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Psychiatry

Psychiatry is a branch of medicine focused on helping people with mental health issues. Psychiatrists are doctors who specialize in this area. They understand how your mind affects your body and overall health. Unlike therapists who talk through problems, psychiatrists can also prescribe medicine if needed, along with offering therapy. They're there to listen, understand, and provide different types of treatment to improve your mental health and well-being. If you're feeling overwhelmed, stuck, or just not yourself, a psychiatrist might help you figure out why and what you can do to feel better.

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Frequently Asked Questions
What's the difference between Psychiatrists, Psychologists and Counsellors?

A psychiatrist is a medical doctor who has done his MBBS training and then specialized in treating people with mental health problem. . Psychiatrists are uniquely qualified to assess both mental and physical aspects of psychological disturbances. Their medical education has given them a full working knowledge of both physical illness and psychological problems. They can treat patients with both medications and psychotherapy (talk therapy). They are able to interpret blood tests and other investigations done by medical doctors.

A psychologist is a mental health professional who has done their graduation in psychology and specialization in clinical psychology ( MPHIL). They are not medical doctors and usually do their graduation (BA) in psychology. They are able to provide various therapies and they are trained to do Certain testing’s like Rorschach, IQ etc. They are not able to prescribe medications and treat physical illnesses.

Counsellors are mental health professionals coming from various backgrounds and usually they do 6 months or more, courses in understanding psychological problems and they provide basic talk therapies depending on their training. They cannot prescribe medications.

It is to be noted that in India doctors from other specialties prescribe medications for certain psychiatry problem, at times.

How do I know if I should see a psychiatrist?

Consider seeing a psychiatrist if you:

  • Experience persistent feelings of sadness, anxiety, or other emotional distress.
  • Have thoughts or behaviors that significantly impact your daily life, relationships, or ability to work.
  • Are dealing with complex mental health conditions that may require medication, like severe depression, bipolar disorder, or schizophrenia.
  • Have tried therapy with a psychologist or counselor and haven't seen the improvement you were hoping for.
  • Believe you might benefit from a combination of talk therapy and medication.

What are the treatment options in Psychiatry?
  • Medication: Psychiatrists can prescribe medications to help correct chemical imbalances affecting the mind.
  • Psychotherapy: Also known as talk therapy, allowing patients to discuss their problems and feelings in a confidential and supportive environment.
  • Other Interventions: Depending on the situation, other treatments like brain stimulation therapies might be recommended.
Common Conditions Treated by Psychiatrists
  • Depression
  • Anxiety Disorders
  • Bipolar Disorder
  • Schizophrenia
  • PTSD (Post-Traumatic Stress Disorder)
  • ADHD (Attention Deficit Hyperactivity Disorder)

What can I expect during my first appointment with a psychiatrist?

Your first appointment with a psychiatrist will typically involve a comprehensive assessment. You can expect to:

  • Discuss your mental health history, symptoms, and any previous treatments.
  • Go over your medical history, including any physical health issues and medications you're taking.
  • Talk about your lifestyle, including diet, exercise, and sleep habits, as these can influence your mental health.
  • Possibly undergo standard medical testing to rule out physical causes for your symptoms.
  • Collaborate with your psychiatrist to develop a treatment plan that may include medication, therapy, lifestyle changes, or a combination of these.

The goal is to create a complete picture of your overall health to ensure that your treatment plan is tailored specifically to your needs.

How do I help someone who needs help but is not willing to seek it?

This is a common problem a lot of carers face. They are aware that the patient has a psychological problem but is refusing help. There is no particular way to address the issue and multiple approaches can be used . Some of the ways are

  1. Get the patient to a doctor in context of the problem and defocus from the patients problem eg: marital problem with one partner not seeing his part in the issue get the patient in context of the willing spouse.
  2. Get a person who has some influence on the patient to speak to the patient
  3. Tell patient to consider one appointment with the psychiatrist and then give him the option to decide if he wants to go again or not.
  4. Focus on the issue the patient is willing to work and not on the issues he does not want to. e.g: They might want to consult for anger issues rather than sexual problems.
  5. Patient feeling he has no problem, itself can be a symptom of the illness (no insight) so do not spend time trying to convince the patient he has an illness
  6. If all methods fail and the patient are seriously ill you can seek help from the Indian mental health act were a patient can be admitted against his will to the hospital.

Always use the least restrictive method first.

Remember there is no one method to seek help but always focus on how to get the patient to the doctor and not on the problems you will face in the process. If you feel another method will work you can always try but consider safety of the patient ,yourself and the family.

Reasons for hospitalization?

Majority of the patients suffering from psychiatry problems can be treated on an outpatient basis if they have good family support. However there are times when hospitalization is warranted. They are

  1. If patient is suicidal and has active plans to do so
  2. If patient has thoughts to harm others and has been violent
  3. The symptoms of the illness are such that it is difficult to contain the patient at home and he is wandering from place to place .
  4. He continues in the same harmful behaviour eg: taking alcohol and drugs in spite of having received treatment.
  5. Patient has a very poor support system

Key terms
Neuropsychiatry

Neuropsychiatry is a field that combines elements of neurology (which deals with the nervous system) and psychiatry (which deals with mental disorders). It looks at how a person's brain health affects their thinking, behavior, and emotions. If someone is experiencing problems like memory issues, mood swings, or changes in behavior that might be due to brain injuries or brain diseases, they might see a neuropsychiatrist for help.

Dementia

Dementia is a term used to describe various symptoms of cognitive decline, like forgetfulness. It is a condition that usually affects older people and involves the loss of memory, language, problem-solving, and other thinking abilities that are severe enough to interfere with daily life. It's not a specific disease but a group of symptoms that often accompany certain diseases or conditions, like Alzheimer's disease.

Psychopharmacology

Psychopharmacology is all about how medications work in treating different mental health issues. It’s a fancy word for understanding the effects of psychiatric drugs on mood, sensation, thinking, and behavior. For example, if someone is being treated for depression or anxiety, a psychopharmacologist would study how the medications given can help manage these conditions.

Psychiatric Medication

Psychiatric medications are drugs that are used to treat a variety of mental health conditions—from depression and anxiety to schizophrenia and bipolar disorder. These medications can help manage symptoms and are often used in combination with therapy and other treatments. They can be very effective, but it’s important for people to use them under the supervision of a healthcare provider, who can watch for side effects and make sure the meds are doing their job.

Psychiatry

Psychiatry is a branch of medicine that focuses on diagnosing, treating, and preventing mental, emotional, and behavioral disorders. A psychiatrist is a medical doctor who can prescribe medications, provide therapy, and suggest other treatments to help people manage and overcome their mental health challenges. If someone’s struggling with their mental health, they might visit a psychiatrist to get a diagnosis and a treatment plan that could include talking therapies, medications, or other approaches to help them feel better.


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Psychiatry