Dr. Vilas R. Chakor – Psychiatrist – Book Appointment Online | Dr Chakor Clinic

Addiction

DrChakorClinic — Sat, 16 Nov 2019 10:29:13 +0000

Liquor dependence positions high on the rundown of therapeutic emergencies in the Nashik, Maharashtra. Liquor enslavement is all the more precisely alluded to as Alcohol Use Disorder (AUD) or Alcohol Dependence Syndrome. Liquor Use Disorder is a condition where an individual demonstrates a physical or mental reliance on liquor. This exorbitant drinking of liquor brings about the advancement of physical or emotional wellness issues. Nashik, Maharashtra tries really hard and contributes millions to battle liquor use issue. Their Drug and Alcohol Use Services are a useful asset accessible to anybody battling. It is a site explicit to Nashik, Maharashtra where individuals can find out about the kinds of consideration and administrations accessible for tricky liquor or medication use. They list numerous customary mediations including the utilization of backsliding counteractive action, bolster gatherings, psychotherapy, and psychopharmacology. In 2018, ketamine is being talked about as an unexpected new treatment choice for AUD that is giving individuals reestablished trust. I needed to pause for a minute to depict what we are seeing so far as to research supporting the utilization of ketamine for liquor fixation. An investigation out of Biological Psychiatry: A Journal of Psychiatric Neuroscience and Therapeutics demonstrates that the initial phase in analyzing how Ketamine functions when used to treat liquor habit focuses on one of the significant obstacles of keeping away from liquor for somebody with AUD: sadness. These manifestations of discouragement have been recognized as the main sources of backsliding. Ketamine has demonstrated stimulant properties. So specialists help patients accomplish along and supported time of restraint from liquor utilization, by keeping despondency under control with ketamine.

World Mental Health Day

DrChakorClinic — Thu, 10 Oct 2019 19:10:21 +0000

According to WHO every 40 seconds someone looses their life to suicide.

Is it preventable??

Yes, it is. 90% of them are. Read the following for 2 minutes.

‘World Mental Health Day’ is observed on 10th of October every year, with the objective of raising awareness about mental health issues.

“Mental health promotion and Suicide prevention” is the theme for this year.

According to WHO more the 800,000 people die of suicide every year. For each suicide there are 20 more suicide attempts.

Suicide can affect anyone and anywhere . Not only adults but children and adolescents are also prone to suicide due to depression, sexual abuse, bullying, violence etc .

Suicide is the second leading cause of death among 15- 29 year old globally .

90% of the people who attempt Suicide are suffering from some or the other psychiatric illness.

According to WHO every 40 seconds someone looses their life to suicide. So on this day let’s encourage each other to take “40 seconds of action” and use this as an opportunity to show you care .

– Improve awareness of the significance of suicide as a global public health problem.
– Improve knowledge of what can be done to prevent suicide.
– Reduce the stigma associated with suicide and
– Let people who are struggling know that they are not alone.

So in conclusion,
Let’s get educated, let’s get real, let’s be brave, let’s talk.

#40seconds
#WorldMentalHealthDay
#www.drchakorclinic.com

World Suicide Prevention Day (WSPD)

DrChakorClinic — Tue, 10 Sep 2019 09:14:23 +0000

Youth and suicide –

Suicide among youth is one of the most important problem faced by society today. Because suicide deaths accounts for 8.5% of all the deaths among youth( 15 -29 years ) around the world and it is second leading cause of death in them.

Therefore 3 important things to know for everyone are :

(A) Risk factors for depression and suicide in youth,

(B) Recognising distress/depression in youth, and

(A) Risk factors for suicide in youth:

These are the factors which make an individual more susceptible to suicide/depression as compared to others. There are many of them but lets have a look at some important ones.

1) Bullying:

More than 30 studies all over the world shows that children involved in bullying (both the culprit and victim ) are more likely to commit suicide than the others. Bullying is deliberate/intentional, harmful or disturbing behaviour that is repeated and involves imbalance of power (in relation to either physical strength or their popularity)

It can be direct physical (eg.assault/theft), direct verbal (eg.name calling/ threats/ insult), indirect relational (eg.social exclusion/spreading rumours etc.) or cyber bullying. More the duration of victimization, more the risk. Bullying increases the stress and decreases study performance and an attachment with the school.

2) Internet usage :

Video games or any kind of internet usage for more than 5 hours a day is associated with increased chances of depression and suicidality. There are many pro-suicide websites, online suicide pacts, online forums, deadly games etc.

