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#Best Anxiety Doctor in Janakpuri
kaivalyaclinic · 5 days
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Best Doctor for Psychiatrist Specialist in Dwarka | Kaivalya Clinic
Mental health has become a significant concern in today’s fast-paced world. With increasing stress levels, the need for expert psychiatric care has never been more urgent. Dwarka, a bustling residential area in Delhi, is home to several top-tier medical professionals. Among them, Kaivalya Neuro-Psychiatry and Diabetes Clinic stands out for offering comprehensive and specialized mental health care.
If you're seeking the Best Psychiatrist in Dwarka or the Best Neuro Psychiatrist in Dwarka, Kaivalya Clinic is a trusted destination that ensures patients receive holistic care tailored to their needs. In this blog, we'll discuss why Kaivalya Clinic is the go-to choice for those in search of expert psychiatric help.
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Importance of Mental Health Care
Mental health is as crucial as physical well-being. Unfortunately, there is still a lot of stigma surrounding mental health issues, which often prevents people from seeking timely help. Conditions like anxiety, depression, bipolar disorder, and schizophrenia can severely impact daily life, but with the right medical support, they can be managed effectively.
A skilled psychiatrist not only diagnoses these conditions but also provides customized treatment options that can improve a patient’s quality of life. If you live in Dwarka or nearby areas, finding the Best Psychiatrist in Dwarka should be a top priority if you or a loved one is struggling with mental health issues.
Why Kaivalya Clinic?
Kaivalya Neuro-Psychiatry and Diabetes Clinic is renowned for its compassionate care and expertise in handling complex psychiatric and neurological cases. The clinic is equipped with the latest technology and a highly skilled team, ensuring that each patient receives individualized care.
Expertise in Psychiatry
The clinic is led by some of the Best Neuro Psychiatrists in Dwarka, who have years of experience in treating a wide range of psychiatric conditions. Whether you’re dealing with anxiety, depression, addiction, or more severe conditions like schizophrenia, the team at Kaivalya Clinic adopts an evidence-based approach to ensure the best outcomes.
The clinic specializes in offering both psychotherapy and medication-based treatments, providing a balanced and comprehensive approach to mental health care. This makes Kaivalya Clinic a preferred choice for patients who need both short-term and long-term psychiatric care.
Neurological Expertise
What sets Kaivalya Clinic apart from other clinics in Dwarka is its focus on neuro-psychiatry. Neurological disorders like epilepsy, dementia, and Parkinson’s disease often require specialized psychiatric care. The Best Neuro Psychiatrists in Dwarka at Kaivalya Clinic are skilled in managing these complex cases, ensuring that patients receive the right treatment that addresses both neurological and psychiatric aspects of their condition.
Neurological disorders can often manifest psychiatric symptoms, and the experts at Kaivalya Clinic are well-equipped to identify and treat these overlapping conditions, ensuring a more effective treatment plan.
Comprehensive Treatment Plans
One of the reasons why Kaivalya Clinic is considered home to the Best Psychiatrist in Dwarka is the clinic's commitment to personalized care. Each patient undergoes a detailed assessment, after which a comprehensive treatment plan is designed. This plan may include a combination of medication, psychotherapy, lifestyle changes, and sometimes alternative therapies.
The clinic also focuses on follow-up care to monitor progress and make necessary adjustments to the treatment plan. This ensures that patients don’t just get temporary relief but experience long-term improvement in their mental health.
Focus on Patient Education
At Kaivalya Clinic, educating patients and their families about mental health conditions is a priority. The clinic’s doctors believe that the more informed a patient is, the better they can manage their condition. Regular counseling sessions are held to educate patients on how to cope with their condition and improve their mental health through self-care, stress management, and lifestyle adjustments.
This holistic approach makes Kaivalya Clinic not only a place for treatment but also a space for learning and growth. This emphasis on patient education has earned the clinic its reputation as having some of the Best Neuro Psychiatrists in Dwarka.
State-of-the-Art Facilities
Kaivalya Clinic is also known for its state-of-the-art facilities, which play a crucial role in the diagnosis and treatment of psychiatric and neurological conditions. With advanced diagnostic tools, the clinic ensures accurate and timely diagnosis, which is the first step towards effective treatment.
The environment at the clinic is designed to make patients feel comfortable and safe, which is particularly important for those dealing with mental health issues. A supportive and calm environment can significantly enhance the treatment process.
Conclusion
Mental health care is essential for a fulfilling life, and finding the right professional can make all the difference. If you’re looking for the Best Psychiatrist in Dwarka or the Best Neuro Psychiatrist in Dwarka, Kaivalya Neuro-Psychiatry and Diabetes Clinic is a trusted name that you can rely on.
With a team of highly qualified specialists, state-of-the-art facilities, and a patient-centered approach, Kaivalya Clinic provides the best in psychiatric and neurological care. Don’t wait until a mental health issue becomes unmanageable—take the first step towards a healthier mind and life by consulting the experts at Kaivalya Clinic today.
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drashitabhtiwari · 1 year
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Best Psychiatry in Janakpuri Delhi for Anxiety Treatment
Are you looking for the best psychiatrist in Janakpuri Delhi for Anxiety Treatment? Look no further! With an experienced team of board-certified psychiatrists and experienced clinicians, we are here to provide you with exceptional mental health services. We understand the unique needs of each individual and strive to provide evidence-based treatments that are tailored to your specific needs. Our goal is to help you take control of your mental health and regain balance in your life.
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Where Can You Find the Best Psychiatrist in Dwarka, Best Anxiety Doctor?
Mental health is just as important as physical health, and it’s crucial to find the right psychiatrist to help you manage any mental health concerns. If you’re living in Dwarka, India, and looking for the best psychiatrist in the area, you have come to the right place. In this blog post, we will discuss where you can find the best psychiatrist in Dwarka, as well as the best anxiety doctor in the area.
Max Smart Super Speciality Hospital: Max Smart Super Speciality Hospital is one of the best hospitals in Dwarka, with a team of highly qualified psychiatrists and mental health professionals. The hospital offers a wide range of mental health services, including assessment, diagnosis, treatment, and counseling. They also have specialized programs for children and adolescents, and they offer services in both English and Hindi.
