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Dr anuj srivastav, sir i need you on this one

Sir i have my case with a respected doctor of this forum but i require your opinion . I know that every doctor have different opinion, treatment for their patience but i STRONGLY request your to give your opinion .


Name Abhimanyu virmani
Age 23
Sex male
•Your Complaint:
1. Grey hairs (around 50 % mainly side of my head) also
starting to have some grey beard under chin.
2. Frontal lobe baldness and less density of hairs .Plz see
pic.
3. Low energy level , Restless ,Impatient, weak ,lost ,
confused, shot tempered, intollerent to noise level.
• When did the complaint begin?
1. Greying problem started at age of 12 years
2. Baldness around 5 years back.
3 Low energy level Weakness fatigue around 6 months.
• What sort of sensations (and emotions) do you associate
with it?
When does it tend to occur (time/day)
• Does anything make it better or worse?
Ans . Long sleep makes pt. 3 better and Feel worse after i
masturbate and exercise .In evening after office I feel worst
very low in energy
• How does it bother you? How is it coming in way of your
day-to-day life?
• How does it feel like to have this/these problem/s?
• What is the effect of this/these problem/s on you?
• Did any event happen which caused the complaint?
Describe the emotion associated with it.
• What are the other symptoms started with it, esp. mental
and physical symptoms, which are not directly related to
the main complaint.
• What are your reactions with it?
Ans. Having grey hairs all over my head makes my
confidence low. Low energy level is my major problem, cant
do anything properly. Its ruining my life, my relation with
parents, brother, and coz of this I dont feel like talking,
making friends.
Mental and Emotional State Description
1. What are the issues in your life that bother you the most.
Not physical issues but mental or emotional ones. List each
one separately and describe why each one bothers you so
much.
Ans.That I have to be discipline, improve myself in order to
overcome my continuous failures. I have failed many times
in my CA examination only because of my poor mgt.
2. What emotions are the most troublesome for you? What
situations provoke these emotions. How do these emotions
make you act? Do you feel any ill effects from expressing or
not expressing these emotions.
3. What incidents in your life have had a deep impact on
you? Describe each incident in detail and how they made
you feel? What did you do in those situations? What effect
have they had on your life? Ans. Nil
4. What are you afraid of? Especially important are phobias,
but it might be objects, situations or events that just
produce a high level of anxiety. How do you manage your
fears? How do you react when confronted with these fears?
What would be the worst situation for you to be put in that
would provoke these fears? You may need to talk about
each fear/anxiety separately.
Ans I am afraid of meeting relatives, friends as I don’t know
what to talk , When they pass a comment a cant reply back,
get nervous around them, cant thing straight, get lost, my
mind is not there completely, cant be myself . THESE are
my major fear .My reaction is only smiling
5. What hobbies do you have? Why do you like each of
these activities?
Ans. Though I am Indian my mother tough is Hindi, I like
Hollywood movies, Songs coz of energy, good story,
practical. Don’t like hindi entertainment coz of melodrama,
cant handle it.
6. Do you have any persistent thoughts, ideas or beliefs that
are difficult to stop or cope with? What are they?
Ans That my job is not worth my time and I have no future
in that. My new idea is to start my coaching center after
three months.
7. Do you have any unusual gestures or movements of the
body? Do you feel any unusual sensation or pain throughout
your body? What exactly does it feel like is happening in
your body?
Ans. No
8. When you experience your fears, persistent thoughts, or
difficult emotions, what kind of sensation or reactions do
you get in your body?
9. When did you feel at your best in your life? What was that
like for you? If you imagine the complete opposite of this
feeling or moment, what would that be like?
Ans Going for a adventure vacation was best thing in my
life.
10. Do you feel like you are stuck in a pattern of behavior,
especially when trying to deal with your problems? What is
this pattern?
11. What difficulties or problems do you have in
relationships? Talk about your family, your romantic
relationships, your spouse or partner, your friends, and your
work colleagues. You may need to talk about all of these
separately.
12. List 5 positive things about yourself. Are there any
situations where this positive attribute becomes negative
(is a problem)?
Problem Solver, Optimistic , Creative, Risk Taking Nature, Caring
13. List 5 negative things about yourself. Are there any
situations where this negative attribute becomes positive
(is useful)?
Ans. Lazy, procastination ,Always getting late ,Short
Tempered, Moody ,arguing ,criticizing disagreeable .
14. Do you have any reoccurring dreams? Describe them in
detail, including any feelings that come while dreaming.
