Despite societal expectations that having a baby should be a completely joyful experience, many women are ambivalent about the birth experience. Some women are not prepared for the postpartum blues, nor are they aware of the risk of postpartum depression or psychosis. Women who unexpectedly develop postpartum blues may find her experiencing guilt, concern, or fear that having the baby was a mistake. These fears may worsen if the women's partner is not supportive and if there are no close relatives or friends to give emotional and physical assistance after delivery. The purpose of this document is to discuss the postpartum psychiatric disorders and to help primary care physicians to recognize and manage the emotional and psychiatric problems that can occur in the postpartum period.Read More
Crisis intervention provides a theory and treatment model that can be readily applied to helping patients with their psycho-social problems. Patients entering crisis treatment should expect that they will be treated immediately and recover from crisis. Patients can be treated while living in their natural environment, and should be able to return to normal life as soon as possible. Mental health is a low priority in most countries around the world. Minimal research and resources have been invested in mental health at the national level. The document encourages mental health policy-makers to shift the responsibility to the primary care sector. Although professional training in mental health for primary care workers exists in many countries, it is not rigorously evaluated.Read More
Anxiety and depressive disorders are among the most common psychiatric disorders in the community. Both disorders are more common in women according to literature available from developed countries. In this report we will evaluate whether such a trend is also seen in India, and if it is, what could be the possible factors behind it. Before evaluating prevalence figures for a given disorder, it may be necessary to establish that the referents for the disorder are similar to the prototype across cultures as it was widely believed earlier that depression was less common in non- western cultures.Read More
When people think of mental health, a negative picture of madness or depression tends to come to mind. However, just as physical health creates an image of strength and vitality, mental health should be associated with strength of mind and vitality in the way that individuals interact with others and as they deal with the challenges of everyday life. Life skills education in schools enables children to protect and promote their own health and well-being. They must have the opportunity to practice such skills in the classroom as well as in homework assignments. Teaching methods therefore need to be interactive for learning such skills, rather than just acquiring knowledge.Read More
Posttraumatic stress disorder (PTSD) is a serious anxiety disorder triggered by the experience of trauma. One in 4 individuals exposed to trauma will develop PTSD. Victims of trauma are frequent users of health care, but screening is rarely done and most sequelae remain undetected. In recent years, it has become evident that PTSD is a major health concern both in United States and worldwide. It is a debilitating form of an anxiety disorder triggered by personal experience of serious trauma (e.g., sexual abuse or assault, victim of violent crime or severe motor vehicle accident). The course of untreated disease averages more than 5 years and may lead to additional psychiatric comorbidities, including a greatly increased risk of major depression and suicide. The medicines to treat PTSD with fewer side effects is a possibility and it remains an intriguing idea, and one that ushers in an era of effective drugs with much less side effects.Read More