Psychiatrist Ahmedabad

Dr.Keyur Panchal : Psychiatrist in Ahmedabad | Sexologist | De-addiction therapist

             Dr.Keyur Panchal is psychiatrist in Ahmedabad and de addiction therapist.He completed his under- graduate studies at the B.J.Medical college,Civil hospital Ahmedabad.He completed his post - graduate training in psychiatry from the N.H.L municipal medical college,Ahmedabad.He is also a registered member of Indian psychiatric society and Indian Medical association.

         His practice involves the diagnosis and treatment of the full spectrum of psychiatric disorders like depression,bipolar mood disorder,generalized anxiety disorder,acute stress disorder, schizophrenia,schizoaffective disorder,delusional disorder,obsessive compulsive disorder,panic disorder,somatoform disorders,pain disorders,tension type headache and other headaches,drug abuse (alcohol,cannabis,opium,nicotine,inhalants) etc. with a special interest in Bipolar mood disorderand Adult ADHD/ADD.He also provides treatment for neuropsychiatric disorders like dementia(Alzheimer's disease and vascular dementia),Migraine and other headaches,behavioural and cognitive disturbances after brain injury.As a sexologist he also offers treatments for various psycho sexual disorders like erectile dysfunction, premature ejaculation,hypo active sexual desire disorder,sexual pain disorder and sexual addiction.

Our Holistic approach:

We believe in integrating nutrition, exercise, supplements,behavioral interventions,self help,psychological therapies and mindfulness into treatment apart from medications to establish a comprehensive management plan.

We prefer a conservative approach avoiding admissions,ECTs or other intense treatments(though few patients do require supervised intesive psychiatric care including ECTs).

Whenever appropriate we do suggest patients to seek psycho-therapeutic help also.

What's a psychiatrist?

Many people are unsure about what exactly psychiatrists do.

Psychiatrists are just like medical doctors who are trained into dealing with mental health disorders after their medical graduation(MBBS).They specialize in diagnosing and treating people with emotional,cognitive and behavioral disorders.

Psychiatrists are qualified to evaluate both the mental and physical aspects of psychological/emotional/behavioral disorders.Depression is the most common reason why people seek psychiatrist's help.

Psychiatrists help people with mental health disorders such as Anxiety,insomnia,schizophrenia, depression, bipolar disorder,OCD,psychosexual disorders and substance use disorders.

What to expect when you consult a psychiatrist?

Diagnosis and detailed evaluation is very important especially for complex mental health issues.Asking a family member or a friend to accompany you is often helpful to understand your life from a significant other's perspective.

There aren't any laboratory/radiological investigations to understand/diagnose psychiatric problems.Psychiatrist mostly use laboratory investigations and imaging to rule out other medical conditions which might mimic psychiatric disorder.(eg.hypothyroidism)

Psychometric assessments are often helpful to understand a person's personality and to diagnose psychopathology.
After initial evaluation a management plan is devised which often includes psychotherapy sessions apart from taking medications and other lifestyle modifications.

Why people are still reluctant to meet a psychiatrist?


 CALL on 9998822244 for appointments.


Appointments and Clinics

For booking an appointment :

 Call us on: (between 10 am to 6 pm )     
  
+919998822244 


Clinics: 

Time:

Monday to Saturday 4 pm to 8 pm


First Floor,OPD Wing, SAL Hospital, 
Drive In Rd, opp. Doordarshan Tower, 
Thaltej, Ahmedabad, 
Gujarat 380054




CONSULTATION BY APPOINTMENT ONLY








Psychiatric disorders


Mood disorders
Anxiety disorders
  • Panic disorder with/without agorophobia
  • Social phobia
  • Specific phobias
  • OCD
  • Generalized anxiety disorder
  • PTSD
  • Acute stress disorder
Psychotic disorders
  • Schizophrenia
  • Brief psychotic disorder
  • Schizoaffective disorder
  • Delusional disorder
  • Shared psychotic disorder
Neuropsychiatric disorders
Sexual disorders
  • Erectile dysfunction
  • Premature ejaculation
  • Hypo active sexual desire disorder
  • Hyper sexuality
  • Female sexual arousal disorder
  • Female orgasmic disorder
  • Sexual pain disorders
  • Gender identity disorder

Eating disorders
  • Anorexia nervosa
  • Bulimia nervosa
Samatoform disorders

Sleep disorders

Personality disorders

Childhood disorders


SAL Hospital | Dr.Keyur Panchal  is a DeAddictionCentres.IN directory member

Depression


Occasional sadness is part of our daily life. These feelings are short-lived and pass within few days. When somebody is affected by depression, it interferes with personal, social and occupational aspects of life. Depression is a serious medical condition which requires treatment to avoid suffering to the person and related significant others.

