A psychiatrist treats various psychological problems like anxiety disorders,depression, phobias, panic disorders, anger issues, alcohol and tobacco dependence, academic issues and various other issues. In fact the majority of the problems treated by psychiatrists the patient is in complete control of himself/herself and are holding successful and responsible jobs. The common stereotypical psychiatry patient depicted in movies and in the media form only a very minute percentage of patients seen by psychiatrists. You can consult a psychiatrist for even minor issues which might be troubling you and get suitable advice.

In India other specialty doctors give medications for psychological problems but please
remember that the exposure for psychiatry in MBBS and post graduation is very inadequate. In India often the exposure is only 1-2 months during their whole period of specialisation. A psychiatrist has a minimum of 2-5 yrs training experience in handling

psychological problems before he independently addresses the patient problems.If you have a problem with your electrical issues you do not consult a plumber.

Psychiatrists are the only mental health professionals who can prescribe medications for psychological problems. Not all medications given are life long, in fact the majority of
the patients treated for psychiatric problems get off their medications in due course of
time or are off medications when they are fine. Some patients may have to take medications for considerable periods of time and even lifelong but they form a smaller portion of the patients seen by psychiatrists.

Remember that many physical illnesses too need medication for lifelong diseases like diabetes, hypertension.

Psychiatrists prescribe a whole range of medications to patients. Please remember the
majority of the medications given are not addicting and can easily be stopped without
the patient feeling the craving for the medication or withdrawal symptoms. The medications which cause addiction belong to a group of medications called benzodiazepine which are used by psychiatrists for treating anxiety problems, disturbed sleep, aggression etc. They must be used continuously only for up to 4 weeks and then
tapered off and stopped. Other medications which can cause dependence are certain
stimulators used to treat attention deficit hyperactivity disorders like methylphenidate etc.

Remember doctors of other specialties also use benzodiazepines for various conditions
and psychological problems you might just not be aware of.

Always ask your doctor if the medications you are receiving can cause dependence. It is
your responsibility to ask as much as the doctors to tell you about the dependence potential of medications.

To answer this commonly asked question we will first have to define what cure means.

If we use the strictest definition that cure means the patient will not get the illness again in life then most of the illnesses do not have a cure. Eg> diabetes, hypertension,numerous neurological conditions like multiple sclerosis, strokes, motor neuron disease,dementia, etc

This is the same with psychiatrist illness.

Remember many patients can get an episode of a psychological illness and never get it
again if treated promptly and correctly, it is just very difficult to predict who would never get it again.

It is important to note that the quality of life for the patient and family members is much better when the psychological illness is treated rather than endured.

All medications given in allopathic medicine have side effects similar to psychiatric medication. Psychiatry medication does have side effects but you need not get them.Most of the side effects are minor and will go with time, some medications have more serious side effects like drop in the white cell count ( agranulocytosis), seizures, tardive
dyskinesia etc. Your doctor will monitor the side effects carefully when you are on such medications and will give you solutions if you suffer from the side effects.

The newer psychiatric medications have a very different side effect profile than the olderones and are considered to be safer than the older group. The trick is to give the right medication to the right patient.

Remember to ask for the side effect profile of the medications being given by doctors
and make an informed choice.

This is a common problem a lot of carers face. They are aware that the patient has a
psychological problem but is refusing help. There is no particular way to address the issue and multiple approaches can be used . Some of the ways are:

A) Get the patient to a doctor in context of the problem and defocus from the patient's
problem eg: marital problem with one partner not seeing his part in the issue get the
patient in context of the willing spouse.

B) Get a person who has some influence on the patient to speak to the patient

C)Tell the patient to consider one appointment with the psychiatrist and then give him the option to decide if he wants to go again or not.

D)Focus on the issue the patient is willing to work and not on the issues he does not want to Eg: he might want to consult for his anger issues and not on his sexual problems.

E)Patient feeling he has no problem ,itself can be a symptom of the illness (no insight) so do not spend time trying to convince the patient he has an illness.

F)If all methods fail and the patient is seriously ill you can seek help from the Indian mental health act where a patient can be admitted against his will to the hospital. Always use the least restrictive method first.Remember there is no one method to seek help but always focus on how to get the patient to the doctor and not on the problems you will face in the process. If you feel another method will work you can always try but consider the safety of the patient,yourself and the family.

G) Reasons for hospitalisation?
Majority of the patients suffering from psychiatry problems can be treated on an outpatient basis if they have good family support. However there are times when
hospitalisation is warranted. They are
1. If patient is suicidal and has active plans to do so
2. If patient has thoughts to harm others and has been violent
3. The symptoms of the illness are such that it is difficult to contain the patient at
home and he is wandering from place to place .
4. He continues in the same harmful behaviour eg: taking alcohol and drugs in spite of having received treatment.
5. Patient has a very poor support system

The psychiatrist does not need to know about all your childhood issues in the first
appointment. He will ask you only questions that are relevant to the current problem in
the first appointment. Childhood issues will be discussed only if therapy is advised. The
first appointment will take about 25mins t0 half an hour in most cases. He will speak to
your family member if available, alone if needed. In case you would like to speak to the
psychiatrist alone you can always request for the same. Confidentiality will be
maintained.

There are many kinds of therapies like brief dynamic therapy, cognitive behaviour therapy, marital therapy etc. All therapies are good when used by trained therapists.Remember for therapies to work the patient must be willing to work through the process and follow the instructions given by the therapist.