Total 228 Blog Posts

  • 25 Aug
    Dr. SUSHIL K SOMPUR

    The big question - Medications or Counseling in Mental Health Management???

    counseling vs medication

     

    I have mulled over this topic for quite some time now, and  the question that comes to mind for a medical doctor who is trained in psychiatry is "Why do we even have to talk about this topic"?  However, I realize after being in the field of psychiatry for more than 6 years now, it is relevant to explain this in lay person's language because of the huge stigma that goes with the subject of mental health.

     

    It is important to note the difference or similarities of Medications or Counseling in Mental health or as such General Health care.

     

    Counseling is an art, whereas Medicine is as much of an art as it is about science. 

    Both are ways of approach towards a patient that involves speaking with, building rapport and empathizing with the patient's condition. 

    However, while counseling involves different approaches by way of talk therapy using the mind as the subject and the various processes of the mind such as behavior, intellect, memory, insight, understanding, etc, a psychiatrist would use medications in addition or in isolation depending on the time constraints that the patient load would impose.

     

    While, we know that medications are effective in the treatment of mental health conditions, there is evidence in the scientific world that talk therapy or counseling is as effective for some mental health conditions as medications, if not better. 

    Depression and anxiety are two such mental health conditions.  Medications while being helpful in the above conditions, counseling or psychotherapy is as effective and it has been proven that the combination of therapy and medication is more effective that either one of them alone. 

    Some do however argue that psychotherapy is pseudoscience. 

     

    Let us examine as to which ones are on the brink and which kinds of therapy are not useful at all.

    Psychoanalysis, sometimes dream analysis and narco analysis, childhood experience analysis are considered as having poor to no evidence in the literature, as being effective treatments for any mental health condition. 

    The evidence for placebo or a sugar pill being more effective or as effective as the above kinds of therapies exists in literature. 

    However, these kinds of studies are very difficult to do as each of these therapies are different in their own regard and maybe even come across as different to different individuals.

    One is allowed to form an own opinion based their own experience with regards to these therapies.

     

    Mental health is characterized by a sense of purpose or a sense of coherence in the widely chaotic world of medications or psychotherapies. 

    We need to structure either therapies to make sense of this chaos - give some method to the madness. 

    Flexibility and resiliency can be developed only with exposure.  Exposure to stress or difficult situations only teach the human mind as to how to overcome these stresses or difficult situations. 

    These are ingrained in our DNA and passed on to the next generation.  While we know that humans are because of our DNA we also know - now - that the life experiences also contribute to the DNA. 

    This novel method of thinking is known as "epigenetics". Therefore, hardiness, although largely genetic can also be developed by exposure to stress and passed on to the next generation.  This would give new meaning to the phrase - "survival of the fittest".

     

    There is evidence in large randomized controlled trials (RCTs) in the scientific research world regarding the efficacy of many psychotropic medications i.e. the medications used in treating mental health conditions. 

    I also believe that there is a lot of use of these medications in routine use, having used them with patients with mental health disorders for the many years that I have practiced psychiatry as well as being a resident trainee in post graduate training programs in the United States. 

    However, there are cultural variables in the acceptance of these medications.  The cultural variables are explained by the fact that mental health was in general, i.e. all over the world, not a very well accepted pathology.  In a sense mental health was not important till it was recognized most recently to be treatable. 

    In the past mental health was treated as a curse or as a social malaise and people were institutionalized in penitentiaries or asylums and sometimes even put to the guillotine.  However, this fact has fast changed with the onset of scientific evidence for the existence of benefits with the use of psycho-therapeutic medications.

     

    Now that we have concluded that therapy, either talk therapy or medication therapy or a combination of both, is helpful in depression and anxiety we need to know a bit about the medications that are given by us psychiatrists to patients.  

     

    If you are prescribed a medication, be sure that you:

     

    • Tell the doctor all medications - either from classical medicine or otherwise and vitamin supplements you are already on.
    • Remind your doctor about allergies and problems you have had with past use of medicines.
    • Understand how to take the medicine before you start using it and take your medicine as instructed.
    • Don't take medicines prescribed for another person or give yours to someone else.
    • Call your doctor right away if you have any problems with your medicine or if you are worried that it might be doing more harm than good. Your doctor may be able to adjust the dose or change your prescription to a different one that may work better for you.

     

    Inform you Expert about medications and therapy you have taken

     

    Lastly, when visiting with your psychiatrist or psychotherapist, kindly let them know that you are using only medications or only therapy or both as the case may be.  It sometimes is the case that when one is on therapy for certain conditions the other kind of therapy may not be needed. 