Yes like running down the stairs very fast and freely .
I'm in a school and i'm not taking any tutions for my
upcoming examinations,(I used to fail in exams but in high
school I scored exceptional good marks, coz of tuitions, self
study so these dreams come sometimes ) playing football and unable to run . Dreams like I
have done some crime, someone is chasing.
15. Did you have any reoccurring dreams as a child, or
earlier in your life? Describe those in detail including any
feelings that came with them.
Ans. No
16. What were you like as a child, your character, your
personality, your fears, your dreams, your problems?
Ans very energetic, uncontrollable, very naughty, creative.
My Parents cant handle me than.
17. What kind of environment did you grow up in? What
problems where there at home, with your family, with your
parents, with your siblings, with school?
Ans. I have very caring parents, but they used to fight , my
mother was very sensitive than (now with meditation,
Sadhna she has very much improved emotionally), so I used
to get emotional, caring for her. Also I was weak in studies ,
they tested me for ADHD which was negative.
GENERAL SYMPTOMS
1. Sleep - what position do you tend to sleep in? Ans. on
my stomach
- what position can you not sleep in? – On my back
- do you do anything unusual in your sleep? – NO
.
- any problems with going to sleep, staying asleep, or
waking up?
Ans. Cant sleep immediately, take time like one hour to
sleep and during it , there is thoughts going on constantly.
My sleep schedule is 1am to 9am= 8 hrs but I don’t feel
fresh in morning, less energy level, don’t feel like going to
work, park.
And in weekends its 1am to 11am I feel better, high energy
level but after I poop it goes down and till evening its
completely gone. Feel very weak, less energy in body.
2. Appetite - What foods do you crave/desire strongly?
- What foods do you hate eating (have an aversion to)?
- What foods have a negative effect on you or cause
symptoms?
- What foods have a positive effect on you or seem to
improve your health or symptoms in some way?
- What is the effect of hunger or fasting on you?
Ans.
a. Sweets , creamy biscuits after luñch , flour products like
patty, burger , Masala chips , lemon sandwitch
b. Dairy products like milk , yogurt makes me fee lazy after
that.
c. Fasting makes me more hungry andi tend to overeat.
d. I have a bad habit of overeating, I eat until the thing is
finished like cookies, box of sweats .Also I chew less which I will improve. Also many a times i over eat and after that i vomit its natural feeling.
e. There is No food I know which improve my health
3. Thirst - What drinks do you crave/desire strongly?
- What drinks do you hate to take (are averse to)?
- When are you most thirsty?
- When are you least thirsty?
Ans. In summers I crave for sweat drinks, squashes,
lemonade, generally in afternoon and is thirsty in afternoon.
4. Stool - Do you have any problems with your bowels or
passing stool?
- What is the shape, color, odor of the stool?
Ans. No particular smell . But i don't feel satisfied and
complete after that . Need to go again. Sometimes
separate , a little hard like ping pong ball . Sometimes soft
like a hot dog.
5. Urine - Do you have any trouble passing or retaining
urine?
- What is the color, odor of the urine?
- Do you have any sediment or debris in the urine?
Ans. Generally yellow No smell No blood
6. Sweat - How do you feel about the amount of
perspiration you have?
- Where do you have the most sweat?
- What is the odor?
- What color does it stain clothing?
- Does anything in particular cause you to sweat
abnormally?
Ans. I sweat very excessive . Doing a little house hold work
makes me sweat very much. Mostly at face, armpit
face ,shoulders. No particular smell and train
7. Sexuality - Any problems with your sexual desire?
- Any problems with your sexual ability or function?
- Any history of sexually transmitted diseases?
Ans. High sexual drive, not satisfied in one orgasm.
9. Environment – How does the weather affect you?
- How does the temperature affect you?
- How does the season affect you?
- What physical activities affect you?
- Is there anything else in the environment you are sensitive
to?
Ans
A. Feel worst in summers. Temperature here goes to 45
celcius.Feel impatient. Feel like leaving my country and
settle in cold weather.
B. Yes Sometimes I m intolerant to excessive Noise level.
Feel impatient during that. Go to my room to overcome that problem.

Others thing
I tend to exhibit childish behaviour sometimes, i think it is because of my lower energy level making me behave
 
  abhimanyu14 on 2014-07-16
This is just a forum. Assume posts are not from medical professionals.
Hi-Anuj- he has just been studied
and given a prescription by Evocationer
after it did not work out with Fitness.

Patient- on here you work with one
person at a time- this is all volunteer
and most people do not have time to
do a second opinion after someone has
spent valuable time studying your
case. If it does not work out for you,
then you can ask another person.
 
simone717 9 years ago

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