Psychiatry and Society

Avoiding social situations because they make you self conscious and anxious? You are likely to have a social phobia or social anxiety disorder. One in 10 persons experiences social phobia between the age of  9-33years. The incidence is highest in adolescence (Beesdo et al 2007). Men and women are equally likely to suffer. However, men are more likely to seek treatment when their performance at work is impaired. Social anxiety usually begins in childhood or early adolescence . There is often a history of childhood shyness. A stressor or humiliating social experience can precipitate the problem. In fact paediatric social phobia affects 5-10% of children. In children it is often associated with ADHD (Attention Deficit Hyperactivity Disorder), depression or separation anxiety disorder. Longstanding social phobia increases the risk of depression, substance abuse, and alcoholism later in adulthood. Recognising social phobia “My mind went blank during the interview. I break ...

Sleepless in Pune. Sleeplessness, disturbed sleep, and shift work related sleep problems are interfering with our citizens recovery after a hard days (nights) work. Insomnias and parasomnias are common sleep problems. Once recognised these are treatable. Does it take you more than 30 minutes to fall asleep at night? Do you wake up too early or frequently at night and have difficulty going back to sleep? Do you feel groggy and lethargic when you wake up? Do you feel drowsy during the day? Do you depend on coffee to get through the day? If you answer "yes" to any of the above questions; you have a sleep problem. You are not alone. 9-18% of adults suffer from treatable insomnia What is insomnia? The inability to fall asleep or remain asleep is insomnia (Latin for ‘no sleep’). In a broader sense insomnia is the inability to get the amount of sleep you need to wake up feeling refreshed. How much sleep do you need? As a rule of thumb an adult requires 7-...

Overexercising - obsessive weight-lifting or running, compulsive gym routines , or psychological dependence on exercise - is an illness. The health and fitness benefits of exercising are undeniable. However by overexercising the distorted pursuit of attractiveness takes precedence over fitness. Exercise addiction indicates a body image disorder ; a distortion of the individual's mental representation of his or her own body. When I first commented on this phenomenon in 2001 body image disorders were a rarity in India (Misquitta 2001). Pune is fascinated with its physique . Witness the mushrooming gyms and spas in every neighbourhood. Men dissatisfied with their appearance throng them to reduce or gain weight in pursuit of an ideal muscularity depicted on huge sports hoardings. An 18 year old ‘hunk’ is ashamed to wear T-shirts convinced his pectorals are too thin. He has no time to left to socialise at the end of his daily 5-hour workout. Women join gyms to lose weight and at...

Some relationships are characterised by conflict and strain and this can be detrimental to mental health in youth. Romantic relationships are important for mental health during the transition from adolescence to adulthood. Satisfaction in the relationship is strongly related to regard and empathy with the partner (Cramer 2003). Intimacy increases positive feelings in the relationship. The perceived quality of a relationship depends more on the presence of intimacy than on absence of conflict (Laurenceau 2005). We have already noted the various the reactions to breakup of relationships. We now take a look at some psychological aspects of conflict and strain in ongoing relationships of young persons. Gender aspects of ongoing relationships For a young woman an ongoing and current relationship is associated with feelings of psychological well-being. For her just being in a romantic relationship provides a social identity and increases feelings of self- worth. This need to be in...

Breakups in non-marital relationships are a source of stress in youth . Breakups are a major reason for self-referral at the Clinic. Stress arises from conflict in daily interaction between the couple and peaks at the time of breakup. The individual’s reaction to breakup of the relationship depends on his or her attachment style . Reactions to breakup depend on individual attachment style There are four attachment styles displayed in relationships . These attachment styles are delineated based on the individuals capacity for intimacy  (interest in and comfort with closeness and interdependence) and independence (less dependence on partner’s approval, and reduced anxiety about abandonment) (Bartholomew and Horowitz, 1991). How do individuals react during a breakup? Intense reactions occur in those individuals whose partners terminated the relationship, those who were more emotionally involved in the relationship, and those high in attachment anxiety. Emotionally secure i...