Venkateshwar Hospital: Venkateshwar Hospital is another top hospital in Dwarka, with a dedicated mental health unit. The hospital has a team of experienced psychiatrists, psychologists, and counselors who provide comprehensive mental health care services. They offer a range of treatments for various mental health conditions, including anxiety disorders, depression, and bipolar disorder.
Bensups Hospital: Bensups Hospital is a multi-specialty hospital in Dwarka that has a team of highly experienced psychiatrists who provide comprehensive mental health care services. The hospital has a well-equipped mental health unit that offers diagnosis, treatment, and counseling services for various mental health conditions. They also provide specialized care for children and adolescents.
Aastha Medical Centre: Aastha Medical Centre is a well-known medical center in Dwarka that offers a range of medical services, including mental health care. The center has a team of experienced psychiatrists and mental health professionals who provide personalized care to patients. They offer a range of treatments for various mental health conditions, including anxiety disorders, depression, and schizophrenia.
Dr. Ashitabh Tiwari’s Psychiatry Clinic: Dr. Ashitabh Tiwari’s Psychiatry Clinic is a well-known mental health clinic in Dwarka that offers personalized care to patients with various mental health conditions. Dr. Ashitabh Tiwari is a highly experienced psychiatrist who has been practicing for over 20 years. He specializes in the treatment of anxiety disorders, depression, and bipolar disorder.
In conclusion, if you’re looking for the best psychiatrist in Dwarka or the best anxiety doctor in the area, you have plenty of options to choose from. It’s important to do your research and find a mental health professional who can provide personalized care and treatment for your specific needs. Consider factors such as the doctor's experience, qualifications, and patient reviews before making a decision. Don’t hesitate to seek help if you’re struggling with a mental health condition. Remember, mental health is just as important as physical health, and seeking help is a sign of strength.
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monoindustries · 2 years
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mentalhealthcare78 · 10 months
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Should You See a Psychologist or Psychiatrist?
The Role of a Psychologist:
Psychologists are professionals trained in psychology, specializing in the study of human behavior, thoughts, and emotions. Their primary focus lies in providing psychotherapy or talk therapy to individuals, families, or groups. Psychologists utilize various therapeutic techniques to assist individuals in understanding their emotions, resolving conflicts, managing stress, and improving relationships. Through dialogue and introspection, they guide individuals towards coping strategies and self-awareness.
The Role of a Psychiatrist:
In contrast, a psychiatrist is a medical doctor specializing in psychiatry. They are capable of diagnosing mental health conditions by assessing symptoms, behavior patterns, and psychological tests. Psychiatrists can prescribe medications to manage mental health disorders, such as depression, anxiety, bipolar disorder, schizophrenia, and others. Additionally, they often collaborate with psychologists or therapists to offer comprehensive treatment plans that may include both medication and therapy.
Choosing Between the Two:
The decision between a psychologist and a psychiatrist largely depends on individual circumstances and needs.
Nature of Concern:
If you seek understanding, guidance, and emotional support without medication, a psychologist might be a suitable choice. Their focus on therapy can assist in exploring emotions, behaviors, and thought patterns.
Medication and Diagnosis:
If there's a suspicion or need for medication due to severe symptoms or a diagnosed mental health condition, consulting a psychiatrist is recommended. Psychiatrists can evaluate and prescribe medication if deemed necessary.
Combination of Approaches:
In some cases, a combined approach involving both a psychologist for therapy and a psychiatrist for medication management might be beneficial. This comprehensive strategy can address both emotional and biochemical aspects of mental health.
Personal Preference:
Factors such as comfort level, rapport with the professional, and treatment approach also play a role. Some individuals might prefer the in-depth therapy sessions offered by psychologists, while others may seek immediate relief through medication prescribed by a psychiatrist.
Final Thoughts:
The choice between seeing a psychologist or a psychiatrist isn't an either-or decision; rather, it depends on your unique situation and preferences. Seeking help from either professional is a commendable step towards prioritizing mental well-being. Remember, the goal is to find the right support that resonates with you and contributes to your journey of healing and self-discovery.
Ultimately, whether you choose a psychologist, a psychiatrist, or both, taking that initial step towards seeking professional guidance is a pivotal move towards a healthier, more balanced life.
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doctorsawanbopanna · 1 year
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Are there specific recommendations and guidance that the best Gastroenterologist doctor in Delhi NCR can offer to individuals who are nervous about undergoing a colonoscopy for colorectal cancer screening?
Among life-threatening diseases, colorectal cancer stands out prominently. A colonoscopy is a highly effective option for detecting and preventing this disease. If you're apprehensive about the colonoscopy procedure, the following tips and tricks can aid in alleviating your anxiety.
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Provide your Child with the Best Eye Care Service in Delhi
Your child must receive the greatest medical attention possible as a parent. This is crucial when it comes to eye care because untreated eye issues can have long-term effects. Your child’s vision health may depend on you finding a local Child Eye Specialist Near Me. Provide your Child with the Best Eye Care Service in Delhi.
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Pediatric ophthalmologists, also referred to as child eye specialists, are medical professionals who focus on the identification and management of eye conditions in young patients. These professionals are prepared to handle the particular difficulties children’s eye health presents since they have additional training in paediatric eye care. Healing Touch Eye Center is one of the most reputed eye care hospitals in Vikaspuri and Janakpuri, Delhi, with its team of professionals and modern equipment Healing Touch is a revolutionary name when it comes to eye care. Dr Piyush Kapoor eye specialist at Healing Touch Eye centre has years of experience in the eye care industry and is also known to provide the best eye care services.
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Services at Healing Touch Eye Center
Patients of all ages, including children, can receive a variety of eye care services at Healing Touch Eye Centre. Some of our services consist of:
•Pediatric eye exams: Pediatric ophthalmologists at Healing Touch Eye Centre are experts in doing thorough eye exams on kids of all ages. For your child’s comfort and to avoid any stress, they make use of kid-friendly tools and methods.
•Treatment for amblyopia: Amblyopia, also referred to as lazy eye, is a condition that impairs vision in one or both eyes. To aid your child’s eyesight, Healing Touch Eye Centre offers amblyopia treatment alternatives including patching, atropine pills, and vision therapy.
