Tag Archives: Mental Disorder

What is Drug-Induced Psychosis?

drug psychosis

What is Drug-Induced Psychosis?

Toxic psychosis, alcohol-induced psychosis, and drug-induced psychosis are all diagnostic terms for a mental health illness in which a person suffers hallucinations, delusions, or both within a month of using or withdrawing from prescription medicines, illegal drugs, and/or alcohol.

According to the Diagnostic and Statistical Manual (DSM-5), drug-induced psychosis affects 7% to 25% of individuals treated for their first psychotic episode.

If you or a loved one is suffering from the symptoms of a substance/medication-induced psychotic condition, there are various treatment options and services available to help.

SYMPTOMS

Delusions, hallucinations, or both are common symptoms of drug-induced psychotic illness. Individuals who are experiencing these symptoms may or may not be aware of whether their hallucinations and/or delusions are real.

Delusions

Delusions are false beliefs or thoughts that are not founded on reality.

The following are examples of delusions:

  • Persecutory: Feelings that others are trying to get you or are spying on you, even organizations.
  • Grandiose: Belief in yourself as being outstanding, unique, gifted, and superior to others.
  • Referential: Belief that people and their surroundings have hidden meanings that are meant to communicate with you.
  • Erotomanic: Belief in the existence of someone or numerous persons who are in love with you despite evidence to the contrary.
  • Nihilism: Beliefs that a tragedy will occur.
  • Somatic: Belief that there is a problem with your body.

“My old firm is monitoring my every move and is trying to get me,” for example, is a persecutory delusion. An erotomanic illusion could be, for example, “Aishwariya Rai is in love with me”.

Hallucinations

A hallucination is when you have an out-of-body experience with one or more senses that isn’t founded on reality.

The following are examples of hallucinations:

  • Auditory: Hearing voices or sounds that aren’t actually there.
  • Visual: Perceiving things that aren’t actually present
  • Olfactory: The ability to detect scents that no one else can.
  • Tactile: Having the sensation of being touched even when no one or nothing is touching you.
  • Gustatory: Tasting something even when you don’t have anything in your mouth.

In an auditory hallucination, for example, a person may hear a voice instructing them to flee or telling them that they are being followed. A visual hallucination occurs when a person sees someone, who isn’t actually there, following them.

CAUSES

A large percentage of people with a substance use disorder also have a co-occurring mental health disorder. While chemicals may not cause drug-induced psychosis directly, certain substances can trigger psychosis in people who are predisposed to it.

Risk factors for drug-induced psychotic disorder owing to cannabis, opiates, stimulants, or numerous substances were identified in a longitudinal study of persons who presented with drug-induced psychosis, these were:

  • Being a man
  • Being under the age of 30
  • Having a mental health problem that isn’t being addressed

Not only were these people at risk for substance-induced psychosis, but they were also more likely to acquire schizophrenia in the coming years.

Psychoactive Substances:

Drug-induced psychosis can be caused by a wide range of psychoactive drugs, including:

  • Alcohol
  • Cannabis
  • Phencyclidine (PCP)
  • Hallucinogens
  • Inhalants
  • Sedatives
  • Hypnotics
  • Amphetamines
  • Stimulants

DIAGNOSIS

Symptoms must have a considerable influence on your quality of life in order to be diagnosed with drug-induced psychosis.

While distinguishing drug-induced psychosis from the schizophrenia spectrum and other psychotic disorders might be challenging, there are a few crucial variables to consider.

With psychosis brought on by drugs or alcohol:

  • Symptoms appear within a month of using or detoxing from drugs, alcohol, or both.
  • Prior to the substance use or withdrawal, there are no signs or symptoms of psychosis.
  • Symptoms usually last less than a month.
  • Withdrawal symptoms normally fade after a while.
  • Individuals don’t experience disorganized speech or behavior, as well as decreased emotional expressiveness, which are common symptoms among people with schizophrenia spectrum and other psychotic diseases.

