Dr Sandeep B, MBBS, DPM, MD Psych(CMC, Vellore), Psychiatrist & Psychotherapist (Counselor) practising at "Jyothis", West to High School Jn, North to Vaidyuti Bhavan, Pada North Karunagappally, Kollam district, Kerala, India. For Appointment:Call 8838958232 only between Mondays to Saturdays 9am to 2pm. Consultation time slots only between Mondays to Saturdays 9am to 2pm (Sun holiday) For more details incl. Google map link, search in Google "Dr Sandeep Psychiatrist Kerala"
Sunday, July 8, 2018
Friday, July 6, 2018
Frequently Asked Questions
Frequently Asked Questions:
1) Are mental health
problems similar to other health problems? If so, why is there so much stigma
about it?
Mental health problems (psychiatric disorders), in one
sense, are similar to other diseases like neurological disorders, heart
disease, kidney problems etc. Commonly if anyone develops a disease, he or she
goes to the concerned doctor immediately. Also he tells other people about the
disease.
But if anyone is affected in his mind, he does not tell anybody about it, nor does he go to a doctor. This is because if it is known to others that somebody is having a mental health (psychiatric) problem, our society gives him titles like “mad” or “mental”.
We need to remember that any one of us can be affected in
our minds at any point of time. So, each one of us needs to change our attitude
towards those innocent people whose mental health is affected. Then only we can
take them to the right doctor at the right time and help them.
2) How do people
commonly develop mental health problems?
There is no one in the world who does not have any problem.
Any person at any time can be affected in his mind through some loss or failure
or other problems in life. Some people come out of those difficulties. But some
people keep on thinking about the problems and are affected in their minds.
There will be neurochemical changes in their brains. And there will be changes in
their behaviour, which manifest as mental health problems.
3) What are the
common symptoms of mental health problems?
The common symptoms are fear, suspicion, depression,
anxiety, stress, sleep problems, suicidal thoughts, hearing voices in the ear
when all alone, talking/ muttering/ smiling all alone, violent behaviour,
hostile attitude, falsely suspecting spouse’s (wife’s or husband’s)
fidelity (faithfulness), recurrent and irrational thoughts and
accompanying acts like repeated washing or checking, other strange experiences
and behaviours etc.
People also can have memory problems, problems in
food intake, sexual problems, diseases for which no cause could be found, addiction
to alcohol, nicotine (smoking), drugs, social media, video games, internet
etc., personality disorders, anger control problems, interpersonal conflicts,
family problems, marriage related problems, career and job related problems,
learning problems, guilt, spiritual conflicts etc. Children and teenagers also
can develop behavioural and emotional problems because of
various reasons.
4) How should these
symptoms be approached?
All of these should be treated promptly and appropriately.
Mental health problem is not something to be covered up. One has to take treatment and
counselling for mental health problems just like one takes treatment
for other diseases. Then it can be controlled effectively.
5) Is mental health
so important?
Many of
you would be familiar with this famous proverb “Sound mind in a
sound body”. It points to the proven fact that our body and mind are
so deeply related to each other. If you have problems in your mind like fear
and anxiety, it can affect your body by making you physically weak and prone to
various bodily illnesses. Likewise if you have physical ailments, it can affect
your mental health also. Research shows that many physical disorders are
predisposed, precipitated and exacerbated by many mental health problems.
6) People say that if
you start taking psychiatric medicines, then you have to take life long. Is it
true?
No; not
at all. This is a common myth. Once the symptoms become better with medicines
and counselling, your Psychiatrist can taper medicines slowly. But, please
don’t stop or adjust the dose without Psychiatrist’s advice. If you do that,
the symptoms may come back and you may need higher doses of medicines.
7) Are all
psychiatric medicines addictive and having serious side effects?
No; not
at all. This is another common myth. Only Benzodiazepine group among
psychiatric drugs, is addictive. It includes Alprazolam, Diazepam, Nitrazepam,
Lorazepam, Clonazepam etc. A good Psychiatrist will prescribe these only if
they are really needed for you for controlling severe symptoms, and he will try
to taper them at the earliest, so that you do not get addicted to it.
