My MD Psychiatry thesis was with teenagers living with unmedicated ADHD, and as someone who has worked with >100s of such kids, and eventually plenty adults to form an opinion, let me tell you my experience as a doctor, therapist, and observer of over 3 years of ADHD meds: 1) adults who were struggling in their drop years for JEE and NEET, had extremely low self esteem for being top scorers during school but failures in such exams, finally made it to government/private medical-engineering colleges (NO, they did not suddenly get AIR 1) 2) adults who grew up with undiagnosed and unmedicated ADHD now presented with moderate-severe personality disorder diagnosis. Medicating them FOR ADHD helped lessen the symptoms of personality disorder without using antipsychotics or mood stabilisers (especially borderline personality disorder AND self harm) 3) smoother romantic relationships for the adults on medications, after consistently feeling that they ruined every relationship they touched, they finally had something stable, and better relationship with food too (even though its well known that methylphenidate causes appetite loss- these people were now ATLEAST able to remember to have food timely, meal prep, calorie prep, etc.). Consistency>chaos FINALLY 4) teenagers were finally NOT getting beaten up at school and at home for leaving homework unfinished or for causing chaos or for running around in class 5) their C and D grades were finally jumping off to Bs. A few subjects had As too but I wouldnt want to exaggerate. The parents however, would often thank me and cry in the OPD. 6) someone who could barely get 50% marks eventually got >80% in 10th boards with 2 years of treatment and therapy! 7) cigarette use, alcohol use, marijuana use came down! I could go on, the differences with and without medications were life changing for ALMOST ALL. Addictive substances on the other hand RUINS academics, relationships, self, and everything in between. I cannot say I am addicted to food. Even though since I was born, I have been developing tolerance to how much joy i get from tasty food, after 4-5 hours I start feeling hungry for food (withdrawals), and everytime I watch someone eat a delicious meal, I too want to have it (craving). Sometimes I eat food in the middle of a hectic OPD or class (loss of control). I also enjoy icecreams when I have a sore throat despite it worsening my health (use despite harm). And many days, I cannot stop thinking about what tasty food I will eat once I reach home, there have been instances when I go get food in the middle of work (salience). According to ICD-10 criteria, I should be addicted to food. MAKE IT MAKE SENSE. YOU CANNOT.

What do you expect a GP to do? Help you get a Job? Talk to your father that abused you ? Help you study for exams? Their options are refer to therapy and medication (after considering other medical causes)

50 year old grandma outside labor room when her 30 year old daughter inlaw births 5th grand-daughter 😀

😂😂

For people in branches with a lot of sedentary work (radiology, psychiatry, dermatology, pathology etc) who want to get fitter but dont know where to start from, give this heartfelt writeup a read! My consultant(who was my first senior resident in postgraduation!) lost 16kgs over a period of 12 months. Through sheer will (and cardio). From 83Kgs —> 67 Kgs 🙏🏻 @Rahul17Mathur 365 Days. 10,000 Steps. Zero Breaks. medium.com/@rahulmathur_1693…

Thats how i realised id joined the right department😭😂

When i joined my department Every🫩single🫩senior🫩had🫩a🫩तोंद 🫩

This is so embarrassing please 😭 😭 Sense and sensibility WHERE? 😭

My Schengen Visa photo is the reason I am unable to stay humble

#Smallville premiered 25 years ago, when its pilot episode aired on this date Oct. 16, 2001 on The WB. #Smallville25 #SV25

Often the self-proclaimed “self-aware” people use rationalization and psychobabble as an excuse for genuine insight. Everyone has blind spots when looking inward. That’s why therapists go to therapy.

"It is difficult to recognize a pattern when you're immersed in it" – David Olds on 'decentering' for insight. For example, we thought with reasonable confidence that the earth is the centre of the solar system. Some geniuses could work out the truth by complex calculations – and still many would doubt it. But even an average individual who is in a 'decentered' position outside the solar system could see the true pattern in an instant!

He’s unhinged

1) you are self aware. You have found reasonable reasons as to why you behave or feel a certain way in certain situations 2) yet you are miserable. If you werent- would you need to look up therapy? You wouldnt! 3) if you know your patterns, if youre reasonably happy and satisfied with your life, if youre functioning well, why do you need a therapist? I wouldnt spend on an asthma pump if i DONT have asthma! 4) If you ARE NOT well- then clearly there are certain things you can be helped with. By a therapist, a psychiatrist, a coach, a psychosocial worker, a friend. In a random order of severity and needs.

The part she is unhappy about is- you did not give your saree to her to dress up in and as Natasha! Maitreyee and team gave her credits. She wanted herself to be casted for the role, in the saree!

Jake was ahead of his time

“I am clearly so much smarter than the therapist heh! 😏” “The therapist looks AND sounds stupid 😏” Meanwhile your life is falling apart and you still refuse to acknowledge that its YOU who is responsible for that. You refuse to acknowledge that your IQ has not saved you from unhappiness, loneliness, or disappointment. Or any of the xyz problems you may have. The person sitting on the couch need not be “stupider” than the therapist- just willing to explore and find solutions together.