any Psychiatrist or anyone related to this field on the forum? - Page 3

Originally posted by: anu rulz

Thanks Mages. There is a lot of misinformation about mental health and am happy to help clear doubts.

Am not active now on IF but this tragedy brought me back.

I was reading about schizophrenia and it seems to be very dangerous for the patient is there any cure for it?actually i have seen a few people myself thus was curious talking to themselves thats when i realise its that disease

does depression leads to schizophrenia?

human brain is so much of mystery with conscious unconscious and sub-conscious mind

Originally posted by: EXOL

The thing with antidepressants is, if abruptly stopped, the withdrawal symptoms are too overwhelming..Doctors always advise not to stop it abruptly . The dosage has to be gradually brought down. Else you will become totally numb, irritated,angry and what not. You wont even feel like talking to anyone . Infact , talking is a pain in such circumstances because the mind keep repeating "anyway no one going to understand me"

Also, unless you are on suicide watch, it is totally patient's responsibility to keep taking the medicine without a break until the next appointment. Doc cant know about it unless patients tell them.

I totally agree...

Originally posted by: anu rulz

Hi Blue-Ice. I am a psychiatrist and have worked in India till 2017. See confidentiality works as far as there is no risk of harm to patient or others. From that very badly written note linked to the other post, it seems he stopped going to the psychiatrist. If there is no information, one cannot alert authorities. I cannot break confidentiality if I dont know the risk. If I suspect it, I would ideally contact the next of kin. If the patient hasn't given me one, I would ask him him get someone he trusts to either meet me or contact me. But I cannot legally or ethically force him to either give me a name or contact details. Many patients dont want to let their families or close friends know that they went to a psychiatrist. Despite asking to bring a relative repeatedly, I have myself treated people without them because the patient chooses to - and if the patient has capacity to make that decision, I cannot force him otherwise. I dont know how helpful this is. PM me if you want to know more. Take care.

Hi Anu...good to see u back...

Thanks for the information ..it helps to understand..

See I wasn't a Sushant fan...I didn't follow him...and didn't know him that well...other than he was big SRK fan and he had ranked in an Engineering exam......now that so may things I am learning...its mind boggling that how brilliant he was, a genius and a very strong and sorted person.....and the stories that why he would end his life...don't make sense to me....an intelligent and strong person wouldn't be so swayed away by frivolous things to take such a step...there has to be something out of control...and that is why I was trying to figure out why his psychiatrist didn't do anything....but things are a lot more clearer after talking to u guys... like EXOL said that sudden stopping of medicines is a complete NO NO..and makes one vulnerable...

Thanks guys for all the information everyone has given.

Sure Anu , I will PM u if I need to know something more...its like the more u read the more questions there are....this can't be as easy as 1,2,3 like some are suggesting.

I hope for other patient's sake it is figured out what happened..so atleast some others can be helped.

I know going through anxiety and depression myself how you can feel lonely. Talking to the doctor helps, talking to family and friends helps but self work is the most difficult part. I used to work in the health care years ago and one time doctor asked certain questions to a teenager that the doctor got worried, they got social work, families and everyone involved in the case.

In Sushant's case, it would've been nice if his whole family was with him and even probably gotten back with Ankita and had future projects to look forward to. The lockdown without seeing a therapist and no work drove him to that. I wish the therapist did a telephone visit or a video appointment with him. Also I read he slept only 2 hours that is worrying because when you have anxiety or depression you need sleep, they should've given sleeping medication.

Originally posted by: Terenaina

I know going through anxiety and depression myself how you can feel lonely. Talking to the doctor helps, talking to family and friends helps but self work is the most difficult part. I used to work in the health care years ago and one time doctor asked certain questions to a teenager that the doctor got worried, they got social work, families and everyone involved in the case.

In Sushant's case, it would've been nice if his whole family was with him and even probably gotten back with Ankita and had future projects to look forward to. The lockdown without seeing a therapist and no work drove him to that. I wish the therapist did a telephone visit or a video appointment with him. Also I read he slept only 2 hours that is worrying because when you have anxiety or depression you need sleep, they should've given sleeping medication.

Well the doctor profession is no longer for compassion and care. It is all about money. So, the care doctors had for their patients and genuinity to do the job for the well being is hard to find.

I miss couple of appointments but my doctor could care less. Not one but three doctors.

Anyway, my family is with me getting through the phase. So, it is useless to expect the doctors to help genuinely anymore in my opinion.

Originally posted by: Sailor-Moon

God this is so true! Not sleeping multiplies my already severe anxiety to a beyond unbearable extent. Him not sleeping could’ve heightened his impulse and he committed suicide. Devastating.

Originally posted by: Deviant_Pixel

The question is was he going to a psychiatrist or therapist. If it’s the psych, no offense but many of them are just happy to prescribe pills and that’s the end of that. ESP in desi community, my sister suffers from anxiety to the point she will throw up in the morning out of sheer anxiety, the psych never even tried to listen to her kuch, bas straight pills.

Would be surprised that many of these docs don’t even listen to the patients, usually therapists do that and pick up on these signs as they actually have talk therapy with patient. Calibre also matters I guess, maybe he did not pick up on the signs.

I used to have a psychologist in my school. Instead of listening to the students problem, she supported teachers in punishing and insulting us. She was a bad example of what's wrong with this field in India.

Originally posted by: Terenaina

100 percent, someone mentioned on one interview he talked about how he only sleeps 2 hours, brain can't function well without sleep. I know my anxiety is on extreme high the days I don't sleep. Maybe he was so worry to the point he couldn't sleep but wish he didn't have to take that drastic step. I know not working probably drove him insane. Poor guy, he was so good looking and talented

even during pavitra rishta days sushant sleeps only 2-3 hours

Hey 😊

Not a psychiatrist here but I am a provisional psychologist. I’ll speak based on laws in Australia, so cannot speak for much about India. A practitioner cannot disclose anything unless they have reason to believe that the patient is at risk of harm. It could be possible that the practitioner was not aware that Sushant was suicidal or no longer taking his medications. You can only find that out if the patient attends their appointment.

I’ll also touch on another topic. Some people have asked how someone so intelligent could become depressed or suicidal over petty BW related behaviour. Intelligence and mental health has no correlation. The most intelligent person in the world can even suffer from depression. In psychology, when we first asses a patient, we make a formulation of how the condition may have developed. We look at the following:

• Presenting symptoms = What is Sushant currently suffering from/rate level of severity and how often it happens.
• Predisposing Factors = Does Sushant have any genetic/biological/social vulnerabilities that would make him more susceptible to a mental health condition? Any family history of depression etc? Childhood traumas? Mothers death?
• Precipitating Factors = A specific life event or any triggers that caused the onset of the mental health condition. This could be his mothers death that initially triggered it? It could even be a specific event, i.e. bullying in BW or any other personal issue.
• Perpetuating Factors = We look at what factors are maintaining his negative symptoms/ not helping to lessen his condition. This could also be in line with all the bullying/unfairness that he had to deal with in BW. It can be considered as a factor that maintained his depression rather than improve it. Maybe?
• Protective Factors = Did Sushant have any strengths/support that could help him deal with or improve his condition. He had close friends, loving family etc. But it could also be a possibility that his perpetuating factors were more severe or constant, therefore overshadowing any protective mechanisms.

Mental health is incredibly complex and you have to take so many elements into consideration. I’ll also add that mental health is very personal and all the factors that I’ve spoken about will differ from person to person. Something we see as very frivolous can be perceived significantly for another. Don’t look at mental health with one lens.

Hope this helps somewhat.