Young people appearing for high intensity entrance exams like NEET, JEE, NATA, KVPY need mental health help sometimes.

I have worked with them since last 20 years as their psychiatrist and mental coach.

Here is what I have seen over 2 decades of work -
#Thread
1. Exams are getting more competitive each year and require more work from "above average" students
2. A small fraction at top e.g. 700+ NEET score, top 200 of JEE, etc are a class apart. They are gifted with 🧠 that work very differently.
They have intuitive understanding of subject matter, they make connections easily, they have inhuman ability to focus for a few hours (4-6 per day) and do 20 hours worth of work in that time. They just need teacher to point to a 🎯 and they get it.
Their work is effortless
and quality of their understanding of subject matter is WAY better than ordinary intelligent school topper.
Then comes second lot that makes rest 99% of the merit list. These students have above average ability in most IQ subsets. They need intensive coaching and family support (a privilege in our poor country)
Unless they let an adult direct them and allow that adult to take over their life for 2 years, they will not reach their so called potential rank.
This role is usually played by coaching class teachers or ambitious parents who fuse their identity with child's achievements.
Poor focus, distractions and friends who are not walking the same path with same intensity are their undoing. I see this lot very frequently in my clinic. They typically start faltering in second half of 11th standard.
Then there is a huge number of kids who score 80%+ in our pathetic schools and parents believe that they are "above average". Teachers fuel this delusion by writing - "has potential, can do better, must work harder" on their progress reports from KG onwards.
These are normal people who can be comfortable in life if troublesome subjects are taken out of their curriculum and they are allowed to choose in 7-8 std.
For middle class, tuition abled, private school going kid getting 80% is really starting point. Not achievement.
Due to excellent proliferation of private professional colleges and increasing ability of middle class to pay fees, all these kids get professional degrees.
This is what it looks like. Smart phones have made students' job incrementally more difficult over last 5-7 years due to ability to destroy focus, provide ready distraction and excessive connectivity with friends.
As a parent you can draw your own conclusions from this and plan your action.

I suggest SIP into large cap funds as soon as you start earning (before marriage) is best way to ensure children's future in our perpetually developing country.

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More from @docbhooshan

10 Oct
#Thread
This session was arranged by Sneh NGO. They work with underprivileged families. Prevention, early detection and treatment of mal-nutrition is a large part of their work.
About 120 parents participated in the session. 20 min of talk and 40min Q&A.
Our aim was to sensitize parents to mental health issues early on in child's life and give them practical, usable and scientifically sound tips.
Background of participants - all in their 20s, some in early 30s. 1or 2 child families, single room residence. Electricity, water and toilet at a premium.

some parents leave their children alone at home and go to work. Neighbors keep an eye on such kids.

no playground.
Read 11 tweets
2 Oct
My yearly rant about Gandhigiri as I understand it -
1. It is not about giving roses to people running red lights.
2. One must have a clear ethical stand to defend.
3. Opposing party is seen as misinformed or wrongly motivated.
4. Method is -
a. talks to understand each other's
position.
b. Appraising them about injustice, harm and suffering caused by their actions
c. Highlighting moral, human and legal wrongness of their actions
d. Providing solutions and co-operation in implementing those solutions. Looking for a win-win
5. If this fails - satyagraha
i.e. non violent opposition to unjust rules. Not causing suffering to others or the uninvolved. No collateral damage.
6. Pushing opposition in a corner with gradual escalation techniques to shame them.
7. If they resort to violence - bear that violence at the cost of own life
Read 7 tweets
23 Sep
#India
"people don't quit a job, they quit a boss".
By similar extension can we say - " children don't hate studies, they are turned off by teachers/curriculum/exams, etc."?

Though there is some truth in both statements, they are not entirely true.
a🧵
In my clinic, I meet such bored, de-motivated, sad and sometimes very angry children everyday.
While some criticism about teaching methods, schools, curricula, etc. is valid, I am not going there..

My focus is on the change-able part that is under my control.
What can I do as a parent to help my child?
I can fill the deficiencies in present system for my child.
Some actionable points -
1. Be physically present with the child when they are studying. Sitting at the table with them, catching up on your reading helps. Use same medium as
Read 7 tweets
5 Sep
What is sold, bought and invested (by VCs) in as Ed-Tech in India is just exam-tech.

#Thread
Lectures (supported by multimedia) about curriculum topics delivered via internet on a custom locked internet access device (e.g. a tablet) is presently called Ed-Tech in India.
Such companies get massive valuations as well.
To make it sound real they throw in discussion forums. This may help kids pass our pathetic MCQ exams with average marks.
But this is no education.
Read 9 tweets
28 Jul
Thread
#Mentalhealth
#Sports
#performance

For the first time in history Tokyo Olympics has taken mantal health issues to the podium.
Indian team has been no exception.
Here is my attempt to give you a glimpse of what affects a champion's mind.
I have worked as mental health coach for many sportspersons over last 2 decades.
Chess, TT, Lawn Tennis, Golf and occasional shuttler too.
Some of those have played at international level too.

So I have some insider information for you.

Read on -
For most people mental health is about anxiety, depression, suicide and the big names like bipolar and schizophrenia.
For performance most people are happy to believe that self confidence and persistence is all that is needed.

It is far from truth.
Read 19 tweets
24 Jul
#HomeVisit
#India
#MentalHealth

After a few months break, I did a home visit again.
This is my favourite part of work. Visiting a child in their home for assessment/consultation/intervention is one of the most rewarding part of my work as a child psychiatrist in India.
Read on..
Possibility of violence and self neglect are two commonest causes of home visit in my work.

I have been called to talk a child out of locked rooms, toilets, homes, etc. Sometimes I succeed.
What I see in clinic is a sanitized, made up version of family.

Even a planned home visit lets me into their real world and gives wealth of useful clinical information that can help the child and family.
Read 9 tweets

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