Tuesday, January 8, 2013

CONTACT DETAILS- UPDATED ON 8-1-2013

This post is in response to the many mails I get about how to seek an appointment.

If you are a NEW patient, that is, seeing me for the first time- appointment is not required.

I see all new patients at Jewel Hospital, Andheri Link Road, Opposite Cooper Hospital, Next to Presto Laundry, Vile Parle West, Mumbai. Juat show up between 4-6 pm an any Saturday evening.
I rarely take leave; still I recommend that you check I am in office by phoning the Hospital.

All patients who have met me at least once, know how to take follow up appointments; so that's not included.

See you!

Thursday, November 29, 2012

TEACHER'S REPORT



Some children have to be examined by a Psychiatrist. Psychiatrists evaluate the case based on detailed history of the child’s development, behaviour and performance in all environments.  Observations and inputs from school are important for proper evaluation of a school-going child.

‘Teacher’s report’ is a description of the child’s overall behaviour (in school) and academic performance.  It should include the following:

General Information

1.       Since when is this child a student of your school?

2.       Attendance- Percentage in last term, and regular or irregular

3.       Appearance and Grooming of the child

4.       Any other general observations

Observation-

1.       Activity levels- average/ dull/ overactive

2.       Attention span- average/ distractable

3.       Does he mostly follow instructions?  Yes/ No. If not, why do you think he does not follow instructions? Is it due to not understanding, or purposely, etc

4.       Overall academic performance. Average/ below/ above

5.       Difficult subjects

6.       Very good at

7.       Discipline and rule compliance. Satisfactory/ not satisfactory

8.       Relation with peers- adequate/ poor

9.       Relation with teachers/ other staff

10.   Any other

Your inputs

1.       Your efforts in school

2.       Do you have a counsellor?

3.       Any suggestions/ other inputs

 

The report should be compiled by teachers/staff who closely interact with child and data should be about the month immediately preceding the reporting period.  The report is a combined effort of all teachers and staff seeing the child in school, and statement of observations should be arrived at by consensus of all observers.  The Teacher’s report should be issued on the school letter-head with a signature of the class teacher, counselor and Principal.  A copy should be retained for records. The school report should be handed over to parents in an open cover.  

Some schools are hesitant to issue school report as they fear it may offend the parents and result in conflict. Parents are afraid that school teachers may be biased against their child or are victimising the child. Most schools issue reports only upon parents’ request. School report should be always issued after taking the parents into confidence, and after taking their consent. Schools should take assistance of school counsellor for making the report. Parents should be explained that the observations are not of one person, but are done by many persons interacting with their child over a period of time. This eliminates possibility of bias or victimisation. Parents should be explained, it is only to assist in helping the child and not for ‘grading’, ‘judging’ or ‘branding’ the child. School report should be drafted in proper technical language, in a respectful tone without using any pejorative terms.  Observations regarding parents should not be included in the report.

One should never lose sight of the fact that the report is for benefit of the child, and nothing will be gained by alienating child or his parents. At the same time much will be lost by not stating problems in clear terms due to fear of backlash from parents. If the parents still object to the report, one has to stand by it and advise the parent to hand over the report to the Psychiatrist along with their objections. They may even choose NOT to give the report; this choice has to be respected, with the offer of issuing another report whenever the parent again requests for it. (Parents sometimes get convinced later). There would be no scope for suppressing or altering the report, as it will defeat the whole purpose.

 

 

 

 

Wednesday, September 26, 2012

Sunday, September 23, 2012

MARRIAGE AND MENTAL ILLNESS

The association between marriage and mental illness is multi-faceted.

Mental illnesses often affect persons who are single or of a marriageable age. In India, marriage is regarded as a panacea for psychological disorders. Some patients may feel better off after marriage because of the enhancement of social status and the companionship. But marriage is NOT therapeutic for mental illness. Mental illness requires treatment first, and then one can think of marriage.

Even after recovery from mental illness, the question of marriage is a vexing one. Marriage can be thought of, only if the person is fit for marriage and is desirous of marriage. Relatives should make sure that these two criteria are met with, before thinking of finding  a match. It is fairly easy to determine the desire for marriage- one needs to simply ask the person. Dont ever force the marriage, if the person is not willing. A person is determined to be fit for marriage only if he or she can be emotionally and sexually involved with the marital partner.

Mental illness has a significant stigma. Even if the person has recovered completely from mental illness, he/ she will find it very difficult to get married upon declaring the fact of mental illness. Inspite of this fact, I always recommend that one should declare before marriage about the mental illness. This is legally essential- marriage is a contract, and cannot be entered into on a false premise. The other party can easily get divorce as a technically 'insane' person is not allowed to enter into a contract. Morally, it is not right to hide such a critical piece of information from your future life partner. Practically, it is dangerous for the patient because it may lead ot abuse, abandonment and worsening of health condition. Still, I admit that I have come across cases where the spouse continued with the marriage even after discovering about the mental illness. In most cases, this was not a happy marriage.

Persons with mental illness often recover sufficiently enough to be able to make good spouses. While evaluating a person with mental illness as a life-partner, one should consider the type of mental illness, effect on the personality, severity of mental illness and the family history. If you are satisfied that the person is loveable, responsible, in good health and taking medicines regularly and responsive to you- there should be no major problem for getting married. You need to sit with a medical expert to determine the risk of heritability of the mental illness and impact on unborn child of the illness and medicines, as you may want to think of starting a family with this person.This scenario is applicable if you have found someone nice, then discovered about the mental illness and want to take an informed decision.

If you have a mental illness and want to get married, make sure you have all the imformation about your condition and medicines. Take treatment very regularly and dont allow your mental illness to increase. Cultivate a healthy lifestyle free of alcohol, drugs, sleep-deprivation and learn all measures for stress-management. Ask yourself whether you genuinely feel interested in the other person emotionally and sexually? Are you sexually capable? Will you be able to give consideration to the other person?  Do you have the resources needed to establish a new family and maintain it? Take the help of your doctor to find these answers. If you are not found to be fit for marriage, then pursue to goal of fitmess and then only act on your desire for marriage.

A stable and happy marriage improves the quality of life of any individual. But marriage is not a form of treatment. Persons with mental illness should not be shunned from marriage. At the same time, marriage is not a one-way street. It is not about as about organising a legitimate care-taker for the person with mental illness. Life has many possibilities. It is important to take one step at a time, be well-informed and insightful and also have a positive attitude.

Monday, September 3, 2012

MENTALLY HEALTHY

The following things have been found to greatly help in preserving mental health

1. Good genes with low vulnerability to mental and physical disorders
2. Good physical health
3. Average or below average stress in life
4. Absence of any addictions
5. Regular moderate exercise
6. Regular work
7. Adequate sleep
8. Opportunity for leisure and recreation
9. Good relationships
10. Positive attitude

 

Saturday, September 1, 2012

CENTRAL GOVERNMENT SCHOLARSHIP FOR DISABLED STUDENTS

This is an advertisement offering scholarships to disabled students. Interested persons should keep trak of it; you can apply next year.

VOLUNTARY WORK



This is a list of NGO s working for specific causes. It is a resource for persons who want to do voluntary wor; so I have scanned this list from a newspaper and putit up here.