If
psychotherapy (counselling) is also given along with medicines, you may need
only smaller doses of medicines. A good Psychiatrist will choose a medicine
which suits each particular patient so that side effects would be minimum or
almost nil. He will always monitor you for any emerging side effect. If needed,
he will adjust the dose of medicines, or change over to other medicines with
lesser possibility of side effects, or add another medicine to counter the side
effects.
For
more information:
If you have more questions to ask, you can mail them to sandeeppsychiatry@gmail.com .
Events - Past & Upcoming
Past events:
Talk on “Meaning & Concept of Drug Abuse” on
March 20th 2018, as part of the 3 day ‘Sensitisation training programme on
prevention of drug abuse for prison and correctional officers’ at Academy of Prisons and Correctional
Administration (APCA), Vellore, sponsored by the National Institute of Social Defence, New Delhi.
It was attended by
Senior level Prison officers including DIGs and Superintendents of Prisons from
across the country.
A Mental Health Camp
& Awareness Programme was conducted in Karigiri village, especially for
the elderly people, on March 15th 2018 with the help of the MSW students
posted in the institution and the community health volunteers.
Talk on “How
to face exams” for 10th std students of Govt High School,
Brahmapuram on 9th March 2018, in collaboration with the Department
of Community Health, SIH-R&LC.
Guest Lecture on “Relationships, Premarital Sex, Addictions &
Suicide – Various Mental Health Implications” on February 28th 2018,
in Vellore Institute of Technology (VIT) University, Vellore, hosted by School
of Biosciences and Technology.
Participated in the Home
Management Committee Meeting at the HOPE House, Karigiri on 28th
February 2018.
Mental Health Camps were conducted at Kotagiri Medical Fellowship Hospital,
Kotagiri, Nilgris on February 22nd, March 22nd, June 20th, 2018, in collaboration with CMC Missions Office.
A Mental Health Camp
& Awareness Programme was conducted at Sevur on February 1st
2018 with the help of the MSW students posted in the institution and the
community health volunteers.
Visit to Mudhiyor Balar Kudumba Grama Pannai (MBKGP), Kasam,
Vellore, and counselling to children and
adolescents, along with nursing students from Karigiri School of Nursing,
on December 12th 2016 & December 14th 2017.
Industry Expert Guest Lecture on “Addictions, Sex & Suicide
– From Mental Health Perspective” on November 1st 2017, in
Vellore Institute of Technology (VIT) University, Vellore, hosted by School of
Biosciences and Technology.
Mental Health &
Deaddiction Camp hosted by NGO ‘Mithran’ Rehab Centre, Sathuvachari on
October 5th 2017.
Series of “Puthuvaazhu”
Mental Health Camps based at Vaniyambadi and selected areas, conducted by
the State Government of Tamil Nadu.
Talk on “Problems faced by Adolescents” at
Youth Camp at CSI church, Ottanthangal.
Mental Health &
Deaddiction Camp at CSI church, Ottanthangal on 11th January
2017.
Upcoming Events:
Follow-up Mental Health Camps at Kotagiri Medical Fellowship Hospital,
Kotagiri, Nilgris on September 20th, December 6th 2018, February 28th 2019 in collaboration with CMC Missions Office.
Talk on “Enhancing Positive Mental Health” for the school children of Chamraj Tea Estate, Nilgiris, Tamil Nadu on December 6th, 2018.
Talk on “Enhancing Productivity through Positive Attitudes” for the staff of Chamraj Tea Estate, Nilgiris, Tamil Nadu on February 28th, 2019.
Talk on “Spreading
Awareness on Mental Health Problems” for the workers of Chamraj Tea
Estate, Nilgiris, Tamil Nadu on September 20th, 2018.
Talk on “Enhancing Positive Mental Health” for the school children of Chamraj Tea Estate, Nilgiris, Tamil Nadu on December 6th, 2018.
Talk on “Enhancing Productivity through Positive Attitudes” for the staff of Chamraj Tea Estate, Nilgiris, Tamil Nadu on February 28th, 2019.
