Ego/superego

id-want to go out with friends,movies etc

ego-its not the right time for worldly pleasures since many exams are fast approaching

superego-wont affect my moral consciousness though..

had an awesome psychiatry class[i mean actual classroom class not sessions] this week..just loved it...subj looks nice in the books.

p.s-

just got my net conn back..

ANy one been to inception??....

life @ new home is quite diffn...its an apartment with many children around [who scream all the time] and nosy old ladies...

one of my friends working in PHC is being transferred from his work place for his honesty...am sorry for him and have advised to be less sincere next time..

i just love this..Kangna by Dr Zueus..good old punjabi pop songs [almost extinct now days]

EGO defence mechanism...

in Psychiatry theres something called Ego defense mechanism which are psychological strategies brought into play by various entities to cope with reality and to maintain self-image. Healthy persons normally use different defenses throughout life.Defense Mechanisms is to protect the mind/self/ego from anxiety, social sanctions or to provide a refuge from a situation with which one cannot currently cope.

Sublimation is one such kind[class 4 type] where there is Transformation of negative emotions or instincts into positive actions, behavior, or emotion...like a person loving nude/porn expresses it as a photographer or a painter[one famous painter here in India frequently does that]!!...

actually i loved this concept and have been really fascinated to do more research on it!!

common drug

diagnosis-schizophrenia
drug prescribed-risperidone,

diagnosis-alcoholic hallucinations
drug prescribed-risperidone

diagnosis-ADHD
drug prescribed-risperidone

think every tom dick and harry who comes to opd here with psychotic symptoms is given only this medicine!!...

p.s-actually am not in a position to judge this subject so early...!!!

non stop duty

went for duty work on monday morning...returned home today morning.....totally 24hrs duty....this will be our routine once a week[opd days] for atleast 4months from now on.....

tc bye guys...duty time!;)

The ugly duckling syndrome

"The Ugly Duckling" tells the story of a cygnet ostracized by his fellow barnyard fowl because of his perceived homeliness. To his delight (and to the surprise of others), he matures into a graceful swan, the most beautiful bird of all. With "Thumbelina" and other tales, "The Ugly Duckling" demonstrates Andersen's identification with, and his sympathies for, the 'outsider' searching for his or her place in society.

this is in particularly true to those who get affected due a genetic cause[downs,albinos] like one patient who had this rare skin disorder[called xeroderma pigmentosa] coz of which her skin texture was completely lost and was discarded by her own father[due to nonacceptance] and hence come to our department for psychiatric evaluation.
p.s- but the truth is its her father who needed this and unfortunately no one here[in govn hosp] has the time and patience to do that.

reality

after working in this department for 4 days i have realized one bitter truth...never like any subject theoretically for its practical aspects will be entirely different and in the end may disappoint you...to succeed here[in psych] u really need lots of patience[which i think i don't have] and a strong mind to cope with all the abnormal people u come across...
hope in the coming days at least i really enjoy working here..

p.s- cases seen so far
schizophrenia
alcohol dependence[every 5th person]
depression[every alternate person]
delusions[of infidelity,commonest type]
anxiety disorders[exams,work related]
impotence[obvious!]
and bipolar illness

Quotes

If you talk to God, you are praying; if God talks to you, you have schizophrenia
-a psychiatrist

a psychiatric case

history elicited from a patient in opd today-

"it started about 5 years back when i started hearing people conspire against me and when i got up[he was asleep then] looking out for him there was no one around or inside my house...since then am having this symptom quite frequently where i hear 2 people talk abt me.Even my wife is involved in this[he was damn sure about this] and i firmly believe that she has an affair with my employer .All 3 of them[wife,employer and his father in law] are together now and are conspiring to take away my property[17acres] and sometimes even control my thoughts..regarding this i have approached both police and lawyers and none of them are willing to help me"

this is a classical case of Schizophrenia where the persons reality gets affected....here in this case he had 3 of the 4 classical symptoms[called first rank symptoms]-Auditory hallucinations[hearing voices],Control thoughts and Delusion[false belief tht his wife is having an affair also called as othello syndrome].

p.s-watch "a beautiful mind" movie which is based on this disorder

@ home,stipend

finally at home..pavgada posting is over[and hence my rurals] and am so relieved and happy but at the same time sad coz it was such a nice place and i really enjoyed staying there...[not much work,free food and u can study a lot!!]
From saturday i have med postings which begins with psychiatry for the first 15 days...am really looking forward to this since i have kept an option open to psychiatry for my pg...working practically now in the department will surely expose me to its real pros and cons and will definitely help me in my decision making later.

p.s-My first stipend got released few days back.. am so happy...:)...this is my first earning in my life and the best part is that my whole mbbs expenditure will be given back to me in the form of this salary!!..that's the price u get for studying a govn college[of course u shd work ur ass off to get into it!!:)]