general, doctors may have the same disorders that strike anyone else; doctors are not invincible. Although depressive symptoms seem to be prevalent in the early years of the medical career, some of this may be due to exhausting work stress by frequent on-call work.We lack representative studies on the occurrence of valid depression among doctors compared to that in other occupational groups. Suicide is more common among doctors than among other groups of academics, but since it is also very common in veterinarians, this may also be due to available knowledge and means (drugs) for committing suicide during mental health deterioration. Alcoholism and drug abuse is an additional known risk factor for suicide and the SAD triad (suicidal behavior–alcoholism–depression) may be particularly important for medical doctors. From clinical experience with doctor–patients, we know the slippery slope from self-medication with tranquilizers to cope with the stresses to dependency of alcohol and drugs, in addition to other boundary violations.There are very few clinical studies including diagnostic interviews among doctors. One previous Spanish study emphasizes the importance of dual diagnoses, especially in alcohol dependence and mood disorders. From own experience, we know that bipolar disorder (type II) is quite common among physicians, but we lack sound empirical studies that compare occurrence of mental disorders in doctors with that in other groups. American impaired physician programs have for many years shown high and promising recovery rates (70–80%)The programs used to focus on addiction and substance abuse, but they now put increasing emphasis on psychiatric diagnoses. A family history, opioid use, and psychiatric comorbidity predicted relapse of substance abuse among doctors and other healthcare workers.
NICE ILLUSTRATION DOCTORS MENTAL HEALTH AND WELLNESS SURVEYS IS AS IMPORTANT AS PATIENTS MENTAL HEALTH IS IMPORTANT BECAUSE A PHYSICIAN HAS TO BE MENTALLY SOUND SHOULD NOT BE AGRESSIVE HARSH TOWARDS PATIENT HAS TO BE POLITE WHILE DEALING WITH PATIENT IF A PHYSICIAN IS POLITE TOWARDS PATIENT HALF OF HIS AILMENT MSY DISAPPEAR
I am very much thankful to curofy panelists who devoted time to concluded the mental health of curofians. I suggest to curofy to arrange a annual meet program by which we can meet each other
Doctors at various levels ... have necessarily to keep patience calm nature...and at the same time no introvercy also... Doctors are a very precious gift to the nation hence right from Home people unto the whole community...Drs have to be looked after...
Better Awareness & Efforts to deal with Mental Wellness Survey for Doctors !!!!!
Positive mental health allows people to: Realize their full potential Cope with the stresses of life Work productively Make meaningful contributions to their communities Ways to maintain positive mental health include: Getting professional help if you need it Connecting with others Staying positive Getting physically active Helping others Getting enough sleep Developing coping skills
Important things .very essential of well being life in working level.
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ADJUSTMENT DISORDER Work problems, going away to school, an illness — any number of life changes can cause stress. Most of the time, people adjust to such changes within a few months. But if you continue to feel down or self-destructive, you may have an adjustment disorder. An adjustment disorder is a type of stress-related Mental illness. You may feel anxious or depressed, or even have thoughts of suicide. Your normal daily routines may feel overwhelming. Or you may make reckless decisions. In essence, you have a hard time adjusting to change in your life, and it has serious consequences. You don't have to tough it out on your own, though. Adjustment disorder treatment — usually brief — is likely to help you regain your emotional footing. SYMPTOMS Adjustment disorders symptoms vary from person to person. The symptoms you have may be different from those of someone else with an adjustment disorder. But for everyone, symptoms of an adjustment disorder begin within three months of a stressful event in your life. Emotional symptoms of adjustment disorders Signs and symptoms of adjustment disorder may affect how you feel and think about yourself or life, including: Sadness Hopelessness Lack of enjoyment Crying spells Nervousness Jitteriness Anxiety, which may include Separation anxiety Worry Desperation Trouble sleeping Difficulty concentrating Feeling overwhelmed Thoughts of suicide Behavioral symptoms of adjustment disorders Signs and symptoms of adjustment disorder may affect your actions or behavior, such as: Fighting Reckless driving Ignoring bills Avoiding family or friends Performing poorly in school or at work Skipping school Vandalizing property Length of symptoms How long you have symptoms of an adjustment disorder also can vary: 6 months or less (acute). In these cases, symptoms