Thursday, July 5, 2018
No Peace Of Mind?
Someone once said that if peace of mind could be purchased in the market,
it would be the first one that people would be queuing up to buy. How true it
is? People commonly think that if they get some earthly thing or goal that they
want, they will be happy and peaceful.
For example, they think that if they get the degree or job or house or
marriage partner that they want, they will be happy. Once they get what they
craved for, they find that the happiness was so short lasting! And they again
pursue some other thing that they imagine will make them ‘successful’. Where is
an end to all these?
Struggling For Peace?
Rakesh (name changed) is a
27 year old unmarried gentleman who came to the Psychiatry OPD saying: “I don’t
have any peace of mind. I am not able to sleep properly. I am confused. Doctor,
please help me”.
What Rakesh told is not a rare complaint. Many people - young or old,
male or female, learned or unlearned, rich or poor- all alike echo the same
words. They live with guilt about their past, worry about the future and not
knowing what to do in the present.
Many live in fear of what others will think or say about them or do
against them. Many fear whether they will get some disease or land up in some
financial loss. Many are worried that they already have sickness and financial
difficulties. Many are grieved about the sickness and loss of their loved ones.
Many are insecure about their positions which they have grabbed from others by
stamping them down.
There are traumatic, haunting memories of physical, verbal, emotional and
sexual abuse from childhood, which many are not able to shake off and come out.
Many feel they were cheated and used for the selfish gains and pleasures of
others. Many live with embittered hearts, not being able to forgive others.
Many feel that even God cannot forgive the sins they have committed in the
past. And they wonder why they should live.
What is the solution to this elusive peace of mind?
The Love, Joy And Peace Direct From Heaven…
It
was Blaise Pascal, the world famous scientist who said about a God-shaped vacuum inside each of our hearts that can be
filled only by God. How true it is; isn’t it? Whether we admit it or not, that
sense of emptiness deep inside our very being, an indescribable yearning...!
Often we try to fill this vacuum with wealth, love from
others, comforts, sensual pleasures and so on, but all in vain! And it is even
more surprising that no religious ritual, philosophy or even good works can
fill this vacuum! Even film stars with immense wealth, fame, popularity,
influence and beauty commit suicide!
Yes, the Almighty Creator alone can fill this emptiness; He
alone can fill our innermost being with inexpressible love, joy and peace! Lord
Jesus Christ says: “Just as the Father has
loved Me, I have also loved you; abide in My
love” (John 15: 9).
“These
things I have spoken to you so that My
joy may be in you, and that your joy may be made full” (John 15: 11).
“Peace I leave with
you; My peace I give to you; not as
the world gives do I give to you. Do not let your heart be troubled, nor let it
be fearful” (John 14: 27).
“For I am the LORD your
God, Who upholds your right hand, Who says to you, 'Do not fear, I will help you'” (Isaiah 41:13).
“Be anxious for nothing,
but in everything by prayer and supplication with thanksgiving let your
requests be made known to Me.
And the peace of God, which surpasses all
comprehension, will guard your hearts and your minds in Me” (Philippians 4: 6,7).
“For I have not given you
a spirit of timidity, but of power and love and discipline” (2 Timothy 1:7).
“There is no fear in love; but perfect love casts
out fear…” (1John 4:18).
Yes, Lord Jesus is waiting for YOU to come to Him, repent of all your
sins and entrust your entire life to Him, so that He can fill you with His
love, joy and peace.
Many people ask: “Why do I not have any peace of mind even
though I believe in the Lord Jesus?”
We have to understand that what prevents the Lord Jesus from filling our
hearts with His love, joy and peace is the sin in our lives. So, what is sin?
If we are honest to ourselves, we will agree on this one
thing: we all have disobeyed our conscience knowingly or unknowingly many a
time in our thoughts, words and deeds! It is this falling away from the
character of God that the Bible calls ‘sin’: “…for there is no distinction; for all
have sinned and fall short of the glory of God.” (Romans 3:23).
Do you know what the punishment of sin is, in the eyes of the
infinitely holy God? The punishment is that anyone who has committed even the
smallest sin should suffer in hell — an eternal separation from God! But how
can this loving God cast us, His dear creation, away into hell eternally?