    I also believe that medications are used in many cases to tide over an acute crisis situation and may be needed only for a short term in contradiction to the popular notion that medications for mental health conditions are used for a lifetime and that they cause side effects and are "harmful" for the body.  This is NOT true. 

    One should weigh the risks versus the benefits of the medications and only then mull over the decision to take them or leave them.  This is true with psychotherapy or talk therapy or counseling as well.  It may be best to consult your primary health caregiver for deciding what may be best for you.

     

    Responses 1

    • Sheena Malviya
      Sheena Malviya   Sep 04, 2016 09:03 PM

      Yes, that is true many people believe that medications for mental health conditions are used for a lifetime and they cause side effects. We need to develop awareness about this. I believe this article solve that purpose. Well articulated and clearly mentioned points. 

  • 16 Nov
    Oyindrila Basu

    Plants Change the definition of Success and Happiness.

    plant psychology

    While we all are struggling and fighting every day, to gain more and more, achieve the tallest building, earn the fastest car and reach the end of the world to call us successful, and finally, end our days, in stress, anxiety and tiredness, our living partners, the green plants and trees are so calm, serene and firm in their own places.


    In fact, there are several life lessons that we can learn from the plants which will change the definition of success and happiness.


    Plants not only help us live and sustain but teaches us every moment in our way to progress.

    1. Plants do not set limits as to how big they can, grow, they just grow as tall as they can- Unlike us humans, who are calculating and setting a bank balance number to define success and works like mad towards achieving that number, which only affects our brain negatively, makes us anxious and leaves us tired, fatigued and full of health problems, plants do not set any such goal.

    They proceed to with the passing days and grow as much as they can with the opportunities they have. They teach us to limit our ambitions and be satisfied with potentials.


    2. The struggle for existence strengthens them- being exposed to harsh weather conditions, wind and rain, plants develop stronger roots and learns to be firm for survival.

    When we humans are easily affected by minor adversities, we should learn from them, to put up a strong face against everything that life offers, the strength of will power is the ultimate force behind our survival.


    3. They take only what they need- they do not suck up all nutrients from the soil, in fact, that can make them spoilt or withered, they take up only the nutrients required for survival.

    In today’s age when we all are fighting to get an extra inch of land, some extra money, some extra facilities, we should learn the value of humility and identify the difference between need and greed from the plants.


    4. Plants are adaptive in nature- They change themselves with the changing seasons.

    During summer they prepare food enough for the rest of the year, again during autumn they shed their leaves to prepare for winter; when it is spring, they flourish with their new green leaves.

    We humans should also behave according to our situation. When we have enough, we should save some for future; when times are bad, we should accustom to our new environment and opportunities too.

    As we had accepted the glories, we should take the gloom too.


    5. Plants turn to sunlight- especially, sunflower and many of its kind get their own light.

    It means, we humans should move towards the positive and find our own happiness even in the gravest of situations.


    6. They neutralize the pollutants- make your own goodness shine through, such that all the negatives around you, turn to positive with your love and best nature.

    7. They are focused on achieving their own potentials- plants do not compare or envy other plants; rather, they are more focused on their own growth and hence they bear an individuality.


    8. Plants add some value for others- They release oxygen with which we breathe, they act as natural air purifiers, each part of the plant is useful to man and other animals, as food, home or other utilities, we all should contribute to our environment in some way or the other and learn to be of help, that will make us selfless and giving.

    Plants teach us satisfaction, perseverance, strength, good will and positivity which always makes us better human beings, and by extracting from them, we can be happy and peaceful, give up our greed and bear the crown of humility.

    If we can give up greed and lust for more; if we can accept every situation with a brave face; when we don’t fear to lose, we can be away from stress and anxiety and that will keep us free from many diseases like heart problems, high blood pressure, panic and palpitation.

    This form of learning will be best for a good mental health and well being.

    Image source

     

  • 13 Nov
    Oyindrila Basu

    How Donald Trump uses power of subconscious mind.

    donald trump

    Recently, the presidential elections ended with release of the humongous panic and tension of ‘who will win’, as Donald Trump hoisted the victory flag; in spite of people critiquing him, and revolting against the decision, the majority was gained and that cannot be changed.

    This man has been in headlines for quite some time, for his weird statements, abusive attitude towards non-native Americans, and his disrespectful comments on women; again on the other hand, sometimes his public appearances and debate speeches seemed to be the best of diplomacy and good governance.

    Some of the republicans in America claim that “Trump brings out the best in you”, well we do not know how much truth the statement holds, but this confidence build-up is not small.

