hello all.real life psychiatrist coming to answer queries here, though belatedly..😛 (thesis submission and wedding both coming up together..no time for anandi's "detectivegiri" these days)..
yes, covert medication (or giving medications slipped in food) is advised ONLY if the patient is PSYCHOTIC and cannot take the decision for himself in his state of mind..where he insists tht there is nothing wrong with him and the medications will harm him..it is given so as to not allow the illness to further flare and the patient harming himself or others coz of his delusions/hallucinations.. it is done after explaining explicitly the pros and cons of the medications and consent of the relatives who take the decision for the patient..sumthn similar to admission of a psychotic patient without his consent/use of restraints/giving injectables..all of these measures are to be done, if in favour of the health of the patient and with consent of the relatives..believe me, MANY patients have to be given covert medications, coz of the significant effects of the illness..once the patient is in a state to understand the situation, the medication is stopped and the patient is explained the repercussions of not takin the meds..its called developing "insight".. then the meds are to be continued with consent of the patient..but again, relatives are explained abt the possibility of patient again stopping meds and refusing to visit doctor and how to tackle tht..
sachi, tho evil incarnation herself is NOT psychotic..she has a wierd but intact judgement.. she CANNOT be given meds this way, even with consent of the relatives.. if she aint willing to visit the psychiatrists, it is the job of her family to convince her to do so..if sulky teenagers can be convinced, so can she..the shekhars took the easy way out of this..
secondly, without assessing the patient in detail, the psychiatrist shud not have given her ANY meds..if it were the real world, sachi cud have sued the pants off the psychiatrist for this..
thirdly, it was abominably STUPID of the CVs to show anandi give her sedatives in the MORNING instead of night, when she actually NEEDED to sleep..but these are the same people who came up with the "bullet in brain" track, so am not surprised...
tht ends my crash-course on covert medications.. wish me luck on my thesis submission otherwise my guid will make me cancel my wedding..😉
Edited by anu rulz - 11 years ago