#ExamStress
#India

It is quite common in India to see children suffering from severe exam stress.

Traditionally (and heavily supported by ignorant popular media), parents are blamed for this.

Please read on to know the truth. #thread
Children who develop severe physical symptoms of anxiety (body tremor, agitation, crying spells, sweating, poor sleep, nausea, etc) near exams actually have long standing issues with managing anxiety.
These go un noticed and untreated as compensatory mechanism like help from school and parents can contain this anxiety to some extent.

Eventually it unravels. This happens close to so called important exam of 10th std.
In almost all cases of such severe anxiety, medication is needed to reduce physical symptoms.

But as every practising psychiatrist in India knows, misinformation and deliberate fearmongering about psych medications is rule and not exception in our society.
So these helpless and severely troubled children are taken to various so called "professionals" before "final" option of psychiatrist's consultation is exercised.
By then most of the kids have developed consequences of long term severe anxiety like insomnia, weight issues (weight loss or weight gain), serious loss of self confidence and even suicidal thoughts.
Treatment is a combination of medications, family counselling and psychotherapy for the child.

It takes time and many time the so called important exam is compromised. Not that 10th std matters in life, but it leaves a scar on minds.
I have frequently seen such severe anxiety leading to life course alteration and permanent personality change due to trauma of living with untreated severe anxiety.
Most people don't realise but severe untreated anxiety is a disabling condition and changes life for worse.

It does not get attention and support that other severe mental health conditions like Bipilar disorder or Schizophrenia get (sometimes).
Untreated severe anxiety and depression are silent killers. They affect the child and their family in a serious way.

Please wake up. Get help.
Parents are in no way responsible for creating such severe anxiety in the child. In fact many parents, sharing the same genetic pool, have anxiety disorder themselves.

But society is so happy to blame them for everything that goes wrong with the child, that they don't get help.
Entire family needs help while treating anxiety of a child.

Help is available. Don't shy away. Don't suffer silently.

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More from @docbhooshan

May 25
#SchizophreniaAwarenessWeek
Myths about schizophrenia -
#Thread
Myth 1. Children don't get Schizophrenia.
Truth - Early signs are often seen in late adolescence (16-19). Very early appearance (before 12) is rare. M
Myth 2. Intelligent children are in danger of developing schizophrenia.

Truth - intelligence and schizophrenia don't have direct connection. When a popular / intelligent young person develops schizophrenia, it makes a big mark in our memory. Hence this misconception.
Myth 3. - Bad parenting causes schizophrenia

Truth - parenting style or practice is not related to schizophrenia. Overall adverse experiences in childhood (abuse, severe poverty, losing parent) make a person vulnerable to many mental health issues as adult.
Read 12 tweets
May 25
#SchizophreniaAwarenessWeek

This information may be helpful for you to understand Schizophrenia.
#Thread Image
Early signs are often confusing and not clearly identified. Image
"stigma" is a huge block to get any kind of help. Image
Read 6 tweets
May 4
#India #healthcare
I am a doctor in full time private practice since 2000.
Till 5 years ago, I never worried about my patients having my personal mobile number.
Except emergencies and other suitable matters, no patient ever misused this facility.
But in last 5 years (much before pandemic). Especially with WhatsApp, it is gone crazy.
Long multiple messages, unsolicited videos, long audio messages are routine.
Mostly from people who have never seen me as doctor at clinic.
They get number from somewhere and send all personal confidential information, images, videos, reports, etc. and ask - "so what do you think?"
Read 9 tweets
Apr 7
#confluence
#Engineering #medicine #management

More and more IIT alumni are donating money to their mother institutions (IITs) to build and run medical colleges.

This is excellent start of a revolution. Let's try to predict the direction.

#Thread
IITs have been truly star institutes of India. Almost all produce occupies highest possible positions home and abroad. And in civil services as well.

Every Indian parent nurtures IIT dream for their children and IIT alumni run coaching institutes also to fulfil that dream.
Intelligent engineers quickly quit their base speciality and enter very lucrative management work in for-profit organisations. Our best brains are well known to make tons of money for investors and share holders. Enriching the whole world in this process.
Read 10 tweets
Apr 5
Chakravyuh called Indian Healthcare.

Why nobody will be happy and everyone will die miserably in the end.
#thread
1/n
When you develop a complex system for large number of users, it is best to keep it uncomplicated and have NO conflicts in the basic principles that govern the system.
2/n
When conflict is present in basic principles, all components of the system try to get best for themselves AT THE COST OF OTHERS. So everyone ends up unhappy.
Speaking of healthcare, unless building blocks are well fitted and aligned, system will collapse.
3/n
Read 25 tweets
Mar 15
#Parenting
#Trauma

Kashmir Files has given us one more opportunity to look at how we react to others' trauma.

This is important skill beacuse as parents we are constantly puzzled by need to give "appropriate" reaction to children's experiences.

Let's see how we can help.
First principle - hear it out.
If you let children talk about their experience without interruption, they will be able to verbalize their feelings and that act itself is helpful as brain finds words to express and contain distress.
Do not ask for justification of feeling - there is never a justification for an emotion. It is a natural reflex.

All explanations are post-hoc justifications. They have no real meaning.
Read 8 tweets

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