There was a time when people were very cautious to meet a psychiatrist and would try their best to avoid as long as possible. However with time people have started realising the importance of psychiatrist and services provided by them. Still there is major hindrance in acceptance of psychiatric services even after being advised repeatedly by doctor. Hope with time people will realise the importance of consultation with psychiatrist and will not waste their precious time before fixing an appointment.
Psychiatrist are trained medical doctor who after doing MBBS join MD in field of Psychiatry like other specialised branches. You will be surprised that there is dearth of professionals in this particular field. Psychiatrist often prescribes medicines to treat psychiatric disorders but can also provide psychotherapy and counselling whenever needed . So allow him to decide what is ideal means to treat you. However you may be given choice of treatment in certain conditions where both pharmacological as well as non pharmacological methods can be used.
Psychologists are graduate, postgraduate and may be PhD in field of psychology. They are not medical graduate( MBBS) & generally do not have licence to prescribe medication. Clinical psychologists are trained in a number of psychological therapies ,and psychological test administration, scoring, interpretation and reporting. Patient with a complicated clinical presentation who is being seen by a psychiatrist might be referred to a clinical psychologist for psychological testing to aid in diagnosis and treatment. They teat by counselling and psychotherapy.
Headache is a very common disease. Common headache are due to migraine, tension headache, chronic daily headache, cluster headache. This is also due to increased blood pressure. Other causes of continuous headache are depression and persistent stress.
Treatment of headache depends on diagnosis. To diagnose it proper history taking and enquiry about work and associated stress is very important. Before starting treatment we must rule out medical cause of headache by investigations. For example dull, severe and continuous headache must be ruled out by brain radio investigation.
Headache is usually of two types primary and secondary. Primary headache is independent in nature and it could be episodic and continuous. Most common cause of episodic headache is migraine, cluster headache and tension headache. Continuous headache could be due to chronic daily headache and depression and stress.
Secondary headache is due to blood pressure, Tumour, post head injury and subarachnoid haemorrhage etc.
Depression is a state of mind in which person biological function like sleep, appetite and bowel habit are disturbed along with low energy lack of interest in work, surrounding and socialisation. It also leads to helplessness, hopelessness and worthlessness. In severe case person start thinking about suicide. Long standing depression may lead to social cut-off and loss of jobs as well.
In less educated people multiple somatic symptoms such as headache, body ache , gas formation , unexplained other symptoms , sleep disturbance , heaviness or lightheadedness are common symptoms . Educated or intelligent people will complain of lack energy, lack of charm or meaning in life, fatigued feeling, hopelessness and worthless feeling along with sleep disturbance and lack or increased appetite are usual symptoms.
Symptoms of depression can be classified into following groups.
(A) DEPRESSED MOOD- this is hallmark of all depression regardless of other associated symptoms. It is sustained emotional state that is characterised by sadness, low morale, misery, discouragement, hopelessness, emptiness, distress, pessimism etc. it is different in quantitative term as it is more intense than normal emotional response in bad situation.
(B) ANHEDONIA- is loss of interest. Patient is unable to draw pleasure from previously enjoyable activities. In severe cases they abandon most of the things they valued in life.
(c)COGNITIVE SYMPTOMS- difficulty in concentrating, negative thoughts, low self-esteem and self-confidence, suicidal idea are some most common cognitive symptoms. In severe case delusions of nihilism are also present.
(D) PSYCHOMOTOR DISTURBANCE - It can be aggression, agitation or retardation. Aggression is usually associated with irritability and restlessness. Retardation is associated with lack of initiative, mask like facial expression, emotional sluggishness and increased time to answer in response to question.
(E)VEGETATIVE SYMPTOMS - this is characterised by increased sleep or decreased sleep, increased appetite or decreased appetite, decreased libido and motivation.
(F) ANXIETY SYMPTOMS- are usually part of depression.
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