Treatment for Strabismus: Strabismus, often known as crossed eyes, is a condition where the eyes are not correctly aligned. To address this disease, Healing Touch Eye Centre provides solutions such as vision therapy, surgery, and corrective eyewear.
•Controlling myopia: Nearsightedness, often known as myopia. It is a disorder that makes distant things appear fuzzy. Healing Touch Eye Centre offers myopia management alternatives such as orthokeratology (ortho-k) lenses and atropine drops to assist slow down the progression of myopia in youngsters.
•Contact lens fittings and a large assortment of glasses are available for kids of all ages at Healing Touch Eye Centre. Your child may require a specific set of glasses or contact lenses, which their optometrists can assist you in locating.
To sum up, Healing Touch Eye Centre in Vikaspuri and Janakpuri. Healing Touch Eye Centre provides a wide range of paediatric eye care services. Such as paediatric eye exams, amblyopia and strabismus treatment, myopia control, glasses, and contact lens fittings. It is the perfect location for children to receive top-notch eye treatment thanks to their team of specialists and kid-friendly equipment. Provide your Child with the Best Eye Care Service in Delhi
What makes Healing Touch the best choice for eye treatment?
•Pediatric specialization: Dr. Piyush Kapoor’s eye specialist has vast experience in treating children’s eye issues. He is a specialist in handling the special requirements of children.
•Child-friendly environment: Healing Touch has a kid-friendly setting that can assist reduce anxiety. And make the kid feel more at ease throughout the eye exam or treatment.
•Advanced technology: Our hospital has state-of-the-art eye care types of equipment with the latest technology to offer more precise diagnoses and treatments. Which can improve the outcomes for kids.
•Experienced doctors and personnel: Our experienced doctors and staff give high-quality care. And have the required skills to handle any potential issues that may develop during treatment.
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orbitclinics · 2 years
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Consult with Best Homeopathic Doctors in Delhi & NCR
For an appointment call or WhatsApp 9711153617 or 9711163617
Website: www.orbitclinics.com
Treatments Available BACK PAIN | JOINTS PAIN | HAIR FALL | RENAL STONES | SKIN COMPLAINTS | PCOS | UTERINE FIBROIDS | HYPOTHYROIDISM | INFERTILITY | MIGRAINE | OBESITY | HYPERACIDITY
Branches:
Delhi: IP Extension | Krishna Nagar | Sonia Vihar | Janakpuri | Nangal Raya,
Ghaziabad: RDC Raj Nagar, Banglore, USA (MI) . . . .
 #anxiety#postcovidanxiety#homeopathyforanxiety #homeopathyforpostcovidanxiety #orbitclinics#worldclasshomeopathicclinics#besthomeopathicsolution #homeopathydoctor #drdeepaksharma
Youtube:  https://www.youtube.com/user/orbitclinics
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Linkdin: https://www.linkedin.com/in/deepak-sharma-24ba2b4a/
Instagram: https://instagram.com/orbitclinics?igshid=tu44ojwjlup0
Facebook www.facebook.com/orbitclinics
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psymaan · 3 years
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Is your loved one an alcoholic? Try to identify the symptoms of addiction
Someone who is living under the influence of alcohol becomes addicted and can’t think about their lives without it. It becomes difficult to recognize when they get addicted. There are certain signs that can tell you about the changed behavior in the concerned person so that there will not be any late. Read some of the worrying signs that can tell you that a person living with you is addicted.
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Symptoms of alcohol addiction
One can easily miss the signs of alcoholism even you are living with that addicted person. No matter what the circumstance is, it is important that you should read the common signs of alcoholism.
Showing the mood swings that can range from defensive to paranoia.
Not taking the responsibilities.
Less attention towards personal hygiene.
Quick weight loss.
Telling lies and frequent tiredness.
Another cause that matters is the patient constantly looks out for the alcohol to feel better whether it is a stressful day or a day to celebrate. Well, it is not the right way of dealing with the situation. You will also notice that he is drinking more than usual. If he is trying to hide the alcohol, it is pretty clear that something is wrong. There are people who seek the help from alcohol de addiction centre in Paschim Vihar on finding any of these symptoms.
What are the withdrawal symptoms?
Someone having a physical dependency on alcohol can also face withdrawal symptoms if he doesn’t consume alcohol on a regular basis. At the alcohol de addiction centre in Vikaspuri, doctors are well-versed with the withdrawal symptoms and prepare the line of treatments likewise. The symptoms occur when a person stops drinking alcohol for a while and his body struggles to function properly. The symptoms are –
Vomiting
Nausea
Headaches
Sweating
Anxiety
Shaking
Shivering
On noticing any of these symptoms, it becomes important to encourage the person to get professional help and also enroll in the detoxifying program. One can contact the alcohol de addiction centre in Peeragarhi who offers a different program for de addiction.
Taking the help from professionals
Psyman is an organization founded by a group of professionals who are working with an aim to give the best treatment to alcoholic and psychiatric patients. They help the people to get a healthy life ahead and they get the treatment for alcoholism. In the alcohol de addiction centre in Janakpuri, the patients are attended by a highly experienced team with strong educational background and experience.
Anyone who is interested in enrolling in the de addiction programmes and prepares themselves for the treatment ahead. Psyman understands from which conditions are going through and hence follow complete transparency. Even an individual has his own need and therefore, these programs are designed accordingly. From time to time the team also tries to teach alcohol addicted people about both physical and mental health impacts caused by the consumption of alcohol.
Connect with Psyman to make your life normally without getting back to alcohol.
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Dr. Kala Sengupta is a Consultant Psychologist in Tilak Nagar. She is currently practicing at multiple locations i.e. A Beautiful Mind Clinic in Janakpuri and Shishu Sadan Multi Speciality Children's Hospital in Tilak Nagar, West Delhi.
Dr. Kala Sengupta has more than 35 years of experience. She is a qualified Psychologist in Tilak Nagar.