Though depression is a common illness, percentage of people receiving treatment is extremely low. Stigma related to mental health issues and lack of awareness about depression are the most common causes for this. Many people do not even know that emotional problems can be a part of a disorder and treatment is possible for the same.


Common symptoms in depression:

  • Sadness of mood

  • Decreased interest in activities that were previously pleasurable

  • Easy irritability

  • Lack of energy or lethargy and easily getting tired

  • Feelings of hopelessness and helplessness

  • Difficulty in concentration

  • Difficulty in making decisions

  • Feelings of worthlessness or excessive guilt
  • Pain such as headaches, back pain, aching muscles, and stomach pain     which is often unexplained or   out of proportion to the physical component
  •  Death wish or ideas of ending one's life

Types

There are several forms of depression. Unipolar depression and Bipolar depression are the two most prominent differentiation. Apart from this, following are various disorders related to depression.

Major depressive disorder

Major depressive disorder, also known as MDD is the severe form of depression. The symptoms are constant, ranging from moderate to severe and the duration should be at least for 14 days which causes significant impairment in person’s personal, social and occupational life. 

Psychotic depression

It is also a severe form of depression in which depressive symptoms are accompanied by psychotic symptoms like suspiciousness, fearfulness,hearing of voices and other psychotic symptoms.Often individuals with psychotic depression are misdiagnosed as a schizophrenics.

Mixed anxiety depressive disorder

When person has symptoms of depression as well as symptoms of an anxiety disorder it is called Mixed anxiety depressive disorder.

Post partum depression

Baby blues is comparatively milder form of post partum depression which is short lived and not severe. Some women suffer from a severe form of the “baby blues". Postpartum depression is a longer lasting and more serious depression which is  associated with hormonal changes during pregnancy and delivery. Postpartum depression usually develops soon after delivery,but it may develop within 6 months of delivery.It usually clears before baby’s first birthday but when severe and untreated may affect mother’s health as well as her capacity to take care of her baby. With depressive symptoms, excessive worry regarding baby ‘s health is the key hallmark of post partum depression.

Agitated depression

Mostly an illness of geriatric (elderly) age group in which restlessness and aggression are prominent with other symptoms of depression.Person is easily irritable, shouting and may be pacing around frequently.

Medications induced depression

Many drugs also can cause depression.Drugs like methyldopa, betablockers, clonidine,thiazide diuretics,typical antipsychotics,digitalis,anticancer drugs, baclofen,domperidone, metoclopramide,certain antibiotics like ethambutol sulfonamides,steroids,oral contraceptive pills may be the cause of depression in some cases.

Depression due to general medical condition

Depression symptoms are found in 12 to 36 % of people with a general medical condition and vary according to the medical condition. Ongoing depression with any medical condition may affect a person’s ability to deal with that condition and ultimately the outcome.

Dysthymia

Dysthymia is a chronic low-grade depression.Person feel mildly or moderately depressed, although there are brief periods of normal mood. The symptoms of dysthymia are not as severe as the symptoms of major depression, but they last at least for two years.When somebody experiences major depressive episodes on top of dysthymia, the condition is known as “Double depression.” People suffering from dysthymia may feel like they  have always been depressed  Or may think that their continuous low mood is “just the way they are.” Dysthymia is  also a treatable condition even if symptoms are there for very longer period of time.

Seasonal affective disorder (SAD)

Some people have a tendency to get depressed in   a particular season or  months of the year,for  example,in winter or in monsoon.This type of depression is called seasonal affective disorder (SAD). Seasonal affective disorder is more common in cold climates than hot climates.Seasonal affective disorder is treatable. Light therapy, a treatment that involves exposure to bright artificial light,is also a good adjunctive treatment option for SAD.Many experts believe that SAD is actually a variant of bipolar mood disorder and mood stabilizers like lithium are better drugs for long term maintenance of seasonal affective disorder.





Female sexual disorders

Most females experience some form of sexual dysfunction at some point of time in their lives.It can be low sex drive,lack of arousal or excitement,failure to reach orgasm, or pain during sexual intercourse.Its difficult to discuss sexual issues and seek help for the same.Unlike men,most women dont consult a sexologist for their sexual dysfunction.There are multiple reasons for this situation apart form lack of awareness and stigma  attached to sexuality.

