrawal manifestations, including:

  1. irritability
  2. issues focusing
  3. inconvenience sleeping
  4. expanded craving
  5. powerful desires for tobacco

By what method can individuals get treatment for nicotine dependence?

Both conduct medicines and drugs can assist individuals with stopping smoking, however the blend of prescription with advising is more powerful than either alone.

Behavioral Treatments

Behavioral Treatments utilize an assortment of techniques to assist individuals with stopping smoking, extending from self improvement materials to guiding. These medicines instruct individuals to perceive high-chance circumstances and create techniques to manage them. For instance, individuals who spend time with other people who smoke are bound to smoke and less inclined to stop.


Drug use can have a wide scope of short-and long haul, immediate and backhanded impacts. These impacts regularly rely upon the particular medication or medications utilized, how they are taken, what amount is taken, the individual’s wellbeing, and different variables. Transient impacts can run from changes in craving, alertness, pulse, circulatory strain, or potentially temperament to coronary episode, stroke, psychosis, overdose, and even passing. These wellbeing impacts may happen after only one use.

Longer-term impacts can incorporate heart or lung sickness, malignancy, psychological instability, HIV/AIDS, hepatitis, and others. Long haul tranquilize use can likewise prompt fixation. Illicit drug use is a cerebrum issue. Not every person who uses medications will get dependent, yet for a few, sedate use can change how certain mind circuits work. These cerebrum changes meddle with how individuals experience typical delights in life, for example, food and sex, their capacity to control their feeling of anxiety, their dynamic, their capacity to learn and recall, and so forth. These progressions make it considerably more hard for somebody to quit taking the medication in any event, when it’s indirect affecting their life and they need to stop.

Drug use can likewise indirect affect both the individuals who are ingesting medications and on everyone around them. This can incorporate influencing an individual’s sustenance; rest; dynamic and impulsivity; and hazard for injury, savagery, injury, and transmittable maladies. Medication use can likewise influence babies destined to ladies who use drugs while pregnant. More extensive negative results can be found in training level, business, lodging, connections, and criminal equity association.

For more data on how different medications influence various parts of the body and infection hazard, Click the below link:

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After an ongoing spate of prominent suicides, I thought it essential to discuss the subject transparently in light of the fact that some of you perusing this blog might be contemplating it. Or on the other hand have pondered it. Or then again have endeavored it. Or on the other hand possibly you realize somebody who’s taken their life. At whatever point important, I talk straightforwardly with customers about the chance of their being self-destructive, however it’s never a simple subject to raise. Be that as it may, it’s significantly more agreeable than what I would feel if a customer endeavored it.

I’ve had customers who’ve been inactively or effectively self-destructive, and those who’ve must be hospitalized or hospitalized themselves when things became unreasonably risky for them or for alarming another person. I’ve known individuals, for the most part associates, who’ve slaughtered themselves—a collaborator decades back, a man I quickly dated who lived in Canada, and two exceptionally magnificent old individuals who had full existences and would not like to keep an eye out for more terrible ailment than they as of now were enduring to cut them down.

Self destruction is appropriately supposed to be a lasting answer for a brief issue, a balanced clarification for what we consider as a silly choice. In my book, there’s advocated taking your life since you’re in consistent physical torment and there’s zero chance of improving or in light of the fact that you’re passing on at any rate. That is justifiable, despite the fact that I’m not embracing it in any capacity whatsoever. At that point there’s needing to take your life since you’re in horrible passionate torment. In spite of the fact that it may not appear to be so at that point, passionate agony is emphatically more treatable than physical torment. It is anything but a single direction road or a given that things will remain terrible or deteriorate. Enthusiastic agony can be made progressively bearable or even killed, positively enough to pull back discouraged individuals from the edge.

Since numerous dysregulated eaters, in any event the individuals who look for mental treatment, have wretchedness and nervousness issue, suicidality is consistently a chance (however broad inaccessible). Endeavors or culmination additionally happen all the more regularly with individuals who have Borderline Personality Disorder (BPD) than with the individuals who don’t convey this conclusion a decent number of individuals with dysregulated eating likewise have BPD. Besides, paces of death by self destruction happening among people who have dietary issues are higher than among people with other psychological wellness issue. Most in danger are the individuals who have Anorexia and Bulimia Nervosa.

All in all, what would you be able to do? On the off chance that you feel that life is excessively difficult or not worth living, perceive this idea as undesirable and treatable. You need not keep on feeling along these lines. In the event that you know individuals who talk clandestinely or unmistakably about taking their lives, remain with the subject and examine their sentiments with them. Furthermore, if individuals alarm you enough to accept that they may end their own life, for the love of all that is pure and holy, regardless of how furious they are or you figure they may be in the event that you contact us to get them hospitalized, disregard their responses and give a valiant effort for them. All things considered, preferable furious and alive over dead.


