Rehabilitation Center Around Mumbai

Some illnesses in Psychiatry requires long term treatment ,in a private hospital it is very costly i have recently taken over a old age home in virar where i am helping these people to recover easily

Schizophrenia Rehabilitation

Stages of Rehabilitation

The psychotic stage

This involves hospitalization and a biological line of treatment.
Gentle reassurance and counselingThe patient and his relatives are explained the nature of the illness, the need for a gradual step–ladder approach to work, the fragility of the patient’s ego and the need for continued supervised medication.

Usage of simple capabilities and faculties

The patient is entrusted with easy work which involves usage of very simple abilities and takes to task his mechanical capabilities and rote functioning. Manual work involving sweeping, swabbing, cleaning, dusting, embroidery, stitching, packaging, counting or light duty work such as that of a security person, helper or clerk is allotted to the patients. This phase by and large does not take into account the intellectual or the decision–making or the memory faculties of the patient, even though the prior functioning before the onslaught of the illness may be that of a highly qualified person.

Part–time functioning with high schedules of reinforcement

The patient is involved in work patterns of schedules on a part–time basis viz. 2–3 hours per day as per the patient’s convenience viz. morning shift or afternoon shift. In this phase the patient is subjected to a lot of reinforcement or praise. Monetary payment or any other appropriate reward is made to him on a frequent basis, may be even daily. Often the reward or reinforcement may far surpass the actual quality or the quantum of work achieved, with the sole criterion of the reinforcement being to increase the patient’s confidence and instill in him/her the desire to keep functioning.

Full time functioning but still involving easy nature of work

This phase involves qualitatively the same easy work as before, but over a stretch of time and with monetary payment, reward or reinforcement being awarded on a fortnightly or a monthly basis.

Repeat reassurance and further counseling
The patient and his family members are gradually made to understand the need to give up the earlier mechanical work and seek an outlet in tune with the patient’s actual caliber and true potential.

Phase of intellectual workIn this phase

the patient is assigned work more in touch with his intellectual faculties e.g. a tutor, an accountant, an assistant to a specialized professional etc. If the patient himself is a doctor or a lawyer or a chartered accountant, then this phase may involve his taking up apprenticeship under other professionals with similar qualifications. Again, this phase wherever practical and feasible, should be in a protected environment with the patient being subjected to a lot of morale boosting and reinforcement, and his occasional mistakes and blunders being neglected and tided over by his superiors.

Phase of full utilization of patient’s potentialIn

this phase the patient does what he wants to do in any field of his choice, something which he would have done either way had he not been afflicted with the illness. The disclosure of the fact that he had a prior illness is made without any expectations of sympathy or adjustments. The duration of each phase of rehabilitation is not predetermined but instead is dependent upon the individual case, based on how stable the patient is in each phase. By and large, each phase may involve anywhere between 1 to 6 months. Medication may be added, or adjusted depending upon:

Clinical progress.