As a Psychotherapist & Psychologist, her area of expertise includes Autism, Psychotherapy, Anxiety, Behavior, Depression, Counselling, Pharmacotherapy, IQ Assessment, Family Therapy, Substance Abuse, Psycho Therapies, Psych Diagnostic, Eating Disorders, Family Counseling, Personality Profile, Child & Adolescent, Behavior Therapies, Sensory Integration, Learning Disabilities, Child Psycho Therapies, Individual Counseling, Child & Adolescent Problems, Family Adjustment Problems, Autistic Spectrum Disorder, Cognitive Behavior Therapy, Overactive & Attention Problems and Oppositional Defiant Disorder (ODD). Patients from Janakpuri, Tilak Nagar and entire West Delhi come to Dr. Kala Sengupta with lots of hopes and the doctor ensures that the patients are satisfied with the treatments, with her experience and fully equipped clinic.
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elawoman123-blog · 6 years
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Dr. Manika Khanna Gaudium | Gaudium IVF Greater Kailash | Elawoman
Dr. Manika Khanna Gaudium Trained at Melbourne IVF, Australia & the University of Kiel, Germany, she founded Gaudium IVF & Gynae Solutions Centre to fulfill her long standing dream of bringing international standards of fertility care to India. The unprecedented success of the first Gaudium IVF Greater Kailash in Delhi paved the way for Gaudium to evolve into the best IVF clinic chain in India.
Hailed as the youngest consistent achiever in infertility and IVF care, Dr. Manika has over 10,000 successful IVF treatments to her credit with healthy Gaudium babies growing in over 30 countries.
Born and raised in Delhi in a family of freedom fighters and doctors, Dr. Manika is a Gold Medallist from Baroda Medical College, Gujarat. After completing her MBBS in 1996, followed by MD (Obstetrics & Gynaecology) in 1999, she completed her Diploma Training in Advanced Gynaecological Endoscopic Surgery (D.A.G.E.) at the Department of Obstetrics and Gynaecology, University Hospital Schleswig-Holstein, Campus Kiel, Germany. This was followed by an advanced training course in Assisted Reproduction in Humans (IVF) from Melbourne IVF, Australia.
Before founding Gaudium IVF & Gynae Solutions Centre in 2009, Dr. Manika served as Consultant Physician at Deen Dayal Upadhyay Hospital, New Delhi and later as Senior Consultant and Head of Department, Gynaecology and Obstetrics at Sri Balaji Action Medical Institute, New Delhi for several years.
An acclaimed infertility expert with over 17 years of clinical experience, Dr. Manika has done pioneering work in the field of IVF and gynaecology-related medical conditions. She is particularly experienced in treating serious infertility conditions such as recurrent IVF failure, recurrent miscarriage, polycystic ovarian syndrome (PCOS), endometriosis and uterine fibroids. Besides heading a team of top fertility experts at Gaudium IVF & Gynae Solutions Centres, she is on the expert panel of infertility units of various renowned hospitals.
In 2014, she created history in IVF treatment in India by successfully treating a patient with 15 previously failed IVF cycles. The patient gave birth to a healthy baby boy at Gaudium IVF and Gynae Solutions Janakpuri after an agonising 17 years of immense physical, emotional and financial strain.
Founded the Gaudium Foundation to provide free and subsidised treatment to economically weak patients.
In 2015, initiated Naari Jeevan Strot, a unique women & child health campaign by Gaudium Foundation that has connected the largest network of cities and districts in 5 major North Indian states of Delhi-NCR, Haryana, Chandigarh, Punjab and Himachal Pradesh. The initiative, which provides health education and free and subsidised medical relief to the less privileged through health camps and nukkad natak (street plays), has touched the lives of nearly 10 million women and was recognised as the best philanthropy project of the year 2014-2015 by Healthcare Leaders’ Forum & Awards 2015.
Established the Poor Patient Fund (PPF) at Gaudium IVF — a unique and innovative way for well- to-do families to donate for the treatment of underprivileged fertility patients. The initiative, which has received tremendous support from our dear patrons, provides for the treatment of 3 to 4 patients each month and has so far supported over 120 disadvantaged couples.
Active member of the Ekta Mission, a Delhi-based organisation working to provide elementary health services for underprivileged women and children.
Working proactively for the cause of the Girl Child – felicitated by the Lions Club for raising awareness against female infanticide.
Active ongoing participation in raising AIDS awareness through strategy-formulation summits, lectures and seminars.
Awarded by the Ekta Mission for outstanding contribution to the field of medicine.
An ethical, compassionate and committed medical professional, Dr. Manika is revered in the medical community for her exemplary contributions to infertility treatment in India.
With a vision to provide the best of advanced fertility care, Dr. Manika established Gaudium IVF, she has emerged as the Global Icon in IVF by delivering the highest success rate and over 10,000 IVF babies all over the world and again by treating the most complicated and challenging infertility conditions.
She has been consistently recognised and honoured with several awards such as “Asia’s greatest Health leader”, “Mahila Achiever Award” and the prestigious “Delhi Ratan”.
Dr. Manika has been credited with some of the highest IVF success rates and unequalled success in cases of recurrent IVF failure, male factor infertility, endometriosis and high-risk pregnancies.
There could not have been a better name for an institution, Gaudium, Delhi IVF Clinics that has brought a lifetime of joy to thousands of families across the world.
Gaudium, Latin for joy, has ushered a new era of affordable and effective IVF clinic in Delhi, India, emerging as the preferred destination for patients seeking fertility care they can trust. A leading Government-approved IVF centre with 9 state-of-the-art centres across North India, Gaudium IVF centre combines advanced reproductive technology with world-class clinical expertise to bring you customised fertility solutions that work. Each patient who walks into a Gaudium facility is treated with utmost compassion and respect and receives personalised attention from a dedicated team of experts.
Today there are over 10,000 Gaudium babies all over the world — a resounding affirmation of unparalleled success of Gaudium IVF centre which has brought us numerous awards and honours along and unprecedented global acclaim.
At Gaudium IVF Centre, we treat your dream as our own and work tirelessly to help you have a healthy baby to take home. We provide the best surrogacy services and IVF treatment to infertile people at our IVF clinic. We are determined to offer our patients the best IVF treatment at affordable cost.
