Bhooshan Shukla Profile picture
May 30, 2021 9 tweets 3 min read Read on X
#Thread
#Schizophrenia

A series of 7 short posts about schizophrenia. Written for Schizophrenia awareness week.
1
Is it one single well defined, well understood illness?
2
Some common types of schizophrenia described in #Marathi by fellow psychiatrist Dr Atul Dhage
3
Can we spot it as early as possible?
4
Stigma
Schizophrenia like most mental health issues, carried serious stigma. What is it? What to do about it?
5
Can Schizophrenia be cured?
6
Family
What is role of family? Are they affected as well?
7
How long do you have to live with Schizophrenia?
How can you help?

Schizophrenia Awareness Association is a Non Govt Organization working in this area. You can help their cause with time, companionship and donations.
@amritbakhshy ji is a relentless leader

schizophrenia.org.in

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Bhooshan Shukla

Bhooshan Shukla Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @docbhooshan

Apr 30
A thread on one of the most popular misconceptions about mental health in India.

1. Most people can identify psychological distress and pain quite quickly. This is the good and easy part.
As humans we are born with the ability to sense emotions in others and sometimes ourselves as well.
2. What the identity as "source" or "cause" of that distress is where all the fun lies.
There entire thinking process and behaviour is dictated by their attributed cause. Entirely dictated by their own perception and conditioning (biases).
3. It is almost universal belief that there is ONE single cause of that distress/illness. People look for agency that will "neutralise" that perceived SINGLE cause.
Read 14 tweets
Apr 27
A thread on medicalisation of grief.

1. In last six months. Five of my friends lost a parent. It can get overwhelming. Being a local to their parent's city i was involved in the process medically / supportingly / logistically.
Here are some observations about wrong use of antidepressant medications for the grieving.
2. Many left behind a spouse. Completely heartbroken and distraught due to the loss.

Unfortunately, their well wishing family physicians advised antidepressant prescription.

I have a serious disagreement with this. Hence the thread.
3. After such a profound loss. Death of a spouse of 40 years or more. A huge void is left in life. Sadness and grief is intense and in indian culture it is expressed by copious crying, re telling of last illness / last moments with every visitor.
Read 17 tweets
Apr 9
#ChildMentalHealth #India

A 13 yr old with severe Obsessive Compulsive Disorder. He has to wash hands to reduce anxiety even temporarily.
It is so bad that his hands are white with painful linear breaks in skin (ulcers).

Referred to a child psychiatrist. Started on single medication (fluoxetine). Cognitive therapy not possible as child lives 250km away.
Excellent response to meds in 2 months.
This should be happy ending isn't it ?

But it is not....
A 🧵-
After those 2 months parents buy the tablet locally and continue for 3 more months and stop using it. All by themselves.

Symptoms come back within a month and they restart meds in half dose on their own for another 6 months. Majority of symptoms go away and some remain.
They decide to stop meds again and same story goes again.

After it all becomes intolerable, they come to me and ask for help.

My first duty after confirming the diagnosis is - to know whey keep stopping the medicine.
1. They can afford it easily
2. There are NO adverse effects of the medicine.
3. Their doctor was available on phone to guide so no issue of costs involved in repeated psychiatrist visits.
Read 10 tweets
Dec 10, 2023
One more suicide.
A young doctor studying at THE most prestigious institution loses life to suicide.
I realised that he was following me on this platform. That realisation makes this even more sad at personal level. Was there any way i could have helped him and prevented the tragedy?

I dont know perfect answers to all these questions.
Attempting to write a few that can be helpful for all young adult students (18-25 age group) -
1. Irrespective of what your seniors tell you, mental health IS important.
It is based on combination of your brain chemistry, your formative experiences and your circumstances. There is no SINGLE cause or simple single remedy.
Getting help from professionals remains single most effective life saver as of now.
2. "Feeling hopeless" is a robust indicator of high suicidality. Anger with or without agitation and consuming intoxicants like alcohol are high risk factors. A combination of these three (hopelessness, agitation and alcohol) is lethal.

Watchout for that in yourself and your near ones.
Read 11 tweets
Nov 24, 2023
A day well spent at Chitale Dairy at Bhilawadi. Thanks to @nikhilchitale and Chitale family.

Their milk and milk products factory is state of the art. Sharing few photographs-
Command centre powered by AI that detects break in pattern and activates action. Image
Packing machines.
A keen eye will notice "Nicrome" a pune based company that pioneered manufacturing of these machines in India @aparanjape rt from
Image
Image
Read 9 tweets
Aug 31, 2023
#Psychotherapy #Reality

One thing that makes therapy relationship different in a beneficial way is privacy.
It is not about "confidentiality " (your information is not shared with others by treating team) only.
Therapy also helps people process their own difficulties in the solitude of their own mind and come up with their own conclusions, processes, emotions. They OWN the solution.

I see this process destroyed quite frequently by well meaning (and sometimes self serving) others in patient's life.

How? Pl read on -
Many adults have friends and family who help them in difficult times. Patients have already discussed their difficulties with these people before meeting a therapist.

For children, parents play a serious supervisory role out of concern and parental authority as well.
When such adults and children enter therapy, their near one's / parents often sit with them after every therapy session, eager to hear what happened in the session and "what did the therapist tell you?"

This is usually done by people who have not experienced GOOD therapy themselves. They are not aware of the importance of privacy to make therapy happen.
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(