3) Bad experiences in childhood :

Some of the bad experiences are physical, emotional or sexual abuse, death of one of the parent, depression or alcohol use in parent, impaired parent-child relationship, homelessness, frequent quarrels/ arguments among family members, behaviour at extreme end towards children like very harsh punishment for longer duration etc.

4) Media exposure:

The way any media covers news in relation to suicide can be detrimental to few of the susceptible youth. Like for example giving front page coverage, giving detailed description of method used, of an act or of an individual, showing suicidal attempts in movies etc. Imitation of suicidal behaviour shown on TV is well known.

5) Psychiatric illness:

An individual with psychiatric illnesses like depression, alcohol use, schizophrenia is also more likely to attempt suicide.

(B) Recognising distress/depression in youth:

As we all know very well, first thing in prevention is early detection and timely intervention into it. There are some features, symptoms which raise the suspicion/doubt about distress, depression or bullying etc. This is important as these signs are little different than that of depression in adults. Few of the symptoms are as follows –

Excess irritability, anger outbursts or violent behaviour,
Unusual and chronic physical symptoms/somatic complaints,
Disobedience, disrespectful towards elders,
Feeling of being unloved, self deprecation,
Alcohol or other substance consumption,
Social isolation, withdrawn,
Not interested in any pleasurable activities,
Decreased attachment with family, friends and school,
Decreased performance in studies.
Feeling of sadness/anxiety,
Disturbed sleep etc…

(C) Preventive strategies:

Though all the risk factors cannot be eliminated but they can be reduced. Few of the preventive strategies are mentioned below.

Parents, teachers and family doctors are the first contact for the youth. So they should be aware of signs and symptoms of distress/depression and approach for the help to counsellor (in case of distress) or psychiatrist (in case of depression).
Good/healthy family and school environment are the protective factors in case of distress.
Parents should talk to their children daily for atleast 15 minutes on random subjects. It creates a habit of expressing the emotions and sharing every minute details with closed ones.
Strictly “NO” to alcohol use.
Behaviour with the children should not be at extreme end. That means no extremes in love/hate/punishment/pampering etc.
No easy availability for anything children asked for. There has to be “NO” for the things not required. This will inculcate the habit to digest “NO” or failures in a positive way.
Good habits or rules for internet usage applicable to all the family members.
School should have strict rules to avoid any type of bullying. For example having an anti ragging committee, CCTV cameras, appointing mentors/monitors among students and teachers to detect any bullying matters or distressed student etc.
All kind of media should not ideally give undue importance to suicide related news or should not include scenes related to suicides.
Outdoor sports should be encouraged along with studies for overall physical and emotional development of children.

It is the responsibility of society and family to give healthy environment to our children.

Tests in Psychiatry / Psychology – DrChakorClinic

DrChakorClinic — Sun, 08 Sep 2019 07:39:22 +0000

In general, tests in psychiatry can be either screening one or the ones which helps in diagnosis. These are as follows-

1. Screening tests are in the form of questionnaire (set of questions) and are administered to an individual from ‘at risk population’. This helps in screening out the persons with high likelihood of having a psychiatric disease. The one with the positive findings can then be reassessed by psychiatrist in detail to confirm the disease if any.

2. General tests like routine blood investigations, CT scan/MRI brain/sonography and EEG (electroencephalogram) are needed on case to case basis. These helps in many ways, like

Ø to find out causative factors (exa. Dementia, seizures etc),

Ø to rule out any organic/physical cause for psychological disturbances (exa. Acute confusion, pseudo-seizures etc),

Ø to assess the damage already caused ( exa. Alcohol use disorders),

Ø to monitor medication levels in blood ( exa. Lithium, valproate etc)

3. Psychological tests are the ones which helps doctor in the diagnosis, not required to be done in most of the cases. These tests are administered by clinical psychologists. These are in form of set of questions or set of pictures to interpret.

4. IQ test are used to detect and quantify intellectual disability, administered by a clinical psychologist. There are also set of tests to be done to help diagnose ‘learning disability’. Better to be done at ‘LD Clinics’ situated at tertiary level centres like Nair and Sion hospital, Mumbai.

5. Personality assessment tests are used to assess personality factors which form an integral part in some of the psychiatric diagnosis.

6. Rating scales are tests useful to assess the baseline score and improvement (over the period of time) in case of any specific disease.

Above mentioned are few of the tests relevant to clinical psychiatry. There are other tests (like aptitude tests) used by clinical psychologists in their practice.