One of the main gynecologists of the city, Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Janak Puri has built up the facility and has picked up a devoted customer base in the course of recent years and is additionally as often as possible went to by a few VIPs, trying models and other decent customers and global patients too. They likewise anticipate growing their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, exactness and empathy offered at the center guarantee that the patient's prosperity, solace and needs are kept of best need.
Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Delhi treats the different diseases of the patients by helping them experience top notch medicines and methodology. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.
An Infertility Evaluation is usually initiated after one year of regular unprotected intercourse in women under age 35 years and after six months of unprotected intercourse in women age 35 years and older. However, the evaluation may be initiated sooner in women with irregular menstrual cycles or known risk factors for infertility, such as endometriosis, a history of pelvic inflammatory disease, or reproductive tract malformations.
The basic evaluation can be performed by an interested and experienced primary care physician or an obstetrician-gynecologist. The primary care physician generally should refer the patient to a specialist for treatment of infertility. Many gynecologists initiate treatment prior to referral to a reproductive endocrinologist. This decision depends upon the results of infertility tests and clinician experience.
Multiple tests have been proposed for evaluation of female infertility. Some of these tests are supported by good evidence, while others are not. This topic will provide an evidence-based approach to the evaluation of female infertility. The etiology and treatment of female infertility, as well as the etiology, evaluation, and treatment of male infertility, are discussed separately.
INITIAL APPROACH — Both partners of an infertile couple should be evaluated for factors that could be impairing fertility. The infertility specialist then uses this information to counsel the couple about the possible etiologies of their infertility and to offer a treatment plan targeted to their specific needs.
It is important to remember that the couple may have multiple factors contributing to their infertility; therefore, a complete initial diagnostic evaluation should be performed to detect the most common causes of infertility, if present. When applicable, evaluation of both partners is performed concurrently [1].
The recognition, evaluation, and treatment of infertility are stressful for most couples [2]. The clinician should not ignore the couple's emotional state, which may include depression, anger, anxiety, and marital discord. Information should be supportive and informative. (See "Psychological stress and infertility".)
History and physical examination — Findings on history and physical examination may suggest the cause of infertility and thus help focus the diagnostic evaluation. Components of the infertility history are listed in the table (table 1).
History — The most important points in the history are:
●Duration of infertility and results of previous evaluation and therapy.
●Menstrual history (cycle length and characteristics), which helps in determining ovulatory status. For example, regular monthly cycles with molimina (breast tenderness, ovulatory pain, bloating) suggest the patient is ovulatory and characteristics such as severe dysmenorrhea suggest endometriosis.
●Medical, surgical, and gynecological history (including sexually transmitted infections, pelvic inflammatory disease, and treatment of abnormal Pap smears) to look for conditions, procedures, or medications potentially associated with infertility. At a minimum, the review of systems should determine whether the patient has symptoms of thyroid disease, galactorrhea, hirsutism, pelvic or abdominal pain, dysmenorrhea, or dyspareunia. Young women who have undergone unilateral oophorectomy generally do not have reduced fertility since young women have many primordial follicles per ovary; however, prior unilateral oophorectomy may impact fertility in older women as they may develop diminished ovarian reserve sooner than women with two ovaries [3].
●Obstetrical history to assess for events potentially associated with subsequent infertility or adverse outcome in a future pregnancy.
●Sexual history, including sexual dysfunction and frequency of coitus. Infrequent or ineffective coitus can be an explanation for infertility.
●Family history, including family members with infertility, birth defects, genetic mutations, or mental retardation. Women with fragile X premutation may develop premature ovarian failure, while males may have learning problems, developmental delay, or autistic features.
●Personal and lifestyle history including age, occupation, exercise, stress, dieting/changes in weight, smoking, and alcohol use, all of which can affect fertility.
Physical examination — The physical examination should assess for signs of potential causes of infertility. The patient's body mass index (BMI) should be calculated and fat distribution noted, as extremes of BMI are associated with reduced fertility and abdominal obesity is associated with insulin resistance.
In the setting of primary amenorrhea, incomplete development of secondary sexual characteristics is a sign of hypogonadotropic hypogonadism. A body habitus that is short and stocky, with a squarely shaped chest, suggests Turner syndrome in patients with absent periods.
Abnormalities of the thyroid gland, galactorrhea, or signs of androgen excess (hirsutism, acne, male pattern baldness, virilization) suggest the presence of an endocrinopathy (eg, hyper- or hypothyroidism, hyperprolactinemia, polycystic ovary syndrome, adrenal disorder).
Tenderness or masses in the adnexae or posterior cul-de-sac (pouch of Douglas) are consistent with chronic pelvic inflammatory disease or endometriosis. Palpable tender nodules in the posterior cul-de-sac, uterosacral ligaments, or rectovaginal septum are additional signs of endometriosis.
Vaginal/cervical structural abnormalities or discharge suggest the presence of a müllerian anomaly, infection, or cervical factor.
It is difficult to predict the likelihood of pregnancy based upon the results of semen analysis alone, as there is extensive overlap between the semen parameters of fertile and infertile men. If the semen analysis is abnormal, the clinician should review details of specimen collection and transport with the patient, repeat the test due to the marked inherent variability of semen analyses, and consider referral to a urologist or other specialist in male reproduction.
The techniques for semen analysis and interpretation of results are discussed in detail separately. (See "Approach to the male with infertility", section on 'Semen analysis'.)
Assessment of ovulatory function — Assessment of ovulatory function is a key component of the evaluation of the female partner since ovulatory dysfunction is a common cause of infertility. The treatment of women with ovulatory dysfunction is aimed at improving or inducing ovulatory function; a variety of treatment strategies is available. (See "Treatments for female infertility".)
Women who have regular menses approximately every 28 days with molimina symptoms prior to menses (breast tenderness, bloating, fatigue, etc.) are most likely ovulatory. In women who do not describe their cycles as such, laboratory assessment of ovulation should be performed. Ovulation is most easily documented by a mid-luteal phase serum progesterone level, which should be obtained approximately one week before the expected menses. For a typical 28-day cycle, the test would be obtained on day 21. A progesterone level >3 ng/mL is evidence of recent ovulation .