Onset during intoxication:

Symptoms of drug-induced psychosis might appear as soon as a substance is consumed.

When diagnosing someone, the treating physician or mental health professional will look to see if the symptoms started while the substance was still in their system. An onset during intoxication is a term used to describe such a situation.

Onset during withdrawal:

During withdrawal, one may have symptoms of drug-induced psychosis.

The treating doctor will keep track of how long the symptoms last to make sure no other mental health issues are present.

If the symptoms persist for more than a month after the substance has been removed from the system, they may ask for more information to determine if another mental health disease, such as drug-induced mood disorder, is a better fit for the symptoms.

TREATMENT

Treatment for drug-induced psychosis varies based on the patient and their specific needs. Stopping the triggering substance and closely monitoring the patient in a safe setting may be sufficient in many circumstances. Different substances, like in alcohol, may necessitate more severe treatment.

While it’s necessary to get the substance out of the person’s system (acute), it’s also critical to address any underlying mental health issues (long-term). Combining acute and long-term care might sometimes prevent a person from developing drug-induced psychosis in the future.

Medication

Medications can be used to alleviate the symptoms of drug-induced psychosis and to assist the person’s mood to normalize.

Psychotherapy

To lessen the odds of having drug-induced psychosis again in the long run, it’s critical to treat any underlying mental health disorders.

Among the treatment options available are:

  • Cognitive Behavioral Therapy (CBT)
  • Inpatient treatment for drug and/or alcohol abuse is available.
  • Outpatient treatment for drug and/or alcohol abuse is available.
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Dialectical Behavior Therapy (DBT)
  • Group Therapy

Alcohol-Induced Psychosis Considerations

When compared to other substances and treatments, alcohol withdrawal may necessitate greater monitoring. The individual may have delirium tremens (DTs), symptoms of alcohol-induced psychosis, and bodily function failure in severe cases, which can be deadly.

Treatment and care options may include:

  • Tests and monitoring.
  • Vitals stabilization, electrolyte and vitamin replenishment, and liver disease testing
  • If necessary, sedation with medication
  • Suicide assessment and monitoring

Beginning inpatient or outpatient treatment once withdrawal is complete and the patient has stabilized can be extremely beneficial. In addition to counseling, support groups may be effective.

COPING

It’s critical to emphasize self-care if you or a loved one is experiencing symptoms of substance/medication-induced psychosis.

Aside from getting professional help, you can also:

  • Begin to practise mindfulness to help you cope with stress.
  • Ground yourself by using breathing exercises.
  • Look for indicators of caregiver exhaustion and take some time to relax.
  • Talk to someone you trust about what you’re going through.
  • Read up on the latest research on drug-induced psychosis.

A Word from Tulasi Healthcare

Although experiencing symptoms of psychosis can be terrifying, keep in mind that they may be directly related to a substance or medication that can be addressed. If you or a loved one is suffering symptoms of psychosis, contact a medical expert right away so you can get the help you need.

A Casual Drinker who Needed to Quit.

addiction treatment

Q. What was your substance of abuse. How and when did you start?

A. Never tried any kind of drugs other than alcohol which I started in 2010 at 20 years of age. The occasion was my brother’s wedding and I had a couple of beers.

Q. Describe your childhood. Diid you have any kind of trauma or face any kind of stressful situations?

A. I had a normal childhood. I was an above average student (scoring around 70%) and graduated in a BBA course in 2018 via correspondence.

Q. Reasons for getting into addiction. How did it start?

A. I started taking occasionally on functions such as birthdays and weddings. Over the years it started to become more regular, then twice or thrice a week. Initially I had beer alone. I was running my family business and was working long hours, then started to have a beer before dinner everyday. In between I experimented with hard drinks at very small quantities and used to have them occasionally, but mostly I stuck to beer.

I had a medical condition which developed because alcohol did not suit me.Pancreatic attack and severe stomach pain that required me to be hospitalized, this occurred around 10 to 15 times between 2010 – 2021.