Sexologist can be consulted for female sexual dysfunctions which often requires a psychological assesment also.

Alcoholism


Alcoholism is a chronic, often progressive disease. There is a considerable variation in patterns of drinking among individuals in alcohol consumption.

A number of individuals drink socially, or occasionally, and are able to stop after a few drinks. It does not interfere with any other area of their life. But for many others who drink, things go the other way. There “occasional” and “social” drinking progress into regular drinking.

What is “safe” or “moderate” drinking?

There is no clear cut demarcation between “social” or “moderate” drinking
and “problem” or “harmful” drinking and no pattern of drinking is absolutely safe.So right demarcation should be  “high risk” drinking and “low risk” drinking.

According to western standards not more than 2 standard drinks per day and not more than 4 drinks on any given day is considered as low risk drinking.

However according to studies Asians have low tolerance to the ill effects of alcohol due to genetic variability and other physical factors. So for Asian population low risk drinking  is even less than above mentioned limits.

With the increase in average alcohol consumption and frequency, there is an increase in the incidence of alcohol related medical and psychosocial problems.

Not everyone who consumes alcohol is alcoholic. 

An alcoholic is one, whose drinking causes continuing problems in any area
of his life (such as family relationships, job, financial status or health) and
who continues to drink in spite of these problems because he has developed
a physical and psychological dependence on alcohol.

A person with alcohol addiction typically craves alcohol and drinks despite repeated alcohol related problems.

Before entering recovery, most alcoholics will deny they have a problem. Often they attribute their drinking to occupational, social or financial stresses.


Alcohol Dependence 

As with all addiction,two main components of alcohol dependence are presence of tolerance to alcohol and withdrawal symptoms.

Tolerance 
Which means increased need for alcohol to attain the same effect or reduced effect even with the same amount of alcohol consumption.

Withdrawal
Alcohol withdrawal means emergence of two or more signs or symptoms within several hours of stopping or reducing heavy, prolonged alcohol consumption like,
-Increased heart rate
-Tremors
-Difficulties with sleep
-Nausea or vomiting
-Transient illusions or hallucinations
-Restlessness and uneasiness
-Anxiety
  • Convulsions (fits)Consumption of alcohol in larger amount or for longer duration
  • Persistent desire to reduce or control drinking
  •  Too much time is spent in drinking or recovering from effects of drinking
  •  Important social, occupational, or leisure activities are given up or reduced because of  alcohol
  •  Continued alcohol consumption despite alcohol related problems.


Alcohol Abuse
Alcohol abuse is relatively less severe form of alcohol related problems.
  • Repeated drinking resulting in failure to fulfill responsibilities at home, workplace or school
  • Repeated drinking in situations in which it is physically dangerous like drinking and driving, operating machinery while drunk etc.
  •  Repeated alcohol-related legal problems
  • Continued drinking despite having repeated social or relational problems related to drinking

Alcoholism treatment

The first step is to determine if a person has a problem with alcohol or not.

For a person who has become addicted to alcohol, choice of treatment depends upon a number of other factors like,
·        Severity of alcoholism
·        Motivation to quit
·        Support system
·        Coexisting psychiatric disorders
·        Coexisting medical conditions like diabetes, hypertension etc.
·        Previous history of withdrawal symptoms
·        Pattern of relapse

OPD treatment
Patient can be treated as outpatient  if withdrawal symptoms are not severe or when we are not expecting severe withdrawal symptoms and a person is having enough motivation to quit.

It includes medicines to manage withdrawal symptoms and craving and counseling to improve motivation, avoid relapse and to address psychological issues.

Inpatient treatment
If a person’s alcohol intake is severe he needs inpatient treatment for detoxification and management of withdrawal symptoms.
Inpatient treatment lasts for 5 to 10 days (on avg. 7 days) depending upon the above mentioned factors.

Inpatient treatment involves:
-Complete evaluation of alcohol problem
-Detoxification from alcohol
-Replenishing vitamins and minerals
-Medications to handle the withdrawal symptoms
-Medications to control craving for alcohol
-Psychotherapy
-Regular follow up sessions to maintain the abstinence

Our center also offers Baclofen therapy and Disulfiram therapy .

With newer therapies it is possible to get rid of alcohol addiction.

Contact our landline numbers for further details.
You can also send an e-mail to doc@drkeyurpanchal.com