Dr Shiv Gautam
About Me
Dr Shiv Gautam
MD
Psychiatrist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
SCHIZOPHRENIA
This serious psychiatric disorder primarily affects thought processes causing disruptions in perception, cognition, emotion expression,and behavior. Symptoms typically emerge in late adolescence or early adulthood presenting challenges across multiple domains of life functioning.
- Coresymptomsinclude hallucinations (often auditory), delusions (false beliefs), disorganized thinking/speech , social withdrawal ,and blunted emotional expression .
- Etiologyis complex involving genetic predisposition ,brain neurotransmitter abnormalities particularly dopamine ,and environmental risk factors .
- Diagnosisrequires comprehensive psychiatric assessment using criteria set forth by diagnostic manuals plus ruling out other medical/psychological conditions .
- Management strategiesprimarily rely on antipsychotic medications combined with psychosocial rehabilitation programs including social skills training ,supported employment ,and family education .
- Early diagnosis paired with sustained multimodal treatment improves prognosis enhancing quality of life despite schizophrenia being a chronic illness.
Continuous collaboration between patient ,caregivers ,and healthcare providers fosters optimal long-term care maximizing independence .
POST-TRAUMATIC STRESS DISORDER
This condition develops after experiencing or witnessing a traumatic event involving actual or threatened death or serious injury. The emotional impact persists long after the event has passed affecting day-to-day wellbeing significantly.
OBSESSIVE-COMPULSIVE DISORDER
This disorder presents as repetitive thoughts (obsessions) that cause significant distress accompanied by ritualistic behaviors (compulsions) aimed at reducing anxiety. It interferes with daily activities if untreated.
- The hallmark symptoms: intrusive unwanted thoughts such as fears of contamination paired with compulsive hand washing or checking rituals repeatedly performed.
- The underlying causes may involve neurological factors affecting brain circuits governing fear processing along with genetic susceptibility components.
- A diagnosis includes clinical evaluation focusing on the presence of obsessions and compulsions that consume time or cause functional impairment over at least an hour daily.
- Mainstream treatments: exposure and response prevention therapy combined sometimes with selective serotonin reuptake inhibitors medication helps reduce symptoms substantially over weeks-months of therapy engagement.
A patient receiving appropriate care often experiences meaningful symptom control leading to improved quality of life despite the chronic nature of OCD symptoms without intervention.
BIPOLAR DISORDER
Bipolar disorder is characterized by fluctuating mood states that alternate between episodes of mania or hypomania and depression. These mood swings can affect energy levels, behavior, judgment, and daily functioning significantly.
- The symptoms during manic phases include elevated mood, increased activity or energy, rapid speech; depressive episodes present with sadness or hopelessness similar to depression.
- The causes are believed to be related to genetic vulnerability combined with neurochemical imbalances and environmental triggers.
- A diagnosis requires careful clinical history taking identifying mood episode patterns over time according to DSM-5 criteria.
- Treatment predominantly involves mood stabilizers such as lithium or anticonvulsants alongside psychotherapy designed to improve coping skills and adherence to medication regimens.
- Lifelong monitoring is crucial as untreated bipolar disorder can lead to significant psychosocial impairments but treatment improves stability considerably.
Caring for bipolar disorder demands comprehensive approaches tailored individually for long-term wellness maintenance.
GENERALIZED ANXIETY DISORDER
This condition involves chronic and excessive worry about a variety of everyday matters. Individuals with generalized anxiety disorder often find it difficult to control their anxiety leading to distress or impairment.
- The main symptoms include persistent nervousness, restlessness, muscle tension, irritability, and sleep disturbances.
- The exact causes can be multifactorial including genetics, brain chemistry variations, personality traits, and stressful life events.
- A thorough diagnostic evaluation generally involves clinical interviews to assess anxiety levels over at least six months along with ruling out other medical conditions.
- Treatment strategies typically combine psychotherapy approaches like cognitive behavioral therapy with medication such as selective serotonin reuptake inhibitors when appropriate.
- The goal is to enable patients to manage symptoms effectively enabling better quality of life through skill development in coping mechanisms.
Anxiety management requires patience but consistent professional guidance leads many patients toward symptom reduction and improved functioning.
MAJOR DEPRESSIVE DISORDER
Major depressive disorder is a common mental health condition characterized by persistent sadness and a loss of interest in activities once enjoyed. It affects how a person feels, thinks, and handles daily tasks.
- Symptoms often include low mood, fatigue, changes in sleep and appetite, feelings of worthlessness, and difficulty concentrating.
- Causes may involve genetic predisposition, environmental stressors, imbalances in brain chemicals, or traumatic experiences.
- Diagnosis is made through clinical interviews and standardized questionnaires assessing mood and functional impairment.
- Treatment options include psychotherapy (such as cognitive behavioral therapy), antidepressant medications, lifestyle modifications, and supportive counseling.
- Expectations vary but many patients experience gradual improvement with consistent treatment and ongoing support.
Recognizing the signs early and seeking professional help can significantly enhance recovery prospects for individuals facing major depressive disorder.