Psychiatry and Society

Remember that sepia-tinted class photo someone posted in your social media group? The flurry of comments, the almost-audible laughter, the warm fuzzy feeling, and the wistfulness that followed? You were indulging in a spot of nostalgia – that bittersweet feeling of pleasure mixed with sadness as you think of happy times in the past. Nostalgia, literally meaning ‘ache for home’ , was described in the 17th century and was considered an illness - a form of melancholy. While it’s true that we tend to indulge in nostalgia when we are unhappy, lonely or anxious; and during times of change and uncertainty; we also know that this yearning for the past is a universal human experience. Across cultures, we experience and indulge in nostalgia, and researchers now understand that it can serve many useful purposes. It helps us overcome negative emotions.  The positive emotions evoked by our nostalgic memories help us overcome feelings of sadness or anxiety we may be experiencing currently....

Diet and Depression Depression diets were   first described in the 2nd millennium BCE. Special diets (including donkey’s milk!) were prescribed in ancient Greece and Rome; and nutritionists have since been looking for possible links between diet and depression. With 350 million sufferers globally; the search for effective treatment and prevention of depression is still on.  Link between diet and depression Many people with moderate and severe depression are known to consume food of poor nutritional quality. This is often due to the symptoms of depression itself; such as the loss of appetite; lack of interest in day to day activities; and lack of motivation for self-care. Age, living alone, irregular and hectic work schedules, socio-economic status, cultural and religious taboos may further affect the quality of the diet. The food we eat is broken down to its simplest forms in the intestines. The nutrients are then used to provide energy for the body and brain; and...

Dealing with grief is a process of acceptance Grief is the response to losing someone to death . All of us understand that death and loss of a loved one is a part of life. However, the reality of death often leads to feelings of shock, sadness and confusion. Acute grief occurs in the immediate aftermath of the loss. It is intensely painful characterised by sadness, crying, constant thoughts of the deceased, disturbed sleep, appetite and disinterest in one’s own self and others. In a majority of cases, this is followed by integrated or abiding grief in which memories of the loved one mingle with sadness and longing but it does not persistently occupy the mind or disrupt normal day-to day activities. “Well, everyone can master a grief but he that has it.” William Shakespeare. Much Ado About Nothing. III.ii.25 Loss through death affects each of us differently. How one feels depends on the nature and circumstances of the loss, one’s beliefs and religion, age, relationships and one’s ...

Chronic unstable mood with irritability and superimposed bouts of depression is a common form of bipolar II disorder or hypomania. Persons with this pattern of illness tend to have an unstable course and stormy interpersonal relationships. They also have more irritable and hostile hypomanic episodes. The classical Bipolar II disorder or hypomania of mild elevation of mood, sharpened and positive thinking, and increased energy and activity levels is less disruptive. Persons with this irritable type of hypomania and bipolar illness have unrealistically high expectactions of those with whom they interact; whether at the workplace, at home, or other casual day-to-day interactions. When these expectations are not met they pass on their irritation and negative mood to unsuspecting others. There is usually a grain of truth in their version of the incident, but the growing number of incidents with various people at all levels reduces their credibility. At the workplace they are fr...

Depressed mood or sadness lasting two weeks or more requires treatment. We all feel depressed, sad, or ‘blue’ occasionally. Moods and feelings change in response to events in our external environment. Usually depressive feelings or sadness last for a day or two; longer in case of loss or bereavement. However, if these feelings of sadness and hopelessness persist for more than 2 weeks and interfere with daily life, it indicates a clinical depression. Depression is the fourth highest contributor to the global burden of disease.  Clinical depression is a treatable illness. Many people never seek treatment due to lack of awareness, lack of access to mental health care, ignorance, or shame. Signs and Symptoms The hallmark of Clinical Depression is a pervasive depressed mood . This depressed mood is not responsive to positive events. There is associated slowness of thinking and movement; and there are thoughts related to guilt, self-blame, hopelessness and suicide . These f...