An alternative is to have the patient use an over-the-counter urinary ovulation prediction kit. These kits detect luteinizing hormone (LH) and are highly effective for predicting the timing of the LH surge that reliably indicates ovulation. Home kits have a 5 to 10 percent false positive and false negative rate. Therefore, serum confirmation can be useful in patients who are unable to detect a urinary LH surge.
Other methods of determining ovulation, such as daily ultrasounds to follow the development and ultimately the disappearance of a follicle (the most accurate method of documenting ovulation  and endometrial biopsy to document secretory changes in the endometrium are too expensive or invasive for routine diagnostic assessment of ovulation.
If the mid-luteal progesterone concentration is <3 ng/mL, the patient is evaluated for causes of anovulation. The minimal work-up includes serum prolactin, thyroid-stimulating hormone (TSH), FSH, and assessment for polycystic ovary syndrome (PCOS). The etiology and diagnostic evaluation of anovulation are reviewed separately. (See "Evaluation and management of secondary amenorrhea".)
Assessment of ovarian reserve — Diminished ovarian reserve can refer to diminished oocyte quality, oocyte quantity, or reproductive potential [7]. The identification of diminished ovarian reserve is an increasingly important component of the initial infertility evaluation as patients are presenting for diagnostic evaluation later in their reproductive lifespan. Guidelines for testing from national organizations are available [7,8]. However, there is no ideal test for assessing ovarian reserve. A number of screening tests are utilized, but no single test is highly reliable for predicting pregnancy potential. Therefore, coordination of tests provides the best assessment.
We test ovarian reserve with an anti-müllerian hormone (AMH) level and a day 3 follicle-stimulating hormone (FSH) and estradiol levels. Other tests such as the clomiphene citrate challenge test (CCCT) and antral follicle count are utilized by some specialists and in special circumstances. These tests have good specificity for predicting a poor response in in vitro fertilization (IVF) cycles, but have more limited value for predicting IVF outcome.
Day 3 FSH and CCCT — Both the day 3 FSH level (where day 1 is the first day of full menstrual flow) and the CCCT, which is a provocative test for measurement of FSH, are widely used for screening ovarian reserve. The CCCT involves oral administration of 100 mg clomiphene citrate on cycle days 5 through 9 with measurement of day 3 and day 10 FSH levels and day 3 estradiol level.
The premise of these tests is that women with good ovarian reserve have sufficient production of ovarian hormones from small follicles early in the menstrual cycle to maintain FSH at a low level. In contrast, women with a reduced pool of follicles and oocytes have insufficient production of ovarian hormones to provide normal inhibition of pituitary secretion of FSH, so FSH rises early in the cycle [9].
Meta-analyses of nonrandomized studies concluded that basal cycle day 3 FSH and the CCCT perform similarly for predicting ability to achieve a clinical pregnancy in women undergoing infertility treatment [10,11]. With either test, a normal result is not useful in predicting fertility, but a highly abnormal result (we use FSH >20 mIU/mL) suggests that pregnancy is unlikely with treatment involving the woman's own oocytes, particularly in women of more advanced reproductive age.
Based on these findings and the cost advantage and simplicity of the day 3 FSH, we obtain a day 3 FSH concentration and consider a value less than 10 mIU/mL suggestive of adequate ovarian reserve, and levels of 10 to 15 mIU/ml borderline. The upper threshold for a normal FSH concentration is laboratory dependent; cutoff values of 10 to 25 mIU/mL have been reported because of use of different FSH assay reference standards and assay methodologies.
We also check a cycle day 3 estradiol level, although there are conflicting data as to whether it is predictive of ovarian reserve and the response to ovarian stimulation (as in IVF) [12,13]. We consider a value <80 pg/mL suggestive of adequate ovarian reserve, but other cut-offs are also utilized. In one prospective study of women undergoing IVF, day 3 estradiol levels >80 pg/mL resulted in higher cycle cancellation rates and lower pregnancy rates, and estradiol levels >100 pg/mL were associated with a 0 percent pregnancy rate [14].
Elevated basal estradiol levels are due to advanced premature follicle recruitment that occurs in women with poor ovarian reserve. High estradiol levels can inhibit pituitary FSH production and thus mask one of the signs of decreased ovarian reserve in perimenopausal women. Thus, measurement of both FSH and estradiol levels helps to avoid false-negative FSH testing.
Dr. Manika Khanna Gaudium, MBBS, MD, D.A.G.E (Germany) is an award-winning Infertility Specialist and Laparoscopic Surgeon who has been facilitated with numerous honours and awards for her exemplary achievements in the field of Assisted Reproduction. She is the Best Gynecologists in Delhi.
If CCCT is performed, we consider FSH less than 10 milli-international units/mL on both day 3 and day 10 suggestive of adequate ovarian reserve; a borderline FSH of 10 to 15 milli-international units/mL and an elevated FSH level on either day 3 or day 10 suggests decreased ovarian reserve. Estradiol can be measured on day 3, but a cycle day 10 estradiol is not part of the standard CCCT as it reflects the magnitude of the ovarian follicular response to clomiphene 100 mg daily for five days, not ovarian reserve.
If the day 3 FSH or CCCT is abnormal, the patient should be referred to a reproductive endocrinologist to discuss further diagnostic and treatment options. These options depend on the results of other diagnostic tests, the patient’s age [15], and other factors and may include aggressive ovulation induction, IVF, or use of donor oocytes. However, patients with markedly diminished ovarian reserve rarely conceive without the use of donor eggs.
Anti-müllerian hormone (AMH) — Anti-müllerian hormone (AMH) is a member of the TGF-beta family and is expressed by the small (<8 mm) preantral and early antral follicles. The AMH level reflects the size of the primordial follicle pool, and may be the best biochemical marker of ovarian function across an array of clinical situations [16]. In adult women, AMH levels gradually decline as the primordial follicle pool declines with age [17]; AMH is undetectable at menopause [18].
●AMH <0.5 ng/mL predicts reduced ovarian reserve with less than three follicles in an IVF cycle
Assessment of fallopian tube patency — We perform HSG as the first-line test for evaluation of tubal patency because of therapeutic, as well as diagnostic, benefits [38]. HyCoSy is a reasonable alternative; the choice of test is determined by availability.