should ease once the stressor is removed. Brief professional treatment may help symptoms disappear. More than 6 months (chronic). In these cases, symptoms continue to bother you and disrupt your life. Professional treatment may help symptoms improve and prevent the condition from continuing to get worse. When to see a doctor Sometimes the stressful change in your life goes away, and your symptoms of adjustment disorder get better because the stress has eased. But often, the stressful event remains a part of your life. Or a new stressful situation comes up, and you face the same emotional struggles all over again. Talk to your doctor if you're having trouble getting through each day. You can get treatment to help you cope better with stressful events and feel better about life again. If you have suicidal thoughts If you or someone you know has thoughts of suicide, get help right away. Consider talking to your doctor, nurse, a mental health professional, a trusted family member or friend, or your faith leader. If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately. Or call a suicide hot line number. In the United States, you can call the 24-hour National Suicide Prevention Lifeline at 800-273-8255 (toll-free) to talk with a trained counselor. CAUSES Researchers are still trying to figure out what causes adjustment disorders. As with other mental disorders, the cause is likely complex and may involve genetics, your life experiences, your temperament and even changes in the natural chemicals in the brain. RISK FACTORS Although the cause of adjustment disorders is unknown, some things make you more likely to have an adjustment disorder. Among children and teenagers, both boys and girls have about the same chance of having adjustment disorders. Among adults, women are twice as likely to be diagnosed with adjustment disorders. Stressful events One or more stressful life events may put you at risk of developing an adjustment disorder. It may involve almost any type of stressful event in your life. Both positive and negative events can cause extreme stress. Some common examples include: Being diagnosed with a serious illness Problems in school Divorce or relationship breakup Job loss Having a baby Financial problems Physical assault Surviving a disaster Retirement Death of a loved one Going away to school In some cases, people who face an ongoing stressful situation — such as living in a crime-ridden neighborhood — can reach a breaking point and develop an adjustment disorder. Your life experiences If you generally don't cope well with change or you don't have a strong support system, you may be more likely to have an extreme reaction to a stressful event. Your risk of an adjustment disorder may be higher if you experienced stress in early childhood. Overprotective or abusive parenting, family disruptions, and frequent moves early in life may make you feel like you're unable to control events in your life. When difficulties then arise, you may have trouble coping. Other risk factors may include: Other mental health problems Exposure to wars or violence Difficult life circumstances COMPLICATIONS Most adults with adjustment disorder get better within six months and don't have long-term complications. However, people who also have another mental health disorder, a substance abuse problem or a chronic adjustment disorder are more likely to have long-term mental health problems, which may include: Depression Alcohol and Drug addiction Suicidal thoughts and behavior Compared with adults, teenagers with adjustment disorder — especially chronic adjustment disorder marked by behavioral problems — are at significantly increased risk of long-term problems. In addition to Depression, substance abuse and suicidal behavior, teenagers with adjustment disorder are at risk of developing psychiatric disorders such as: Schizophrenia Bipolar disorder Antisocial personality disorder PREPARING FOR YOUR APPOINTMENT If you have symptoms of an adjustment disorder, make an appointment with your primary care doctor. While adjustment disorders resolve on their own in most cases, your doctor may be able to recommend coping strategies or treatments that help you feel better sooner. What you can do To prepare for your appointment, make a list of: Any symptoms you've been experiencing,and for how long Key personal information, including any major stresses or recent life changes, both positive and negative Medical information, including other physical or mental health conditions, and names and dosages of any medications or supplements you're taking Questions to ask your doctor so that you can make the most of your appointment Ask a family member or friend to go with you to the appointment, if possible. Someone who accompanies you can help remember what the doctor says. For adjustment disorder, some basic questions to ask your doctor include: What do you think is causing my symptoms? Are there any other possible causes? How will you determine my diagnosis? Is