That is why the Almighty God incarnated as a human being in
Jesus Christ about 2000 years ago! In fulfillment of the prophecies of the
Bible, Jesus was cruelly crucified on the Cross of Calvary…
It was the endless misery of hell-fire which you and I would
have to suffer for endless ages that Jesus endured for our sake during those three dark hours on
the Cross with deep pain and agony …! And Jesus rose again, conquering death,
which is man’s greatest enemy.
You can be cleansed from sin only if
(i)
you want
to turn away from all your sins as you see how much the Lord Jesus loves YOU
personally (This is repentance), and
(ii)
you
believe deep inside your heart that Jesus bore the punishment of hell for YOU
on the Cross, died and rose again. And then you will entrust your life fully to
Him (This is faith).
If
you genuinely repent and believe as above, then the blood of Christ will
cleanse your heart. As you surrender every area of your life to the Lord Jesus,
He will definitely fill every part
of your being with His heavenly, indescribable love, joy and peace!
If
you have any further questions or need further help, please feel free to write
to me: sandeeppsychiatry@gmail.com
. May the Lord bless you in abundance!
How the Lord Led Me to Specialize in Psychiatry
One of the questions many
people ask me, is why and how I chose to specialize in Psychiatry. During the
days of my training in MBBS, I did not have any interest in the field of
Psychiatry. But rather, I was averse to Psychiatry because I got the impression
from many spheres that this is a field for those who do not have any faith in
God and that psychiatrists are those who try to explain faith also as a mere
neurochemical phenomenon.
Anyway, the
Lord Jesus had to intervene supernaturally in my life on 20th April 2009
through a vision in order to guide me to this fascinating and marvelous field
of Psychiatry! (I need to add a sentence here that although there are genuine
visions and dreams from the Lord, I am skeptical about the so many so-called
visions and dreams many people testify, extending the boundaries of their
imagination as well as trying to make up some meaning from their meaningless
dreams).
On 2009 April
19th night I was taking casualty duty in one Aravind Hospital, Chavara, nearby
my native place. There were so many patients visiting casualty that time, that
I could have my dinner only at about 12: 30 am. And there were patients till
about 1: 15 am.
By about 1:
15 am, I came to the duty room very much tired physically, but afresh spiritually
because that afternoon I had just finished a two and a half days’ Life Revision
Seminar by Dr Kuruvilla Varkey from Christian Fellowship Hospital, Oddanchatram,
Tamil Nadu. Though I thought of going to the bed soon (because one cannot
predict when the next patient will come), I was prompted by the Lord to spend a
little more time with Him, conversing with Him and worshipping Him.
I was just
worshipping the Lord and delighting in His presence with my eyes closed. After
some time I was seeing a vision of multitude of poor, helpless, needy people,
sitting in darkness and pathetically crying out for help..... I saw two faces
more or less clearly: one that of a 60 – 70 year old man and another that of a
7 – 8 year old little girl. The Lord flooded my heart with compassion for all
of them, and I was convinced deeply in my heart that the Lord wanted to touch
them through me. Suddenly the thought of specializing in Psychiatry became very
much alive in my heart (because 12 hours ago, that is, around 1: 15 pm of April
19th afternoon, Dr. Kuruvilla Varkey had suggested to me the option
of specializing in Psychiatry, as I was speaking with him after the Life
Revision Seminar. But I had no interest in it when he told me about this option).
After I saw this vision, I was
telling the Lord: “Lord, if it is your will, I am willing to venture into
whatever field You choose for me. But You need to clarify to me the same,
because I do not want to drag a subject which I do not like all the rest of my
life”. Immediately I felt an inner urge to open the Bible which was lying near
me. I thought of turning the pages of the Bible to whatever portion the Lord was
prompting me to go. The page I opened from the Bible was starting with Isaiah
50: 2, which reads like: “Why was there no man when I came? When I called,
why was there none to answer?