When the diagnosis is in doubt, more invasive tests can be used to confirm the diagnosis and provide an opportunity for concurrent therapeutic intervention. These tests include laparoscopy with chromotubation and fluoroscopic/hysteroscopic selective tubal cannulation.
Hysterosalpingogram — HSG is the standard of care to look for tubal occlusion in all patients, unless laparoscopy is planned [39,40]. In HSG, water or lipid soluble contrast media is used. HyCoSy is a reasonable alternative. HSG also provides information about the uterine cavity. Women with abnormalities on HSG should be referred to a reproductive endocrinologist to discuss treatment options. (See "Hysterosalpingography".)
HSG is not useful for detecting peritubal adhesions or endometriosis [39]. We perform diagnostic laparoscopy and chromotubation in women suspected of having endometriosis or pelvic adhesions related to a previous pelvic infection or surgery. Ablation of implants and lysis of adhesions, when indicated, can be performed at the same procedure (see 'Role of laparoscopy' below).
A meta-analysis of 20 studies involving 4179 patients compared HSG and laparoscopy with chromotubation (the gold standard); the calculated sensitivity and specificity for diagnosis of tubal patency were only 65 and 83 percent, respectively [39]. However, when subgroups of women undergoing HSG were analyzed, HSG appeared to have very high specificity and sensitivity for diagnosing distal tubal occlusion or major distal tubal adhesions, but much lower specificity for diagnosing proximal tubal occlusion.
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drashitabhtiwari · 1 year
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How to Take the Headache out of Best Psychiatrist in Dwarka
Finding the best psychiatrist can be a daunting task, especially if you are new to the area or have never search mental health care before. However, taking the time to research and carefully consider your options can help you find a psychiatrist who meets your needs and can provide the care and support you require. In this article, we will discuss how to take the headache out of finding the best psychiatrist in Dwarka, specifically Dr. Ashitabh Tiwari.
Research and ask for referrals
One of the first steps in finding the best psychiatrist is to conduct thorough research. You can begin by searching online for psychiatrists in Dwarka or asking for referrals from your primary care physician, friends, or family members. It is also recommended that you check with your insurance provider to see which psychiatrists are in your network.
Once you have compiled a list of potential psychiatrists, it is important to research each one individually. This can involve reading online reviews, checking their credentials and experience, and reviewing their treatment philosophy and approach.
Consider their specialization
When searching for a psychiatrist, it is important to consider their specialization. Not all psychiatrists have experience in treating all mental health conditions, so it is important to find a psychiatrist who specializes in treating your specific condition. Dr. Ashitabh Tiwari is a well-known and experienced best psychiatrist in Delhi who specializes in the treatment of depression, anxiety, OCD, addiction, and other mental health conditions.
Check Their Availability
It is important to find a psychiatrist who has availability that works for you. Some psychiatrists may have long wait times for appointments or may not have availability during times that work for you. Make sure to check their availability and schedule to ensure that you can attend regular appointments.
Dr. Ashitabh Tiwari offers online and in-person appointments for the convenience of his patients. He is available for appointments on weekdays and weekends, making it easier for his patients to access care when they need it.
Consider Their Communication Style
It is important to find a psychiatrist who communicates in a way that works for you. Some people prefer a more direct and straightforward approach, while others prefer a more compassionate and empathetic approach. Dr. Ashitabh Tiwari is known for his compassionate and empathetic approach to care, taking the time to understand his patients’ needs and concerns.
Check Their Qualifications and Experience
When searching for a psychiatrist, it is important to consider their qualifications and experience. Dr. Ashitabh Tiwari is a qualified psychiatrist with over 14 years of experience in the field. He completed his MBBS.
Consider Their Treatment Approach
Different psychiatrists may have different treatment approaches, so it is important to find a psychiatrist who aligns with your treatment preferences. Dr. Ashitabh Tiwari is known for his holistic and patient-centered approach to care. He works with his patients to develop individualized treatment plans that address their unique needs and concerns.
Check Their Reviews and Patient Satisfaction
Finally, it is important to check a psychiatrist’s reviews and patient satisfaction rates. This can provide insight into their quality of care and the experiences of other patients. Dr. Ashitabh Tiwari has received positive reviews from his patients, who praise his compassionate approach and the effectiveness of his treatment.
In conclusion, finding the best psychiatrist in Dwarka, such as Dr. Ashitabh Tiwari, involves conducting thorough research, considering their specialization and availability, checking their communication style, qualifications, and experience.
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https://drashitabhtiwar.livejournal.com/385.html
https://www.apsense.com/article/how-to-take-the-headache-out-of-best-psychiatrist-in-dwarka.html
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drashitabhtiwari · 2 years
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How Can You Find the Best psychiatrist in Delhi?
Finding the best psychiatrist in Delhi can be a challenging task, but there are a few steps you can take to make the process easier:
Ask for recommendations: You can ask your friends, family, or colleagues if they know of any best psychiatrists in Delhi. You can also ask your family doctor for a recommendation.
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Check their qualifications: You should check the qualifications of the psychiatrist, including their degrees and certifications. Make sure that the psychiatrist is licensed to practice in Delhi.
Consider their experience: It is important to consider the experience of the psychiatrist, particularly if you have a complex condition. You may want to consider a psychiatrist who has experience treating similar conditions.
Read patient reviews: Patient reviews can be a valuable source of information. You can read reviews on online platforms such as Google or Practo. However, keep in mind that individual experiences may vary.
Check their availability and location: It is important to consider the location and availability of the psychiatrist. You may want to choose a psychiatrist who is conveniently located and has appointments available at a time that works for you.
Consider their approach: Different psychiatrists may have different approaches to treatment. You may want to consider a psychiatrist whose approach aligns with your values and preferences.
By following these steps, you can find a Best psychiatrist in Dwarka Delhi who can provide you with the best possible care.
The Most Effective Anxiety Treatments from the Best Anxiety Doctors in Delhi
Anxiety is a common mental health condition that can significantly impact a person's quality of life. There are many effective anxiety treatments available from the best anxiety doctors in Delhi. Some of the most effective anxiety treatments include:
Cognitive-behavioral therapy (CBT): CBT is a type of talk therapy that focuses on changing negative thought patterns and behaviors. CBT has been shown to be effective in treating anxiety disorders.