my condition likely temporary or long term (chronic)? Do you recommend treatment? If yes, with what approach? How soon do you expect my symptoms to improve? Should I see a mental health specialist? Do you recommend any temporary changes at home, work or school to help me recover? Should people at my work or school be made aware of my diagnosis? Are there any brochures or other printed material that I can have? What websites do you recommend? Don't hesitate to ask questions during your appointment anytime you don't understand something. What to expect from your doctor Be ready to answer your doctor's questions so you have time to focus on your priorities. Your doctor may ask: What are your symptoms? When did you or your loved ones first notice your symptoms? What major changes have recently occurred in your life, both positive and negative? Have you talked with friends or family about these changes? How often do you feel sad or depressed? Do you have thoughts of suicide? How often do you feel anxious or worried? Are you having trouble sleeping? Do you have difficulty finishing tasks at home, work or school that previously felt manageable to you? Are you avoiding social or family events? Have you been having any problems at school or work? Have you made any impulsive decisions or engaged in reckless behavior that doesn't seem like you? What other symptoms or behaviors are causing you or your loved ones distress? Do you drink alcohol or use illegal drugs? How often? Have you been treated for other psychiatric symptoms or Mental illness in the past? If yes, what type of therapy was most helpful? TESTS AND DIAGNOSIS Adjustment disorders are diagnosed based on signs and symptoms and a thorough psychological evaluation. To be diagnosed with adjustment disorder, you must meet criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM). This manual, published by the American Psychiatric Association, is used by mental health professionals to diagnose mental conditions and by insurance companies to reimburse for treatment. For an adjustment disorder to be diagnosed, several criteria must be met, including: Having emotional or behavioral symptoms within three months of a specific stressor occurring in your life Experiencing more stress than would normally be expected in response to the stressor, or having stress that causes significant problems in your relationships, at work or at school — or having both of these criteria An improvement of symptoms within six months after the stressful event ends The symptoms are not the result of another diagnosis Types of adjustment disorders Your doctor may ask detailed questions about how you feel and how you spend your time. This will help pinpoint which type of adjustment disorder you have. There are six main types. Although they're all related, each type has certain signs and symptoms: Adjustment disorder with depressed mood.Symptoms mainly include feeling sad, tearful and hopeless, and experiencing a lack of pleasure in the things you used to enjoy. Adjustment disorder with anxiety.Symptoms mainly include nervousness, worry, difficulty concentrating or remembering things, and feeling overwhelmed. Children who have adjustment disorder with anxiety may strongly fear being separated from their parents and loved ones. Adjustment disorder with mixed anxiety and depressed mood. Symptoms include a mix of Depression and anxiety. Adjustment disorder with disturbance of conduct. Symptoms mainly involve behavioral problems, such as fighting or reckless driving. Youths may skip school or vandalize property. Adjustment disorder with mixed disturbance of emotions and conduct. Symptoms include a mix of Depression and anxiety as well as behavioral problems. Adjustment disorder unspecified.Symptoms don't fit the other types of adjustment disorders, but often include physical problems, problems with family or friends, or work or school problems. TREATMENTS AND DRUGS Most people find treatment of adjustment disorder helpful, and they often need only brief treatment. Others may benefit from longer treatment. There are two main types of treatment for adjustment disorder — psychotherapy and medications. Psychotherapy The main treatment for adjustment disorders is psychotherapy, also called counseling or talk therapy. You may attend individual therapy, group therapy or family therapy. Therapy can provide emotional support and help you get back to your normal routine. It can also help you learn why the stressful event affected you so much. As you understand more about this connection, you can learn healthy coping skills to help you deal with other stressful events that may arise. Medications In some cases, medications may help, too. Medications can help with such symptoms as Depression, anxiety and suicidal thoughts. Antidepressants and anti-anxiety medications are the medications most often used to treat adjustment disorders. As with therapy, you may need medications only for a few months, but don't stop