lakmesridhar

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About lakmesridhar

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  1. The other option is to contact television channels which do exposure programmes on such crook traders. They name and shame these people which is often necessary as it prevents more folks being conned.
  2. Have you considered the use of Mentalisation based treatment for borderline personality disorders? There is a practical guide written by A Bateman and P Fonagy. There are aspects of it one could use in sessions even if the professional is not trained in it.
  3. The CMC Vellore study was for rapid tranquilisation for patients in emergency settings and I do not think the population included those with intelluctual disabilities atleast not stated clearly in the clinical characteristics( infact 2 studies now). ALEXANDER, JACOB; THARYAN, PRATHAP; ADAMS, CLIVE; JOHN, THOMAS; MOL, CARINA; PHILIP, JONCY Rapid tranquillisation of violent or agitated patients in a psychiatric emergency setting: Pragmatic randomised trial of intramuscular lorazepam v. haloperidol plus promethazine. British Journal of Psychiatry. 185:63-69, July 2004. Raveendran, Nirmal S lecturer 1; Tharyan, Prathap professor 2; Alexander, Jacob lecturer 1; Adams, Clive Elliot associate professor 3; for the TREC-India II Collaborative Group Rapid tranquillisation in psychiatric emergency settings in India: pragmatic randomised controlled trial of intramuscular olanzapine versus intramuscular haloperidol plus promethazine. BMJ. 335(7625):865-872, October 27, 2007.
  4. I guess 1200 pounds is a lot of money to part with for a publication. But the other side to it is that it is a small price to pay in the larger scheme of things to get you on the publishing ladder. Based on the subject of your case report you might want to consider the subspeciality journals in that specific area(e.g. addictions for substance misuse related subject)
  5. I am not sure I would stop seeing this patient from now on but what would be more appropriate is making sure the patient understands that you are there as a therapist and you will not tolerate abuse. I am more concerned about the physical and verbal aggression she seems to be showing. I would want to know if this is a one off thing or is this a pattern or a sign of worsening mental state. I am sure you are looking at all this but just wanted to highlight.
  6. It is good to see that you are not letting this affect you too much and you are able to get on with your life. But on the other side of looking at risk assessment for this particular patient, I think it is important that this incident gets documented in the notes as it will caution people who are involved in the care plan in the future and also allow appropriate risk management to be put in place. Incident report is essential. You would be surprised how many of these are never documented and when a serious incident does happen, all these come out. I do not know what other people think, but in Psychiatry we are always more tolerant of these behaviours. Even if somebody is mentally unwell, I think they need to take responsibility for some of their behaviours which are not necessarily related to their illness.
  7. I gave my exam there last spring when it was the first time they were organising it there. The team who co-ordinated it were very friendly and supportive. They made sure we were relaxed, checked on us frequently and had refereshments ready all the time. It made a lot of difference to the experience. As somebody posted earlier, there was a mix of patients. I do not remember clearly if they had anybody with eating disorders on the day I took the exam. I remember I was clearly anxious they would have somebody with that or Personality disorder. I stayed at the Premier Travelinn at Kings Cross, very close to the station. It however was a fair bit by taxi to the venue. I chose this because I have stayed in travelinn and I am usually comfortable there. The nearest railway station to the exam center is walkable (at least 10 minutes) but if you have loads of stuff to carry, taxi might be an option. Let me know if you need any more info.
  8. I would agree with Pratish. Though I prefer to use ones that I have been most familiar with (Risperidone and Olanzapine), I often find myself in situations where I cannot use these as they have been tried before or patient preference/profile. I am tending to use quetiapine more lately, reasons: seen some patients respond to it, less issues with side effects like weight gain.
  9. Can you clarify if these instruments are applicable for adults also?
  10. Though I have never been a member,interestingly the letter invites me to rejoin . I wonder if these letters are being sent out now as many people have pulled out of their memberships.
  11. DD

    1. seizures 2. depressive episode 3. psychosocial issues
  12. info on exam centres here
  13. this thread has info about some of the centres
  14. Till the day human beings come up with answers to all questions, 'God' will exist. To me God is a phenomenon which might explain issues I do not understand and gives me relief to know that there is something/ someone to control the various events in this world. It is easier for me to pass the buck to Him when things do not go the way I planned. It is easier and more comfortable that way than to accept blame.
  15. http://www.livinglifetothefull.com/ This is a website run by Chris Williams, Psychiatrist from Glasgow. It is a very good self help resource for patients.