#Thread
#India

If you have a child starting physical school or physical exams after a break of 2 years AND they are getting scared, please read this thread.
Many children are really happy to be back in school and have started school with all the enthusiasm that is contagious to entire household.

But some kids (especially exam facing kids) have developed fear / anxiety.
They report poor sleep, tiredness, restlessness and agitation, poor appetite and fluctuating mood. They seem to oversleep in the day or distract themselves with media binges.

Some also report forgetfulness and "blankness" esp about exams and studies.
Crying spells or extreme irritability, scratching oneself, pulling hair, flailing of arms and legs are commonly seen across entire child and adolescent age group in India.
If your child is showing such signs of acute anxiety, it is important to keep calm and use a stable reassuring voice while talking with them.

Anxious adults should be sent out of the room or should go for a walk while calm adult is trying to help the child.
It is a good start to acknowledge their fear and accept that it is alright to be uncomfortable.

Many children feel secure with a hug or holding them close and speaking in a calm voice.
Most important part is to help the child get to the school or exam.
Sitting there and attempting whatever they can in the physical exam will restore their confidence.

If necessary, drop them to school yourself. (school bus is the best option. As always)
Letting child skip school or exam is not a good idea. Using avoidance to cope with intense anxiety has negative effect. It becomes a strong mechanism and eventually can lead to school refusal.
Get professional help early in the scene.

Conquering anxiety is counter intuitive as it requires calmness and action in fearful situation.
Long sermons, talking down, angry responses and false promises don't help at all.

Take care. Get help when needed.

Let's get kids back to normal school life .
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More from @docbhooshan

Feb 25
As a psychiatrist, I can't claim knowledge of world politics. What I understand a bit is about personalities and systems of people called society.

So when I hear people talking about "personalities" of leaders of nations, here is what comes to my mind.
#Thread
Some leaders are lucky to have right pedigree, being there at inflection point of history and some sense of opportunity.

They are not "fight and conquer" leaders. They pretty much get coronated as leaders.

If they are in a democracy or lead a country that is irrelevant
to larger forces of the world, they are generous, benevolent, liberal and talk of "integration" etc.

If such leaders are from a military dominated country, they need to be ruthless and cruel to section opposing them but generous and friendly to neutrals and supporters.
Read 9 tweets
Feb 24
This is an important moment.
Equality is not part of MBBS curriculum. Issues faced by LGBTQ+ community due to ignorance of doctors will hopefully be thing of the past.
I have been part of this effort with my colleague Bindumadhav Khire.
Pl read on -
This steps removed all the references pointing towards disease, disorder etc.
Established variations in sexuality and preferences as normal human sexuality.

MBBS students will get a chance to learn -
1. How to conduct an interview when sexuality is being discussed
2. How to do educative work with family
3. How to identify distress and how to help
4. Protecting vulnerable people from illegal conversion therapies etc.
Read 5 tweets
Feb 15
#Hijab
As a father of two young adults, I wanted to know their opinion about ongoing hijab issue.

What I heard from them was a great relief to me as a father.

They came to a conclusion that it is a multilayered question so answer changes
according to the specific question you decide to solve. And answers may even appear contradictory to each other. Some levels -
1. Who should decide what people choose to wear?
2. At what age do people become independent adults?
3. Is religion forced on children?
4. How does our constitution protect kids from religious compulsions of family (e.g. anti blood products views of certain sects)?
5. Do we live a segregated country? Is it inevitable?
6. How do children (majority and minority) look at other children practicing their religion?
Read 9 tweets
Feb 13
Thanks for voting.

Personal freedom makes space for religion. Does it work the other way around?
Most people believe that religion has a role to draw boundaries of personal freedom and prevent human race from descending into hedonistic chaos.
Ethical and co-operative beahviour actually predates religion.
Read 5 tweets
Jan 23
#thread
#violence
In this tweet I asked about need of legal action in cases of child-on-parent-violence.

Most answers are representative of our social beliefs.
Fellow CAP @VinayakChildPsy supported my stand. Gratitude.

Let me explain -
Myths -
1. Family conditions push boys to violence in "good" families
2. Violent adolescents need help from counsellors and psychiatrists and not be reported to police
3. If mother uses corporal punishment on a child, he is somehow justified in beating her up later
4. Juveniles get away with "anything". Law does not get involved at all.
Read 14 tweets
Dec 6, 2021
When you feel like giving advice to kids, few things may help -
1. Don't. Yes. You read it right. Don't give advice. Because that is all they receive all the time. They have no way to know that your advice is the one to follow.
2. You actually walking the talk MAY help. contd..
But don't count too much on it. As there are literally millions at your level of success in life.
3. Children are acutely aware of how time changes and requirements change so your advice may seem (justifyably) outdated.
4. They look around and live in a world created, maintained and ruled by adults. Does it look awesome?
5. They see you all the time and know you better than you do yourself. And they are harsh judges.

So unless a child really begs for advice, don't give.
Read 5 tweets

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