taking any medication without talking with your doctor first. If stopped suddenly, some medications, such as certain antidepressants, may cause withdrawal symptoms. LIFESTYLE AND HOME REMEDIES There are no guaranteed ways to prevent adjustment disorder. But developing healthy coping skills and learning to be resilient may help you during times of high stress. Resilience is the ability to adapt well to stress, adversity, Trauma or tragedy. Some of the ways you can improve your resilience are: Having a good support network Seeking out humor or laughter Living a healthy lifestyle Learning how to think positively about yourself If you know that a stressful situation is coming up — such as a move or retirement — call on your inner strength in advance. Remind yourself that you can get through it. In addition, consider checking in with your doctor or mental health provider to review healthy ways to manage your stress.Dr. Mohd Shafi10 Likes10 Answers
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As today is "International Day Against Drug Abuse and Illicit Trafficking", let me present few facts about Drug abuse and dependance. * Substance Dependence Arises out of maladaptive pattern of cluster use , leading to a cluster of behavioural, cognitive and physiological phenomenon that develop after repeated intake. It includes:- 1. Strong desire to take the drug 2. Difficulties in controlling its use 3. Persisting in its use despite harmful consequences 4. Higher priority to drug use than other activities & obligations 5. Increased tolerance 6. Physical withdrawal state *Substance Abuse. Persistent or sporadic excessive drug use, inconsistent with or unrelated to acceptable medical practice arising from maladaptive pattern of substance use, manifested by recurrent and significant adverse consequences related to repeated intake of the substance. * Substance Intoxication Refers to unwanted physiological or psychological effects that cause maladaptive behaviour. It must produce disturbance in the level of consciousness , cognition , perception , effect of behaviour that are clinically significant. * Substance Withdrawal It should be restricted to major symptoms resulting from the cessation of substance abuse, accompanied by a maladaptive behaviour change. * Physical Dependence It is defined as the alteration in neural systems which is manifested by tolerance and the appearance of withdrawal phenomena when a chronically administered drug is discontinued or displaced from its receptor. ADDICTION Chronic disorder characterized by compulsive use of drugs resulting in physical , psychological and social harm, and continued use despite evidence of that harm. * Drugs of Abuse - Alcohol - Tobacco - Barbiturates and Benzodiazepines - Opiates : Heroin , Morphine , Codeine , Pethidine etc. - Cocain - Cannabis - Amphetamines and Designer drugs - Hallucinogens : LSD, Phencyclidine , Ketamine , Marijuana etc. - Inhalants : Freons , Ethers , Ketones , etc. - Miscellaneous : Caffeine , Datura seeds , Analgesics , Anabolic steroids , etc.. * Drug Addiction State of periodic or chronic intoxication , produced by the repeated consumption of a drug and is harmful to the individual and to the society. Most important drugs of addiction are opium and its derivatives esp. Heroin, Cocaine , Cannabis , LSD , Benzodiazepines , Barbiturates , etc.. * Drug Habituation Condition resulting from the repeated consumption of a drug , in which there is psychological or emotional dependency on the drug. Caffeine and Nicotine are habit forming drugs. * Drug Dependence Includes both the terms ‘addiction’ and ‘habituation’, For existence , it requires psychological dependence but nonecessarily physical dependence. Drug Addiction vs Drug Habituation * Drug Addiction 1. Psychological and physical dependence necessarily occurs. 2. Compulsion is present. 3. Tendency to increase drug dosage is seen. 4. Characteristic withdrawal symptoms present. 5. Harm both to the individual and society. * Drug Habituation 1. Some degree of psychological but not physical dependence occurs 2. Desire is present but no compulsion 3. No tendency to increase drug dosage 4. Withdrawal symptoms are mild or are absent 5. If any harm done , it’s primarily due to the individual. Addiction consists of physical dependence and psychological dependence. Physical dependence is a biological phenomenon which depends on the type, dose and duration of drug use irrespective of personality factors. Psychological dependence is a compulsive need for a drug in order to maintain a state of well-being, and it can occur in absence of physical dependence. Indiscriminate use of any of these drugs becomes dangerous and produces a gradual mental, physical and moral worsening of the individual and sometimes also sexual perversions or crime. * Causes of Drug Addiction -- Hereditary factor -- Abnormal mental conditions -- Physical inability to do a job -- Curiosity -- Anxiety , Chronic tensions, etc. SYMPTOMS OF DRUG