Depression and Suicide Prevention


Suicide is defined as intentionally taking one’s own life and comes from the Latin suicidium, which literally means “to kill oneself.” It tends to carry different traits depending on the culture. Historically, and still today in some locations, suicide is considered a criminal offense, a religious taboo, and, in some cases, an act of honor (e.g., kamikaze and suicide bombings).

Literally speaking, suicide or completed suicide is the successful act of intentionally causing one’s own death. Attempted suicide is an attempt to take one’s life that does not end in death, rather self-injury. Assisted suicide, a controversial topic in the medical field, is defined as an individual helping another individual in bringing about their own death by providing them with the means to carry it out or by providing advice on how to do it.

Warning Signs of Depression?


While only a qualified medical or mental health provider can diagnose depression, there are certain warning signs that can help you identify whether you or someone you care about may be depressed.

Depression looks a little different in different people, however. So while one individual may struggle to get out of bed due to depression, someone else might be able to go to work every day without co-workers noticing that he’s depressed.

The two most common types contain major depressive disorder and persistent depressive disorder.

The good news is, depression is treatable. If you recognize signs that you or someone you may know be depressed, professional help may be warranted. Medication, talk therapy, or a combination of the two could be instrumental in reducing depressive symptoms.

Decreased Interest or Pleasure

The second core symptom of major depressive disorder is a reduce interest or pleasure in things that were once enjoyed. A person exhibiting this symptom will show markedly diminished interest or pleasure in all, or almost all, daily activities.

Low Mood

Depressed mood is consistent with both major depression and persistent depressive disorder. In major depression, an individual must feel depressed most of the day, nearly every day, as shown by either subjective report or observations made by others. Children or adolescents may appear more irritable than sad. Children may appear more irritable than depressed and they must experience it more days than not for at least one year.

Sleep Disturbances

Sleep disturbances including complexity falling asleep, staying asleep, feeling sleepy despite a full night’s rest or daytime sleepiness can indicate either major depressive disorder or persistent depressive disorder.


A loss of energy and chronic feelings of fatigue can be symptoms of both persistent depressive disorder and major depressive disorder. Feeling tired most of the time can interfere with an individual’s capability to function usually.

Feelings of Worthlessness or Guilt

Excessive, inappropriate guilt and feelings of worthlessness are general symptoms of major depressive disorder. The feelings of guilt may be so severe they become delusional.

Difficulty Concentrating

Both major depressive disorder and persistent depressive disorder involve difficulty concentrating and making decisions. Individuals with depression may recognize this in themselves or others around them may notice that they’re struggling to think visibly.



Suicide prevention methods and treatment are based on patient risk factors. Treatments are prescribed in light of underlying conditions in addition to prevention of suicidal thoughts and acts. If you are suffering from a mental disorder, a treatment plan to treat this condition is implemented first. One of the most common suicide prevention techniques is psychotherapy— also known as talk therapy —in the form of Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT).

Cognitive Behavioral Therapy is a common treatment option for individuals suffering from a variety of mental disorders. In this method of psychotherapy, you are taught new ways of dealing with stress and stressful life experiences. In this manner, when thoughts of suicide arise, you can redirect those thoughts and cope with them in a different way than attempting to take your own life.

Dialectical Behavior Therapy is used to help an individual recognize disruptive or unhealthy feelings or actions. In relation, this therapy method then introduces techniques on how to deal with difficult or troubling situations. More research is needed on psychotherapy related to suicide prevention though, as DBT, in particular, has been shown to decrease the prevalence of attempted suicide but has shown no effect on completed suicides.

Medications can also be prescribed as a prevention method to suicide; however, controversy exists in this method, as many medications used in the treatment of mental disorders include increased risk of suicide as a side effect. Antidepressants especially carry a risk of a potential increase in suicidal thoughts and behavior—but this risk might be dependent on age. Clinical research has shown that young adults increase their risk of suicide and suicidal thoughts when taking antidepressants, but in older individuals, this side effect diminishes.

Increased awareness among doctors is also a prevention technique. Research indicates that many individuals who have completed suicide or attempted suicide did seek medical attention in the year prior; however, warning signs may have been missed. Increased education and awareness among medical professionals might decrease suicide rates in the future.


If You Need support

If you know of someone who is suicidal, do not leave the person alone. Attempt to get them immediate help from their medical provider, hospital Remove access to dangerous items, such as firearms, medications, or other potential risks.



Dr Manish borasi’s Interview on psychological aspects of lockdown & stress management in Times of India

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Dr. Manish Borasi added that the lockdown has led to a spurt in mental health issues, which has resulted in him receiving more calls every day. “Apart from my regular patients, I am getting an additional 12-15 calls every day from people wanting to talk about a range of issues — be it domestic conflicts or it domestic conflicts or irritability or frustration or anxiety related to Covid-19,” he said.







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Dr. Manish Borasi is Best Psychiatrist in Bhopal. Dr. Manish Borasi is psychiatrist and psychotherapist at Dr. Manish Borasi Serenity Neuropsychiatry Clinic. Dr.Manish Borasi Serenity Neuropsychiatry Clinic offering best psychiatrist and psychotherapist treatment services.

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