    This directly proves how powerful the negative publicity, or notorious popularity can be.

    A man who was hated by more than loved finally manages to become the President, and that did happen; a man who speaks against a massive section of people responsible for the economic growth of America becomes the President, and that did happen; a man who tarnishes the reputation of a woman in national forum becomes the President, and that did happen.

    This power to make things happen doesn’t come in one day; Trump was sure he will win, as because he used the power of his Subconscious Mind to plan things in advance and strategize his steps.

    The elections are not all, Donald Trump is known for other crazy happenings as well which may be good or bad, but you cannot ignore them, or stop speaking about them.

    tour de trump

    Tour De Trump Trump offered his name to the American equivalent of the European cycling races in 1989. Inadvertently, he made the whole event controversial. The inaugural race was held in New Paltz, New York where many people gathered with anti-Trump signs and slogans. 

    Trump liked using Pseudonyms of John Barron and Jon Miller, and on several occasions, he had addressed the media in the guise of these spokespersons.

    trump shaves mcmahon

    Trump put his hair for bet- In a feud with WWE Chairman Vince McMahon, Trump agreed to shave his head if the pro-wrestler he picked at the Wrestlemania 23 didn’t come out victorious.

    Donald Trump action figures are selling on amazon which talks “You’re fired” mockingly relating to Ted Cruz’s political ad, and Hero Builders have also come up with ‘talking- Trump’ figures, some of which are actually head-shaven.

    For all the variety of reasons, this person has been in news and that is the strategy; never going out of sight, so that people cannot get him out of mind. He planned it, he did it with utilising his sub-conscious mind, some says.

    This sub conscious mind is part of the brain where many ideas, thoughts and impressions are reflected but we are often unaware of it. Experts believe that the sub-conscious in the source of intuitive thoughts, feelings, creativity, inspiration and spiritual awakening. Carefully changing the subconscious mind with the power of consciousness and help you achieve more than you think. If you need more of anything, that is money, success, popularity or power, you have to do something extra, and that is using the sub-conscious mind in its true sense.

    programming thoughts

    • The first step could be altering your conscious mind.

     

    • Identify and rectify your self-doubting thoughts. If you are unsure of your abilities and keep questioning them, you chances of doing successful tasks diminishes.

     

    • You need to think positively always, about yourself and your work, whatever you are doing.

     

    • You need to be focussed on your goal; there should be no doubt on the outcomes you want, and plan for it stepwise, set bench marks which are achievable and can be quantified.

     

    • Altering the sub-conscious mind is necessary for bringing in happiness in daily life.

     

    • Our unconscious mind makes a huge difference in our daily lives. Our daily life activities are neither essentially good, nor bad, but our subconscious thought patterns influence or provoke our attitude towards them. If you are inherently in a bad mood, everything around you will be negative and seem like a burden.

     

    • Shuffle up your routine- occasionally, make changes to your daily life activities. The unconscious generally works on the basis of identified patterns of activities, and quickly terms them as monotonous, which results in a bad mood; in order to tap into the power of subconscious mind, you need to do something different recurrently, to keep your mood uplifted, as you are met with surprises.

     

    • Subconscious mind affects the way you interact with the world- Once you can understand the brain game, you will be more accessible. Open yourself to new ideas. If you want to do something really creative and new, force yourself to talk and interact with relevant people who may be strangers but will understand your skill, browse new avenues for connections, do not be bound by your regular office and professional network.

     

    • Making changes in daily life often instigates the subconscious.

     

    • You need to know precisely what you want rather than having a vague idea of what you want to accomplish.

     

    • You need to channelize your energy towards your goal. Believe that you are already successful, imagine your success picture and your subconscious mind will break through the monotony of regular life activities.

     

    • Once you have overcome self-doubts, you need to work towards your goal with positive power of your sub conscious mind. For e.g. rather than procrastinating on whether your painting will be sold at all in the exhibition, you first need to finish your painting and submit it to the organization without doubt on your abilities.

     

    Using your sub-conscious mind in the right way can help you develop into a different individual, who will be more successful and popular and grow everyday.

    However, it takes a lot of effort and positive practice to make your sub-conscious work the way you want to. Overcoming all the negativities from criticism, failure, self-doubt is not easy, but once done, it will only direct you towards positive. Assessing your goals and working towards them with a firm spirit is very important to nurture the subconscious mind and use it in favour. If you believe it, you do it.