Medication: Several types of medication can be effective in treating anxiety, including antidepressants, benzodiazepines, and beta-blockers. These medications can help to reduce symptoms such as worry, panic, and fear.
Relaxation techniques: Techniques such as deep breathing, meditation, and progressive muscle relaxation can be helpful in reducing anxiety symptoms.
Exercise: Regular exercise can be an effective way to manage anxiety. Exercise can help to reduce stress and improve mood.
Mindfulness-based interventions: Mindfulness-based interventions, such as mindfulness-based stress reduction (MBSR), can help to reduce anxiety symptoms by increasing awareness and acceptance of the present moment.
Dietary changes: Certain dietary changes, such as reducing caffeine and sugar intake, can be helpful in reducing anxiety symptoms.
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It is important to work with a qualified anxiety doctor in Delhi to determine the most effective treatment plan for your individual needs. The best anxiety doctors in Delhi will conduct a comprehensive assessment and work with you to develop a treatment plan that is tailored to your specific symptoms and circumstances.
How to Choose the Best Psychiatrist in Rajinder Nagar Delhi
Choosing the best psychiatrist in Rajender Nagar, Delhi can be a daunting task. Here are some factors to consider when choosing the best psychiatrist for your needs:
Qualifications: Check the qualifications of the psychiatrist, including their degrees and certifications. Make sure that the psychiatrist is licensed to practice in Rajinder Nagar, Delhi.
Experience: Consider the experience of the psychiatrist, particularly if you have a complex condition. You may want to choose a psychiatrist who has experience treating similar conditions.
Reputation: Look for a psychiatrist with a good reputation. You can check patient reviews and ratings online on platforms such as Google, Practo, or Lybrate.
Availability: Consider the availability of the psychiatrist. You may want to choose a psychiatrist who has appointments available at a time that works for you.
Location: Choose a psychiatrist who is conveniently located, especially if you require regular appointments.
Approach: Different psychiatrists may have different approaches to treatment. You may want to consider a psychiatrist whose approach aligns with your values and preferences.
Cost: Consider the cost of treatment. While cost should not be the only factor when choosing a psychiatrist, it is important to choose a psychiatrist whose fees are affordable.
It is important to work with a qualified psychiatrist who can provide you with a comprehensive assessment and develop a treatment plan that is tailored to your specific needs. Take your time to research and choose the best psychiatrist in Rajinder Nagar, Delhi for your needs.
The Ultimate Guide to the Best Psychiatry in Janakpuri
Janakpuri is a well-known area in Delhi that houses a number of reputable psychiatrists. Here is an ultimate guide to finding the best psychiatry in Janakpuri:
Ask for recommendations: Start by asking your family doctor, friends, and family members for recommendations. They may know of a reputable psychiatrist in Janakpuri who can help you.
Research online: You can check online directories of psychiatrists in Janakpuri, Delhi. These directories provide information on the qualifications, experience, and specialties of psychiatrists.
Check their qualifications: Make sure to check the qualifications of the psychiatrist, including their degrees and certifications. Ensure that the psychiatrist is licensed to practice in Janakpuri.
Consider their experience: Consider the experience of the psychiatrist, particularly if you have a complex condition. You may want to consider a psychiatrist who has experience treating similar conditions.
Check their availability and location: It is important to consider the location and availability of the psychiatrist. You may want to choose a psychiatrist who is conveniently located and has appointments available at a time that works for you.
Read patient reviews: Patient reviews can be a valuable source of information. You can read reviews on online platforms such as Google or Practo. However, keep in mind that individual experiences may vary.
Consider their approach: Different psychiatrists may have different approaches to treatment. You may want to consider a psychiatrist whose approach aligns with your values and preferences.
Check the cost: Consider the cost of treatment. While cost should not be the only factor when choosing a psychiatrist, it is important to choose a psychiatrist whose fees are affordable.
Schedule an initial appointment: Once you have identified a few potential psychiatrists, schedule an initial appointment to get a sense of their approach and whether you feel comfortable working with them. By following these steps, you can find the best psychiatry in Janakpuri, Delhi, that can provide you with the best possible care. It is important to work with a qualified psychiatrist who can provide you with a comprehensive assessment and develop a treatment plan that is tailored to your specific needs.
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drashitabhtiwari · 2 years
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Best Psychiatrist in Rajinder Nagar Delhi | Dr. Ashitabh Tiwari
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There are a number of different treatments for schizophrenia, depending on the severity of the condition and the person's needs. For example, some people with schizophrenia may need medication to help them manage their symptoms, while others may benefit from psychotherapy. Best Psychiatrist in Rajinder Nagar Delhi | Dr. Ashitabh Tiwari.
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drashitabhtiwari · 2 years
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Best Psychiatrist in Dwarka Delhi | Dr. Ashitabh Tiwari
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It may affect a variety of aspects of life, such as functioning on the personal, familial, social, academic, and professional levels. According to WHO “Probably about one or three people with schizophrenia will be able to fully recover, and there are many effective therapy alternatives available”. Best Psychiatrist in Dwarka Delhi | Dr. Ashitabh Tiwari.
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drashitabhtiwari · 2 years
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Best Psychiatrist in Delhi | Dr. Ashitabh Tiwari
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Dr. Ashitabh Tiwari has been named one of the best psychiatrists in Delhi and Dwarka. He specializes in treating all forms of mental illness with excellence, including Schizophrenia Treatment and Care (SCC). Best Psychiatrist in Delhi | Dr. Ashitabh Tiwari.
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drashitabhtiwari · 2 years
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Best Anxiety Doctor in Delhi, Dwarka | Dr. Ashitabh Tiwari
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Psychiatrists are highly trained professionals who have gone through years of schooling and extra training. They have the know-how and ability to help you with any mental health issues you may be facing. Psychiatrists have loads of experience dealing with patients who are in similar situations as you. All psychiatrists are licensed by the government and held to a high standard. Best Anxiety Doctor in Delhi, Dwarka | Dr. Ashitabh Tiwari.
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