Each pancreatic attack required me to be admitted into a hospital for around 9-10 days. No oral diet, not even water, was allowed during that time. I used to have severe pain throughout. The doctor identified alcohol intake as the culprit.Alcohol did not suit my body at all. Light diet after discharge and medication had to be continued later on.

Despite knowing the consequences that pancreatic attack would ensue, still I would continue drinking. I would start after a month of abstinence, after being discharged from the hospital, falling back into the same cycle of drinking in the evening everyday. There were times when I did not drink for a period of 3-4 days. I was not a regular drinker per say and I never drank during the day, only in the evening.

But the bottom line was that I could not completely abstain or remain away from alcohol consumption which was required of me due to my underlying health condition.

Q. When and how were you admitted to Tulasi Healthcare?

A. I was finally admitted to Tulasi Healthcare after parents got worried that I was not completely abstaining from alcohol intake. Despite knowing the fact that a single drop could prove to be fatal. I was admitted on 21st September and spent a month till 20th October 2021.

Q. What are your lessons learnt and experiences gained, while in Tulasi?

A. I feel lucky to have the opportunity to get treatment (though for the first 5 to 6 days I was apprehensive and was blaming my parents for getting me locked up in a rehabilitation centre). Now I feel that my family made a very good decision. I was on a life-threatening path. Doctors had already advised that even a drop could be fatal. Still I used to continue drinking after recovering from a pancreatic attack.

Dr.Gorav Gupta, along with his team of psychiatrists and psychologists at Tulasi, helped me to understand the disease of addiction in a better way and equipped me with the knowledge of how to manage my life with this disease.

I am ready to put in the effort now and am motivated and happy to get a support circle. It has been a life changing experience for me, personally.

Interview of Vikas S (name changed as per request to maintain anonymity).

Susceptibility (risk) factors for in-patient violence at psychiatric hospitals

psychiatric hospital in delhi

The assessment and management of risk and susceptibility of violence in the patients with mental disorders residing in psychiatric hospitals have been extensively debated over the past many years. Some mental disorders and a few specific genetic factors have proven to modify the risk associated with violence. Skills for precise evaluation and management of risks are essential for psychiatrists and other clinicians involved in the treatment of mental disorders, to prevent undesirable results. Historically, risk assessment has been conducted basis the evaluators’ clinical impressions.

Despite the recent development and breakthroughs in the field of risk assessment, there has been a foreseeable risk of erroneous estimation of future violence. 4 techniques are principally used in risk management: monitoring, supervision, treatment, and victim protection. A recent trend in this field is bearing in mind protective factors, and some useful tools focused on this have been introduced in clinical setting. In future, biological factors may be integrated into risk assessment and estimation of treatment response.

The assessment and management of risk for violence presents significant disputes for forensic mental health practitioners. Mentally Disordered Offenders (MDOs) are subjects of psychiatry, and psychiatric nurses are therefore exposed to a high risk of persecution. In addition, accurate inference of risk and effective intrusion for the risk of violence, are necessary to proceed towards the deinstitutionalization of patients with mental disorders. Despite some opinions opposing the involvement of psychiatrists in violence risk management, mental health practitioners are expected to evaluate the risk of violence and estimate the necessity of confinement for patients with mental disorders. Ultimately, mental health practitioners need to develop skills to evaluate and manage the risk of untimely death of the patients and of others in the patients’ environment through risk assessment.

Risk management refers to the process of ameliorating a patient’s predisposition for violence to reduce the risk of unwanted outcomes.

There are several biological factors pertinent to the materialization of violence. The amygdala plays a crucial role in impetuosity, alongside the hypothalamus and prefrontal cortex. Prompting of the anterior, lateral, ventromedial, and dorsomedial nuclei in the hypothalamus causes hostility. The amygdala deregulates dread and disquiet, also resulting in violent behavior. Prefrontal cortex dysfunction can also lead to irresponsible & aggressive behavior.