    Image source

     

  • 28 Oct
    Oyindrila Basu

    Ownership in a relationship can do miracles.

    husband saying sorry

    Here ownership doesn’t mean being the boss of the house; it doesn’t mean that you will be the ruler in the relationship and everyone will listen to you and do what you say; it doesn’t mean taking authority over your partner, but it means taking authority of a situation to solve it.

    Relationships are delicate and very very complex. There are misunderstandings; there are communication gaps, differences in opinion; we fight with whom we love and that creates rifts and trenches in relationship.

    The selfish self often comes in between two people who are in a relationship, the individual brain overpowers the rational heart and what results, is trouble in paradise.

     

    In such a situation, the most important thing, is to give up the ego and mitigate the differences.

    It is this ownership, that we are talking about.

    You should be the one, to take the first step in solving your differences.

    Just saying a ‘sorry’ to your loved one can change everything.

    Admitting your mistake makes you more agreeable to your partner, and the gaps are easily bridged.

    A difficult relationship is completely destructive for mental health such that you cannot focus on your work, you daily life as well as your personal communications; it is difficult for both parties.

    In such a case you take the move and apologize for what happened, for you know that two hands clap together, it was both’s fault and hence there is a dent so you be the first one to repair it and hold the ownership in the relationship, for both to be happy.

    This might sound quite manipulative for some, but ultimately the relationship matters and your mental peace and happiness. Your genuine expression of apology won’t make you small, instead it will infuse respect for you in your partner’s heart; he or she will melt down the anger ball which was cold as ice.

    Also be a good listener; before putting forward your viewpoint, know what the other has to say.

    If he/she is complaining, that “you are bad, jealous, hypocrite, cold, ignorant etc etc.”, these might sound really cruel, but stop and think, that the complains will help you fix up the issues. You may not feel that these exist, but of course your partner can see it and that’s making him/her unhappy, so you should consider that; when your loves one is happy, you will be happy.

     

  • 28 Oct
    Oyindrila Basu

    Parent-Induced Wastefulness is harmful for growing children.

    working child and mental health counselling

    Parents are often over-protective about their children and that is a natural trait, and they claim it to be love.

    Parents think that they are responsible for everything about their children, what they will do, or say; what they will think, good or bad; and of course for the best that they should get.

    Parents strive a lot to provide the children their best childhood with all the luxuries and comforts that they could think of, even if that means, going beyond their abilities, and this is how children become materialistic fools, who think the world is all glossy and nothing beyond drones and racing cars.

    As a matter of fact, children in such protected place, become nagging and demanding; they are far from realities; whenever they are into some adverse situation, they just want to run.

    In the growing years, proper training is required for children from their parents. They should be more exposed and open, and they should be given the freedom to think and analyse situations in order to act.

    Few months back, at a station in India, I found a child having her own small suitcase, she was about 8 or 9 years old; she was pulling her trolley and it had not been a while, that her grandparents rushed to her, snatched her suitcase and handed it over to the coolie; she was shocked for a moment, then continued to walk. Especially in India, parent-induced wastefulness is a problem for young people; they won’t let the child learn anything for him/herself. Labour is cheap, hence they will hire someone to do it, even if it means carrying a suitcase as light as feather.

    When these children will grow up and have to go to different cities for education or work, they will face huge difficulties, in terms of household chores, shopping, cooking, washing, and many other practical tasks like paying the bills etc. as they have not been used to doing these things.

    The immunity system to the real world gets destroyed with parent-induced wastefulness.

    Even at the age of 30 years, an Indian boy is called and treated as a child in the household, and parents do believe that he is not capable of handling serious tasks, and that it is their duty to arrange and do it for him. Even any lifetime decision making is the duty of the parents, the latter believes.

    This can really be shattering for the self-confidence of the individual. Growing kids in such possessive environment do not learn to trust themselves, they are always in dilemma, when it comes to doing something important in life.

    They are just used to material pleasures and they think that is the reality which is important for reputation.

    They are adjusted to a larger than life lifestyle which can be boring but they cannot step out of it.

    Such children always fear challenges and losing; they are not used to refusal or loss and hence they think the world will do as they say, because their parents have done so, and they have done according to parents’ wishes. Stepping out of the home, gives them shocks are set backs.

    Let your child grow in his natural environment; he will extract the best from what naturally is available to him, be it knowledge or resources; do not try to be too particular about providing; let him seek and find.

    A growing child is more inquisitive than you can think, hence answer his queries and let him learn on his own; stop spoon feeding, let him do his work and small family responsibilities too; that will give him confidence and self-esteem.

    He will have a knowledge of the real world. Let him get the essence of survival and grow as a complete individual.

    Image source