DEPENDENCY 1. Loss of appetite & weight 2. Unsteady gait & tremors 3. Eye changes 4. Anxiety,depression,mood changes 5. Impaired memory & concentration 6. Preference of solitude 7. Acute intravenous narcotism 8. Pulmonary oedema 9. Immediate collapse 10. Death. WITHDRAWAL SYMPTOMS (ABSTINENCE SYNDROME) * Onset : 6 – 8 hrs * Duration : Delayed for 24 to 48 * Early symptoms (1st stage) Chillness Cold sensation Yawning & rhinorrhoea * Later symptoms (2nd stage) Laboured & rapid respiration Goose skin, lacrimation, gross tremors Dilatation of pupil * 3rd stage Sleep (8 – 16 hrs) Anorexia in all stages. OTHER SYMPTOMS Tachyapnoea Fever Hypertension Pain & cramps in legs and abdomen Perspiration Vomiting Diarrhoea. TREATMENT 1. Constant supervision 2. Detoxification 3. Sedatives,benzidrine,hyoscine 4. Diverting the mind 5. Psychotherapy 6. General health 7. Symptomatic treatment. THANK YOU....Dr. Anandu Chandran. R9 Likes12 Answers
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Age:35 years Gender:Male Patient Prakriti: Vata-Kapha Desha: Jungle Desha.. A patient is suffering from ED(Erectile Dysfunction) from 15 years. He doesn't have any serious problem regarding anything.. What is the main cause behind ED in ayurveda? Mention Hetu,Linga,Aushadh for ED.Anshul Bahl3 Likes9 Answers
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What Is Group Therapy? How Does It Work? Group therapy is a form of psychotherapy that involves one or more therapists working with several people at the same time. This type of therapy is widely available at a variety of locations including private therapeutic practices, hospitals, mental health clinics, and community centers. Group therapy is sometimes used alone, but it is also commonly integrated into a comprehensive treatment plan that also includes individual therapy and medication. The Principles of Group Therapy : In The Theory and Practice of Group Psychotherapy, Irvin D. Yalom outlines the key therapeutic principles that have been derived from self-reports from individuals who have been involved in the group therapy process: 1) The instillation of hope: The group contains members at different stages of the treatment process. Seeing people who are coping or recovering gives hope to those at the beginning of the process. 2) Universality: Being part of a group of people who have the same experiences helps people see that what they are going through is universal and that they are not alone. 3) Imparting information: Group members can help each other by sharing information. 4)Altruism: Group members can share their strengths and help others in the group, which can boost self-esteem and confidence. 5) The corrective recapitulation of the primary family group: The therapy group is much like a family in some ways. Within the group, each member can explore how childhood experiences contributed to personality and behaviors. They can also learn to avoid behaviors that are destructive or unhelpful in real life. 6) Development of socialization techniques: The group setting is a great place to practice new behaviors. The setting is safe and supportive, allowing group members to experiment without the fear of failure. Imitative behavior: Individuals can model the behavior of other members of the group or observe and imitate the behavior of the therapist. 7) Interpersonal learning: By interacting with other people and receiving feedback from the group and the therapist, members of the group can gain a greater understanding of themselves. 8) Group cohesiveness: Because the group is united in a common goal, members gain a sense of belonging and acceptance. 9) Catharsis: Sharing feelings and experiences with a group of people can help relieve pain, guilt, or stress. 10) Existential factors: While working within a group offers support and guidance, group therapy helps member realize that they are responsible for their own lives, actions, and choices. How Does Group Therapy Work? Groups can be as small as three or four people, but group therapy sessions often involve around seven to twelve individuals (although it is possible to have more participants). The group typically meets once or twice each week for an hour or two. According to author Oded Manor in The Handbook of Psychotherapy, the minimum number of group therapy sessions is usually around six but a full year of sessions is more common. Manor also notes that these meetings may either be open or closed. In open sessions, new participants are welcome to join at any time. In a closed group, only a core group of members are invited to participate. So what does a typical group therapy session look like? In many cases, the group will meet in a room where the chairs are arranged in a large circle so that each member can see every other person in the group. A session might begin with members of the group introducing themselves and sharing why they are in group therapy. Members might also share their experiences and progress since the last meeting. The