Indian Journal of Psychiatry

Articles from Vol. 54, No. 3, July-September

A Comparative Study of Caregiver Burden in Psychiatric Illness and Chronic Medical Illness
Byline: Prasanth. Ampalam, Sasidhar. Gunturu, V. Padma Background: Caregivers of individuals suffering from psychiatric illness are at risk of being subjected to mental health consequences such as depression, anxiety and burnout. Community-based...
Adult Rumination Syndrome: Differentiation from Psychogenic Intractable Vomiting
Byline: Ravi. Gupta, Mukesh. Kalla, Jugal. Gupta Rumination syndrome is known to exist in infants and mentally retarded adults since long time. In past few years, some reports appeared that showed its existence in adult patients also. It is frequently...
Alcohol Dependence Syndrome: Postural Challenge on Heart Rate Variability
Byline: S. Sucharita, Johnson. Pradeep, Anoop. Vincent, M. Vaz, K. Srinivasan Background: Cardiac autonomic involvement in Alcohol-Dependence Syndrome (ADS) patients has been demonstrated using conventional autonomic tests. Resting heart rate variability...
Allure of Dice
Byline: Sanju. George This poem paints the picture of a gambling addict who narrates his story in the course of a psychiatric consultation. Dad gambled He lost, he lost His life ruined, chasing the Win Didn't live to see one Drowned...
Atypical Antipsychotics Usage in Long-Term Follow-Up of First Episode Schizophrenia
Byline: Amresh. Shrivastava, Megan. Johnston, Kristen. Terpstra, Larry. Stitt, Nilesh. Shah Background: It is not clear if the role of antipsychotics in long-term clinical and functional recovery from schizophrenia is correlated. The pattern of...
Care Giver's Reaction after Covert Action
Byline: Nirmala. Srinivasan Using the metaphor of confession in Christianity, this article explores the dilemma of a care giver in handling a non -compliant patient; suggests a solution by legalizing covert medication. This is in response to...
Covert Medication: Do Means Justify the Ends?
Byline: T. Sathyanarayana Rao, Roy. Kallilvayalil, Chittaranjan. Andrade This issue of the Indian Journal of Psychiatry brings to readers a vigorous debate on the covert or surreptitious medication of difficult patients with major mental illness....
Covert Medication - Multiple Situations, Varied Options
Byline: R. Murthy Mental health interventions in low and middle income countries, with limited resources of human and other resources, requires that they be viewed from multiple viewpoints. This applies to the issue of covert medication, which on...
Covert Medication; the Last Option: A Case for Taking It out of the Closet and Using It Selectively
Byline: A. Kala Covert medication is the practice of hiding medication in food or beverages so that it goes undetected. Tablets may be crushed or liquid forms of medication may be used for patients who are either not in a position to give consent...
Dysphagia in a Psychotic Patient: Diagnostic Challenges and a Systematic Management Approach
Byline: Ramanaganga. Baheshree, Suganthan. Jonas Dysphagia can be due to a variety of causes in a psychotic patient. It could be a side-effect of anti-psychotic medication or the manifestation of a psychotic phenomenon or even due to a co-morbid...
Factor Analysis of Positive and Negative Syndrome Scale in Schizophrenia: An Exploratory Study
Byline: Ajay. Kumar, C. R. J.. Khess Background: Controversy persists with regard to how best we can categorize symptomatic dimension of Schizophrenia. Aim of the study was to compute factorial dimensions in Indian subset of schizophrenic patients...
On Covert Medication: The Issues Involved
Byline: Alok. Sarin A response to Kala's article on covert medication. This discusses the issue of covert medication from points of view of autonomy, insight, legality, liability and good practice. Introduction Many thanks are due to Kala...
On Psychiatric Wills and the Ulysses Clause: The Advance Directive in Psychiatry
Byline: Alok. Sarin Poised as we are, with the new Mental Health Care Bill very much on the cards and waiting to go Parliament, it may be wise to reflect on at least some of the provisions of the Bill which may not have received the thought or consideration...
On the Need to Have "Rules" to Regulate Covert Medication
Byline: James. Antony Exhorting psychiatrists to use covert medication is not right. Unlike in pediatrics and geriatrics, a small section of schizophrenics and mood disorder patients with full awareness of their legal rights, vehemently refuse medications....
Pathogenetic and Therapeutic Perspectives on Neurocognitive Models in Psychiatry: A Synthesis of Behavioral, Brain Imaging, and Biological Studies
Byline: Naren. Rao Neurocognitive assessments are useful to determine the locus of insult as well as functional capacities of patients on treatment. In psychiatry, neurocognitive assessment is useful in the identification of brain lesions, evaluation...
Plica Neuropathica (Polonica) in Schizophrenia
Byline: P. Suresh Kuma, V. Rajmohan Plica neuropathica (Polonica) is a common but rarely reported scalp hair condition. In this condition the hairs of scalp in a localized area is compacted into irregularly twisted, irreversibly entangled plaits....
Prevalence of Depression and Its Associated Factors Using Beck Depression Inventory among Students of a Medical College in Karnataka
Byline: Ganesh. Kumar, Animesh. Jain, Supriya. Hegde Background and Objective: Depression among medical students is an area of increasing concern worldwide. This study aimed to assess the prevalence of depression and its associated factors among...
Psychiatric Symptomatology, Scholastics, and Phenytoin
Byline: A. Pandey, Sanjay. Gupta Phenytoin is a commonly used antiepileptic medication because of its easy accessibility as well as affordability. However, scientific literature shows various types of side effects of phenytoin. We report a patient...
Role of Antioxidants in Generalised Anxiety Disorder and Depression
Byline: Medhavi. Gautam, Mukta. Agrawal, Manaswi. Gautam, Praveen. Sharma, Anita. Gautam, Shiv. Gautam Background: Anxiety and depression form commonest stress-induced psychiatric disorders. To combat the biochemical changes which occur as a result...
Surreptitious Practices in the Management of Persons with Serious Mental Illnesses - Perspectives from the Schizophrenia Research Foundation
Byline: Padmavati. Ramachandran, Thara. Rangaswamy The aim of this communication is to briefly describe the surreptitious practices and management of non-adherence, observed at the services offered by the Schizophrenia Research Foundation. Screening...
The Importance of Psychiatry in Undergraduate Medical Education in India
Byline: Roy. Kallivayalil "It is impossible for the part to be well, if the whole is not well"- Socrates What Socrates said several centuries ago has become even more relevant in this era of specialization and super-specialization in medicine....
Therapeutic Efficacy of Add-On Yogasana Intervention in Stabilized Outpatient Schizophrenia: Randomized Controlled Comparison with Exercise and Waitlist
Byline: Shivarama. Varambally, B. Gangadhar, Jagadisha. Thirthalli, Aarti. Jagannathan, Santosh. Kumar, G. Venkatasubramanian, D. Muralidhar, D. Subbakrishna, H. Nagendra Background: Schizophrenia is a highly disabling illness. Previous studies...
The Unknown User: Covert Medication; My User Experience
Byline: Tilak. Srinivasan In this article, the author shares his experiences as a user of psychiatric medication administered surreptitiously. As a user undergoing rehabilitation under the auspices of a premier mental health institute at Bangalore,...
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