The re–immergence of psychotic features.
The need to treat concomitant post–psychotic depression.
The hampering of work caused by side–effects of medicines e.g. tremors or drowsiness. The psychotic stageThis involves hospitalization and a biological line of treatment.
Gentle reassurance and counselingThe patient and his relatives are explained the nature of the illness, the need for a gradual step–ladder approach to work, the fragility of the patient’s ego and the need for continued supervised medication.
Usage of simple capabilities and facultiesThe patient is entrusted with easy work which involves usage of very simple abilities and takes to task his mechanical capabilities and rote functioning. Manual work involving sweeping, swabbing, cleaning, dusting, embroidery, stitching, packaging, counting or light duty work such as that of a security person, helper or clerk is allotted to the patients. This phase by and large does not take into account the intellectual or the decision–making or the memory faculties of the patient, even though the prior functioning before the onslaught of the illness may be that of a highly qualified person.
Part–time functioning with high schedules of reinforcementThe patient is involved in work patterns of schedules on a part–time basis viz. 2–3 hours per day as per the patient’s convenience viz. morning shift or afternoon shift. In this phase the patient is subjected to a lot of reinforcement or praise. Monetary payment or any other appropriate reward is made to him on a frequent basis, may be even daily. Often the reward or reinforcement may far surpass the actual quality or the quantum of work achieved, with the sole criterion of the reinforcement being to increase the patient’s confidence and instill in him/her the desire to keep functioning.
Full time functioning but still involving easy nature of workThis phase involves qualitatively the same easy work as before, but over a stretch of time and with monetary payment, reward or reinforcement being awarded on a fortnightly or a monthly basis.
Repeat reassurance and further counselingThe patient and his family members are gradually made to understand the need to give up the earlier mechanical work and seek an outlet in tune with the patient’s actual caliber and true potential.
Phase of intellectual workIn this phase the patient is assigned work more in touch with his intellectual faculties e.g. a tutor, an accountant, an assistant to a specialized professional etc. If the patient himself is a doctor or a lawyer or a chartered accountant, then this phase may involve his taking up apprenticeship under other professionals with similar qualifications. Again, this phase wherever practical and feasible, should be in a protected environment with the patient being subjected to a lot of morale boosting and reinforcement, and his occasional mistakes and blunders being neglected and tided over by his superiors.
Phase of full utilization of patient’s potentialIn this phase the patient does what he wants to do in any field of his choice, something which he would have done either way had he not been afflicted with the illness. The disclosure of the fact that he had a prior illness is made without any expectations of sympathy or adjustments. The duration of each phase of rehabilitation is not predetermined but instead is dependent upon the individual case, based on how stable the patient is in each phase. By and large, each phase may involve anywhere between 1 to 6 months. Medication may be added, or adjusted depending upon:
Clinical progress.
The re–immergence of psychotic features.
The need to treat concomitant post–psychotic depression.
The hampering of work caused by side–effects of medicines e.g. tremors or drowsiness.

Childrens in Depression

Not only adults become depressed. Children and teenagers also may have depression, as well. The good news is that depression is a treatable illness. Depression is defined as an illness when the feelings of depression persist and interfere with a child or adolescent’s ability to function.
About 5 percent of children and adolescents in the general population suffer from depression at any given point in time. Children under stress, who experience loss, or who have attentional, learning, conduct or anxiety disorders are at a higher risk for depression. Depression also tends to run in families.
The behavior of depressed children and teenagers may differ from the behavior of depressed adults. Child and adolescent psychiatrists advise parents to be aware of signs of depression in their youngsters.
If one or more of these signs of depression persist, parents should seek help:
Frequent sadness, tearfulness, crying
Decreased interest in activities; or inability to enjoy previously favorite activities
Hopelessness
Persistent boredom; low energy
Social isolation, poor communication
Low self esteem and guilt
Extreme sensitivity to rejection or failure
Increased irritability, anger, or hostility
Difficulty with relationships
Frequent complaints of physical illnesses such as headaches and stomachaches
Frequent absences from school or poor performance in school
Poor concentration
A major change in eating and/or sleeping patterns
Talk of or efforts to run away from home
Thoughts or expressions of suicide or self destructive behavior
A child who used to play often with friends may now spend most of the time alone and without interests. Things that were once fun now bring little joy to the depressed child. Children and adolescents who are depressed may say they want to be dead or may talk about suicide. Depressed children and adolescents are at increased risk for committing suicide. Depressed adolescents may abuse alcohol or other drugs as a way of trying to feel better.
Children and adolescents who cause trouble at home or at school may also be suffering from depression. Because the youngster may not always seem sad, parents and teachers may not realize that troublesome behavior is a sign of depression. When asked directly, these children can sometimes state they are unhappy or sad.Early diagnosis and treatment are essential for depressed children. Depression is a real illness that requires professional help. Comprehensive treatment often includes both individual and family therapy. For example, cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) are forms of individual therapy shown to be effective in treating depression. Treatment may also include the use of antidepressant medication. For help, parents should ask their physician to refer them to a qualified mental health professional, who can diagnose and treat depression in children and