Some neuro chemical transmitters also control aggression. Low serotonin and gamma-aminobutyric acid are linked with impulsivity. In addition, high doses of nor-adrenaline, acetylcholine, and dopamine are likely to cause aggression. Congenital / hereditary factors have also been under focus in relation to aggressive behavior. Also, currently, psychotic symptoms are widely considered to be associated with an increased likelihood of violence.

Structured Professional Judgment (SPJ), a process of risk assessment that is currently prevailing as the chief method of risk assessment, emphasizes on the importance of both static and dynamic factors of the subjects, and has overcome the shortcomings of both unstructured clinical judgment and actuarial risk assessment.

Risk assessment and management are essential tasks for forensic psychiatrists and other mental health professionals who operate in psychiatric hospitals or in other such IPD settings. General psychiatric practitioners can often be involved in this challenging work, as unavoidably. Thus, precise and well-balanced risk assessment methods are needed to efficiently tackle & avert the risk of violence at psychiatric hospitals.

Patient assaults among staff members of Mental Health Hospitals

drug rehabilitation in delhi

Patients physically assaulting the staff at mental hospitals where they are admit, which results in minor/ severe injuries or even deaths is alarmingly prevalent in the current scenario, especially in IPD settings (such as in mental hospitals).

Paramedical staffs, psychiatrists, psychologists and counselors face manifold types of antagonism, violence, and beating at work, collectively referred to as workplace violence, which usually is sparked off by patients. Whether workplace violence negatively affects staff well-being may be related not only to its presence, but also to a person’s pressure reactivity. The creation of a healing environment is a vital goal for psychiatric inpatient settings. Interpersonal hostility in the form of discord, antagonism, violence, and assault are common occurrences in mental hospital wards, and impair the development of a treatment-conducive environment. These also create hardships for staff well-being, detracting them from patient care.

Several studies have documented that psychiatric staff are at high risk of workplace violence, including physical assault and verbal aggression by patients, visitors, supervisors, and coworkers

Staff members are likely to appraise conflict with patients in a different way when compared to appraisal of conflicts with coworkers and supervisors, bearing in mind that it is a part of a patient’s pathology.

An international review of violence toward nurses establishes that 55% of nurses in psychiatric and mental hospital settings experienced physical assault and that psychiatric settings had a higher rate of violence than any other health care setting. It is generally accepted that these assault records’ data are underestimates, because many staff may under-report harassment or assault due to fear of being perceived as less competent or being blamed, peer pressure not to report assault based on the gender of the person assaulted, or a lack of desire to deal with excessive paperwork or even of the threat of being fired from the job. According to recent studies, staff who are assaulted tend to be young (less than 30 years old), less experienced, less educated, spend more time with patients and are less qualified.

Direct care staff can feel beleaguered, vulnerable, disturbed, and shamed by assault and spoken hostility in their respective mental hospital units. The most commonly reported poignant consequences of assault and verbal aggression are fright, annoyance, rage, dread, disquiet, stress, and irritability. Similar to persons who have experienced traumatic events in the past, psychiatric unit staff who have been assaulted by patients are at increased risk of developing PTSD (post traumatic stress disorder) and major depression.

Job performance can also be adversely affected by feelings of insecurity; staff members who feel unsafe at work may engage in behaviors that impair curative bonding with patients: such as avoidance, passivity, and inconsistent or harsh enforcement of ward rules.

Mental hospitals suffer as organizations when staff safety is jeopardized. The incidence of episodes of violence in mental hospitals has direct costs for medical care, litigation, worker’s compensation benefits, paid leave, and substitute staffing. Additionally, there are indirect costs related to low self-esteem, employment and retention difficulties, service disruption, compromised public relations, impaired job performance, and the development of a negative therapeutic environment.