precise manner in which the session is conducted depends largely on the goals of the group and the style of the therapist. Some therapists might encourage a more free-form style of dialogue, where each member participates as he or she sees fit. Other therapists instead have a specific plan for each session that might include having clients practice new skills with other members of the group. How Effective Is Group Therapy? Group therapy can be very effective, especially in certain situations. Studies have shown that group therapy can be an effective treatment choice for depression and traumatic stress. An article published in the American Psychological Association's Monitor on Psychology suggests that group therapy also meets efficacy standards established by the Society of Clinical Psychology (Division 12 of the APA) for panic disorder, bipolar disorder, obsessive-compulsive disorder, social phobia and substance abuse. Reasons to Use Group Therapy The principal advantages of group therapy include: Group therapy allows people to receive the support and encouragement of the other members of the group. People participating in the group can see that others are going through the same thing, which can help them feel less alone. Group members can serve as role models to other members of the group. By observing someone successfully coping with a problem, other members of the group can see that there is hope for recovery. As each person progresses, they can, in turn, serve as a role model and support figure for others. This can help foster feelings of success and accomplishment. Group therapy is often very affordable. Instead of focusing on just one client at a time, the therapist can devote his or her time to a much larger group of people. Group therapy offers a safe haven. The setting allows people to practice behaviors and actions within the safety and security of the group. By working in a group, the therapist can see first-hand how each person responds to other people and behaves in social situations. Using this information, the therapist can provide valuable feedback to each client.Dr. Mukesh Kushwaha9 Likes7 Answers
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HOMOEOPATHY acts even on PSYCHIATRIC,NEUROLOGICAL,PSYCHOLOGICAL disorders- ailments Whether its anxiety,depression,bipolar disorder,substance abuse,INSOMNIA,MR,AUTISM,ADHD,psychological ailment etc.. When comparing the treatment percentage of allopathy & homoeopathy medicines for these ailments homoeopathy acts better as compare to allopathy my personal clinical experience of last 3years in different states under different doctors of both the background allopathy & homoeopathy, In my clinic also . when these type of patients came to me what I actually observe after long sessions of more than 1hour along with counseling, homoeopathic & psychiatric case taking these patients need time to catharsise themselves,they are actually taking treatment under allopathy which uttermost & most of the time not actually they need.. Drug dependency on psychotropic,antidepressive ,antiepileptic drugs Weaken their body like noother These patient actually need the care,affection,proper diet,bed rest,meditation section,natural treatment,open air,good friends,friendly climate,counseling sections under xperienced counselor,family-friends-society support which acts as a supportive therapy along with well selected HOMOEOPATHY MEDICINE..but not every homoeopath is been able to handle these type of cases esp. When the clinical & practical knowledge of homoeopaths only upto books & cold,cough.. Need to be perfectely train,learn in applied clinical homoeopathy 1 of the senior young known psychiatric physician from jammu with medical background who is working in a well reputed army hospital in jammu came to me with his problem of having his patient not been able to cure because he told me directly with his views with sincerity that sir we know that in allopathy we dont have any cure or proper treatment for these patient we are just managing it very well & in long term cases there seems to be much more complications with these drugs along with withdrawl symptoms & drug-dependency So,i am very much impressed with the way he told me the truth of the big pharma industry of these days which is simply based on business standard rather than cure based medicines... No more drug dependency,no harmful sideeffects.. dont take it as lightly as you think Homoeopathy has answer for even these type of ailments Homoeopathy medicines acts not only on physical but mental level too Treatment is purely on symptom symptomatology individualistic base which is rapid,gentle,permanent.. Consult your nearest genuine experienced registered homoeopathic physician. Dr.sahilmhc(multispeciality homoeopathic clinic)jammu Email-drsahilmhcclinicjammu HOMOEOPATH Professional COUNSELOR PSYCHOLOGIST DIETITION MENTAL HEALTH Profesional DRUG ABUSE-DRUG DE-ADDICTION EXPERT Plz SHARE YOUR VIEWS....Dr. Sahil Gupta0 Like3 Answers