...”. I understood that the Lord is indicating that He is calling me to something. The
subsequent part of verse 2 and verse 3 spoke of the Lord’s
almighty power. Verse 4 reads like this:
“The Lord God has
given Me the tongue of disciples,
that I may know how to sustain the
weary one with a word. He awakens Me morning by morning, He awakens My
ear to listen as a disciple”.
When I read the word ‘tongue’ in the 4th
verse, I was shocked, because it was just 12 hours ago that Dr Kuruvilla Varkey
was speaking to me about Christian Counselling.
The phrase “how to sustain the weary one with a word” confirmed to
me my calling to Psychiatry. And this is the best verse on true psychotherapy
(counselling) that I have found in the entire Bible.
Another interesting thing is that
even the rest of verse 4 about the Lord ‘awakening
me morning by morning, and awakening my ear to listen as a disciple’ was
literally fulfilled. It was the Lord Who literally woke me up morning by morning those few days as it was mentioned in that verse. Far
earlier than the alarm clock rang, the Lord Jesus amazingly woke me up from
sleep in the early mornings of three days before and one day after this vision;
that is, 17th, 18th, 19th and 20th
of April 2009. On some days, the Lord woke me up around 3 O’ clock and 5 O’
clock in the mornings although I had gone to bed very late in the preceding
nights. I was so fresh in my mind when I was woken up by the Lord, that even though I tried to sleep after waking up, I was not able to do so. I could spend
quality time with the Lord those mornings.
Even the subsequent portion of
Isaiah 50 was literally fulfilled. Verse 5 and 6 speaks about opposition, which
I initially faced from my parents because they initially did not like me
specializing in Psychiatry. Verse 7 to 9 speaks about the Lord helping me, which was fulfilled when the Lord Himself suddenly changed their minds to
support me about my new decision.
Verse 10 speaks about trusting in
the Lord in the midst of uncertainty, which was fulfilled when there was a
period of one month of uncertainty when there was no vacancy for Non PG seat in
the department of Psychiatry in CMC, Vellore, where Dr Kuruvilla Varkey
suggested me to join. Soon the uncertainty was over since the Lord Himself created a vacancy there when a doctor in the department chose to go for his
Sabbatical leave exactly at the ‘right’ time. Amazing are the Lord’s ways!
In the evening that followed the
night I had the vision, I phoned up my mentor and spiritual father, Br Geoji T Samuel, (who is the elder at Christian Fellowship Church, Kottayam – www.cfckottayam.org and Senior Editor at Malayala
Manorama newspaper). He told me: “Three times in the last one week I spoke
at three different occasions that ‘we need professional psychiatric help for
this’ when different people approached us for different problems. So, brother, please do the specialization, be competent in the field and come back. The
church needs your service. One more thing: usually when I hear testimonies about visions and dreams, I feel a bit skeptical. But when I heard about your
experience, I felt so free in my spirit.” These words encouraged, blessed
and strengthened me tremendously.
Eventually, by the Lord’s grace, I joined in CMC, Vellore as Non PG, cleared
the entrance exams and did my DPM and MD in Psychiatry! Every day from April 20th
2009 proves to me my calling into this field! I can honestly say before the
Lord Jesus that I enjoy being a Psychiatrist, being an instrument in the Lord’s
hands to perceive the depths of agony and anguish in many minds, and to bring a
healing touch from the Lord in those numerous lives…
I am a witness to many miraculous recoveries, healings and deliverances
(including demons being cast out! https://sandeeppsychiatry.blogspot.com/2018/03/casting-out-of-demon-in-psychiatry-opd.html) in my practice of Psychiatry.
The very next day of my
receiving the appointment order and joining in the Department of Psychiatry
in CMC, Vellore, on May 23rd, 2009, Saturday morning, the Lord
paraphrased John 15: 16 from my daily
Bible meditation, like this: “You did not choose Psychiatry, but I chose it for you and appointed you that you should
go and bear fruit, that your fruit may remain, that whatever you ask of the Father in My name, He may give to you”. Looking back I am seeing the fruit
that remains. And I am expecting all the more fruit in the days to come,
leaning on the Lord’s marvelous mercies and abundant
grace!
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