any Psychiatrist or anyone related to this field on the forum? - Page 4

I can speak from a Family Physician perspective and the rules here in the US. So I treat a lot of people with antidepressants. Anytime they come for a follow up, I do ask them about suicidal ideation and if they have thoughts of self harm, I can break confidentiality and inform family or get them admitted against their will for 3 day hold with full evaluation by psychiatrist

If Sushant lived alone, that right there was the problem. There was no one who would keep an eye on him and maybe in the prior visit he might not have been suicidal. No one can enforce mediations on him if they don't live with him. The description of how he cut off from everyone and retreated into a recluse shell screams mental health suffering and depression.

Which is why this whole nepotism debate bothers me SO MUCH. That it completely undermines mental health and HOW MUCH THAT FACTORS INTO SUICIDE.

Originally posted by: desigal90

I can speak from a Family Physician perspective and the rules here in the US. So I treat a lot of people with antidepressants. Anytime they come for a follow up, I do ask them about suicidal ideation and if they have thoughts of self harm, I can break confidentiality and inform family or get them admitted against their will for 3 day hold with full evaluation by psychiatrist

If Sushant lived alone, that right there was the problem. There was no one who would keep an eye on him and maybe in the prior visit he might not have been suicidal. No one can enforce mediations on him if they don't live with him. The description of how he cut off from everyone and retreated into a recluse shell screams mental health suffering and depression.

Which is why this whole nepotism debate bothers me SO MUCH. That it completely undermines mental health and HOW MUCH THAT FACTORS INTO SUICIDE.

Completely agree with you..

Originally posted by: Mages

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

There are medications that can help maintain symptoms but no, there is no cure for Schizophrenia at the moment. You have to understand that Major Depression and Schizophrenia are two different conditions. Some symptoms may overlap but it is separate.

A person with depression who experiences psychotic symptoms can be diagnosed with Psychotic Depression. That is not schizophrenia.

A person suffering from a combination of schizophrenic and depressive mood symptoms can be diagnosed with Schizoaffective disorder.

Originally posted by: FingerFetish

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.

Thanks for the detailed info, FF! 👍

Originally posted by: desigal90

I can speak from a Family Physician perspective and the rules here in the US. So I treat a lot of people with antidepressants. Anytime they come for a follow up, I do ask them about suicidal ideation and if they have thoughts of self harm, I can break confidentiality and inform family or get them admitted against their will for 3 day hold with full evaluation by psychiatrist

If Sushant lived alone, that right there was the problem. There was no one who would keep an eye on him and maybe in the prior visit he might not have been suicidal. No one can enforce mediations on him if they don't live with him. The description of how he cut off from everyone and retreated into a recluse shell screams mental health suffering and depression.

Which is why this whole nepotism debate bothers me SO MUCH. That it completely undermines mental health and HOW MUCH THAT FACTORS INTO SUICIDE.

Thanks much for the info, DG! 👍

Today, I learnt so much about mental health and its diagnosis from both of you! 🙂

Originally posted by: blue-ice.1

So what I have heard is that Sushant was not taking his medicines in the last few days.....so my question is ...how does this legally/technically work with the doctor/patient? When we go to a doctor ...they will always ask for the name of one person who they can contact in case of emergency or is authorized to get ur medical information...

I remember my husband had a a procedure done where they had to give anesthesia to him ...I was made to sign papers taking responsibility....and the most important thing was...that even after he woke up...the doctor said that it will be my responsibility to make sure he is taking his medicine, not driving or signing any papers...atleast for the next 24 hours...they assume that if the patient was under anesthesia they won't be able to use their minds properly for the next 24 hours..

My question is ...why didn't Sushant's doctor contact some one?? There must have been atleast one person who Sushant must have authorized for emergency purposes...why didn't he inform them...knowing very well that if patients of depression don't take their medicines they are fully capable of harming themselves because ur mind is not under ur control?? what happened here?

Problem is when patient denies having suicidal thoughts and on examination if we fail to make out. But nevertheless if patient has attempted to kill himself in past we tend to inform relatives to keep an eye on him and makw sure he is not left alone at any point of the day

Originally posted by: FingerFetish

There are medications that can help maintain symptoms but no, there is no cure for Schizophrenia at the moment. You have to understand that Major Depression and Schizophrenia are two different conditions. Some symptoms may overlap but it is separate.

A person with depression who experiences psychotic symptoms can be diagnosed with Psychotic Depression. That is not schizophrenia.

A person suffering from a combination of schizophrenic and depressive mood symptoms can be diagnosed with Schizoaffective disorder.

Same with depression. About one third of depression patients respond to medication and get completely cured. About one third get partial cure and one third may not respond at all.

It all ultimately depends on the genetic makeup as per recent studies.

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.

Doctors are human beings too and human error is a possibility.

As i said only one third of all depression patients get cured completely. You don't seem to be a doctor so there is no point explaining everything to you because u have decided to blame the doctor now. But genetics and personality also play a major role in mental health.

Originally posted by: blue-ice.1

That is true.🤔

The doctor also said that the last appointment was cancelled due to lockdown.....lekin video call/skype/zoom kuchh kar sakta tha...I feel that the psychiatrists should be more alert and proactive because they are dealing with the mind.....the person may be very very sick and yet nothing might be visible on the outside.

Its not as easy as you think it is.

If the patient doesn't want an appointment, a doctor can't break into his house and see him or force him to come for one. We can only advice not suggest

Originally posted by: Enigma24

complete cure of schizophrenia is possible in a small percentage of patients but life long maintenance of medication after symptoms disappear is the key to prevent relapses.

Same with depression. About one third of depression patients respond to medication and get completely cured. About one third get partial cure and one third may not respond at all.

It all ultimately depends on the genetic makeup as per recent studies.

but why schizophrenia happens what is the cause? I have seen some people suffering this disease talking to themselves or some they see things that it doesn't and this illness push them towards negativity my mom's friend relative has this illness and he jump down from 10th storey

Originally posted by: colossial2015

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.

Yeah we had the same in school and she discussed all the kids issues in the staffroom with the teachers. How we knew is because when some teachers had students for tuitions they used to ask them about their friends issues like ohhh does that girl in your class actually have an alcoholic dad? Or is this guy whose your friend actually dating that girl? Suddenly everyones personal issues were common knowledge.