Prevalence of self-stigma and its association with self-esteem among patients in mental hospitals

psychiatric hospital delhi ncr

Stigma against mental disorders cuts across all age, religion, ethnic origin or socio-economic strata. In the same way, self-stigma among psychiatric patients admit in mental hospitals or in other IPD settings is also prevalent worldwide. The consequences of self-stigma are low self-confidence, increased severity of symptoms, low adherence to prescribed medication & treatment, increased suicide rate and an overall decreased quality of life.

Mental disorders are accompanied by reactions from the societies and communities of the suffering persons, that adds a dimension of suffering to the existent condition of the sufferer, which is called “second illness” or “stigma”.

Most studies highlight the existence of two dimensions of stigma namely, public stigma and self-stigma or internalized stigma. Public stigma is comprised of the negative attitudes held by members of the public about devalued people. On the other hand, self-stigma occurs when people internalize those public attitudes and suffer numerous negative consequences as a result.

Negative attitudes of people in general (hospital staffs, other people in society) towards them, during the process of admission into a mental hospital, may be an underlying cause for them to internalize such negative attitudes leading to self-stigma.

According to a study, prevalence of self- stigma among psychiatric patients is high: ranging from 22.5 to 97.4% in different countries: it is 36% in USA, 97.4% in Ethiopia, 22.5% in Nigeria, 49.5% in China and 50–66% in India.

In addition to this, self-stigma among psychiatric patients is associated with poor quality of life, low treatment adherence, decreased esteem, increased severity of symptoms, low self-efficacy and poor recovery. In extreme circumstances, self-stigma is associated with a higher rate of suicidality.

Self-stigma is strongly linked with low self-esteem that is directly related to the prognosis and impediment of the disease condition. On the other hand, positive self-esteem is basic characteristic of mental health that protects the people’s mental health from the impact of negative influences of mental illness. Furthermore, it promotes and facilitates effective coping with stressful situations, thus acting as a protective factor in mental health. This imperative element of mental health is vulnerable to self-stigma among psychiatric patients.

Implementation of awareness programs could help in reduction of self-stigma.

Furthermore, self-stigma and self-esteem have a strong negative relationship, which implies that as self-stigma increases, self-esteem decreases.

So in order to protect the self-esteem of psychiatric patients residing in mental hospitals or other such IPD settings, self-stigma must be reduced.

Different interventions and therapies being practiced at mental hospitals, which are focused on reduction and elimination of self-stigma like healthy self-concept, self-stigma reduction program, ending self-stigma, and cognitive therapy might help in reducing self-stigma. Self-esteem enhancement programs can also decrease self-stigma. A reduction in public stigma is also suggested here.

Coping with Bipolar Disorder

bipolar disorder

Bipolar disorder is a mood disorder which affects all spheres of a sufferer’s life, including her/his frame of mind, vigor, concentration and behavior. Although the treatment success rate of bipolar disorder may not be promising always, however, the symptoms of this mental disorder can be managed. Further making the individuals diagnosed with bipolar disorder live fuller & healthier lives. These measures may include a combination of support from a mental health practitioner, medication, therapy and lifestyle-alteration.

Following are a few steps to help individuals struggling with bipolar disorder:

  • Isolating oneself increases the peril of mood fluctuations going unobserved, so keeping in touch with society and staying connected with family, friends and colleagues/co-workers is of paramount importance for persons suffering from mood disorders.
  • Learning about the symptoms of manic and depressive episodes of bipolar disorder is important for individuals suffering from the same, making it important for them to educate themselves about the disorder they are suffering from. It also helps in developing an insight when they experience similar signs or symptoms in the future, helping them manage further episodes.
  • Setting up & following a daily routine is a great coping skill for prevention of manic or depressive episodes. This involves timely administration of medicines, ensuring sufficient sleep, exercising regularly & attending all appointments scheduled with mental health practitioners.
  • It’s important to create a crisis plan which one can adhere to when things spiral out of control or when an individual suffering from bipolar disorder experiences a manic or depressive episode. This may involve jotting down names (along with contact details) of a list of people whom one can contact during an emergency. Information regarding the medication to be administered may also be mentioned on this crisis plan.
  • Stress is the foremost bipolar trigger. One must do what one possibly can in order to simplify one’s life and relieve stress by striking a balance between one’s work and personal lives.
  • Excessive fatigue can set off mania in persons suffering from bipolar disorder, which makes it important for them to relax before going off to sleep. A person may follow healthy sleep ritual like having hot milk, reading, listening to calming music or taking a bath.
  • Regular exercise can help perk up an individual’s disposition. Exercising frequently is important for persons suffering from bipolar disorder to help assuage hypomanic symptoms. Moreover, exercising enhances concentration and helps create a body-mind balance, promoting a sense of control and encouraging person to lead his/her life.
  • Regulating the intake of caffeine, alcohol, and drugs. Caffeine is a stimulant, which can worsen mood symptoms. Alcohol and drugs can trigger a mood episode as they affect the functioning of various bio-chemicals in the body and medicines administered.
  • Keeping a journal can help to sort one’s thoughts and emotions. It also facilitates expression and emotional regulation.

psychiatric hospital in delhi

It might feel overwhelming to support someone with a mood disorder, so care takers should also consider practicing self-care. If you or someone you care for is suffering from Bipolar Disorder, please feel free to connect with our mental health experts using the following coordinates: Psychiatric Hospital in India

Treatment of P.T.S.D.

PTSD tulasi healthcare

 

PTSD

“Having been appropriately established that she was suffering from Post Traumatic Stress Disorder at age 32, it occurred to Ms. X that all facets of her personal and professional lives had been grossly affected by this mental illness. In her case, PTSD was a result of a plethora of adverse experiences, one of them being sexual abuse at knifepoint. Post that incident, there was no secure space left for her, which she could call safe haven, not even her own house. Back then, after this incident had transpired, she had filed a report at a police station in the vicinity of her neighborhood. Fearing the public humiliation that would have ensued, she declined the help offered to her by many sexual harassment counselors and by the human rights’ commission.

Even after many weeks elapsed after the incidence of the event, Ms. X couldn’t shut her eyes without visualizing the face of the assailant who had violated her. She also became an insomniac. For many years post the incident, she was unable to sleep alone. She became obsessed with checking all windows & doors of her house to ensure that they were all locked. More often than not, she used to feel bewildered, repeatedly losing track of her identity and at times, even not keeping track of where she was headed towards, when outside her house.

Throughout the occurrence of such events, Ms. X was feeling like she was losing her mind. For a short span of time, she somehow kept it together superficially, but in the long run, due to the traumatic thoughts she used to come across just because of looking at passers-by and because of the paranoia-induced thoughts of the whole crowd looking at her, even when nobody was: it started becoming increasingly demanding for her to depart from her house every morning to pursue a career in the corporate. She would remain confined within the four walls of her apartment often, even for many months consecutively at times. This way of living became a lifestyle for her and this led to an abrupt end to her career in the corporate, when she was overcome by negativity & became unable to leave her house in order to go to her workplace.

After her mother approached a psychiatrist working with Tulasi Healthcare for help, Ms. X was immediately admitted into Tulasi’s psychiatric & rehabilitation centre for residential treatment. During one of her counseling sessions, she was diagnosed with PTSD. She was elated to know that her condition was very much treatable. After the diagnosis, she felt secure after many years. Medication and therapy being properly administered to her under the supervision of counselors, psychologists, psychiatrists and paramedical staff of Tulasi, marked a critical milestone in her life. Ms. X is currently rebuilding her career as an artist.

The term “sexual assault” refers to an array of deeds that entail unnecessary sexual contact, such as sexual molestation. Sexual assault is common.

Someone who has been sexually harassed will generally experience high levels of distress immediately after the occurrence of the incident, as it may bring about strong feelings of disgrace, blame, nervousness, dread, rage and grief. Also, there exists a societal stigma connected with sexual harassment which further augments the feeling of disgrace. While such feelings subside over time for some people, there are some others who will continue to experience some or the other form of psychosomatic anguish for the following many years, owing to being sexually harassed in the past.

Like in the case of Ms. X, a sexual harassment victim may also develop symptoms of post-traumatic stress disorder (PTSD). Sexual harassment can also result in a gamut of unceasing bodily conditions such as continual pelvic pain, arthritis, problems digesting food, seizures and intense premenstrual symptoms.

Traumatic events generally are connected with the development of PTSD.

Effective Treatments:

There are highly effective, trauma-focused therapy treatments available at psychiatric, rehabilitation and mental hospitals. These include Cognitive Behavioral Therapy (CBT) & Prolonged-Exposure Therapy (PE). These treatments though entailing different regimes and practices, have one parameter in common: helping a victim in moving forward and letting go of the past. Trauma mitigation therapies can:

  • help oneself to be calm
  • process certain reminiscences, via cautious talk and/or script
  • challenge one to engage in safe activities which one has been avoiding since the occurrence of traumatic event/s
  • make challenging trauma-based thinking a necessity, in order to restore a healthy mental framework to lead a normal life
  • reduce sadness and disquiet
  • induce composure and competency
  • reinstate a victim’s quality of life & make her/him contribute to society positively like everyone else
  • reduce/mitigate, if not eliminate the trauma-reaction symptoms or the symptoms of Post Traumatic Stress Disorder

Rehabilitation Centers for people suffering from Mental Disorders

tulasi psychiatric hospitalA rehabilitation center is a place for people to recover from mental disorders and rejoin real life. The illnesses of mental disorders have long been understated, people are hiding their illnesses & even taking recourse to charlatans who fleece them at the least, and aggravate the disease. The rehab should be a place where neither of this happens. A peaceful environment and an insightful experience best serves a patient. Mental disorders are the worst affliction one can get, unlike other diseases like say heart disease or diabetes, the patient can understand it by means of test reports and go to a hospital or clinic. A mental disease cannot be evaluated by the person himself and he has to be told by an observer that there is something wrong with the patient.

How can a diseased mind make an objective decision about itself?

I have been a schizophrenic with Tulasi Rehab for approximately 3 months and my first interaction with the doctor, Dr. Gorav Gupta spoke volumes of his capabilities to treat the disease. This happened after I had been admitted for 3 days, he was on his rounds and asked me,

“So, how are you?”

“I am fine sir,”

I spoke quietly, this was my standard refrain, I was lying in my bed when he had stumbled upon me.

“Feeling better?”

“Much better,”

I said and it brought a smile on his face and the entourage of psychologists and doctors.

For the next times from then onwards, every time I was asked how I was, this remained by standard answer. This was funny for them for I wasn’t well so how could I say I was well. As it turns out, even when you are saying you are well, the doctors still have to get to the heart of the matter. As more interactions went by, I realized on being given literature to read on schizophrenia that I had a mental illness but my mind didn’t believe that it was ill.

The purpose of the mental rehabilitation center came out for me through these interactions, it was not to cure the disease but to dispel the outer world, so harsh and rigid, from the mind of the patient and make the patient connect with the SELF.

The human mind is a conglomeration of the SELF and EGO, when the human is a child the self encompasses the ego and gives it nourishment, even so that the child feels that the whole world is its domain. This is the way it should be initially and the self is the child’s mother mostly. However, as the child grows up it moves away from the Self and in the process finds a mismatch between what his inner worlds are telling him about himself and the opinion of the real world about him outside. This causes pain and upheavals in the child as his inflated ego has taken a bashing and it comes back to the mother to heal.

The same is the case with a mental disorder patient, the adult in this case has experienced prolong periods of alienation from the self and in the bargain mental disorders have set in. The experience in the rehab is one of healing and curing by connecting to the archetypical Self. It is the job of the mental Rehabilitation center to provide an environment that would help this connection and send the patient on the way to well-being.

Learn more, Kindly visit this link Rehabilitation Centers for Mental Disorder.