Dr. Sudheendra

Doctor, psychiatrist, Addiction medicine specialist. Interest in food, travel, cycling..

[Dr. Sudheendra @docsudhee]

@ndtv Illness anxiety or hypochondriacal anxiety wherein a person has irrational fear of acquiring illness which can be intense to the extent reassurance may not work. Psychiatrist referral may have saved his life..

[Ashwini Vaishnaw @AshwiniVaishnaw]

The Promotion and Regulation of Online Gaming Bill, 2025 passed by the Parliament.

The Bill takes a balanced approach – promoting what’s good, prohibiting what’s harmful for middle-class and youth.

Here’s a quick explainer 👇🧵

[Dr. Sudheendra @docsudhee]

Each consultation requires time and skill. Doctors trade this to provide service and earn their livelihood.There are unlimited calls and queries from pts & relatives which are never charged. In India healthcare is highly accessible and cheap which is not valued. Hence such tweets

[Dr Debanjan Banerjee @DrDebanjanBane1]

#ElectroconvulsiveTherapy (ECT) is one of the most effective, safe and evidence-based treatments in #psychiatry

Back at @NIMHANS_BLR, we made this short film for patient education and countering the myths

https://t.co/bpMmprd0Ex

Special Thanks
@CerebralWizard @docsudhee

[NIMHANS, Bengaluru @NIMHANS_BLR]

NIMHANS bags the Nelson Mandela Award for Health Promotion, 2024 by the World Health Organization. Director @pratimamurthy receives the award at Geneva @WHO. This is a testament of our continued efforts & dedication in patient care in the area of mental health & neurosciences.

[DogeDesigner @cb_doge]

The first human Neuralink patient, who is paralysed, is able to control a computer and play chess just by thinking.

[Team TotalEnergies @TeamTotalEnrg]

🗣️🎤 « Last race on the road… »

[Toby Pillinger @tobypill]

Our @TheLancetPsych paper describes a digital tool https://t.co/jfchQvzQwB that facilitates evidence-based, personalised, and collaborative antidepressant and antipsychotic prescribing based on medication side-effects.

https://t.co/AxkPZdKFp3

1/n

[Dr. Sudheendra @docsudhee]

@drpraveenpsy Very true

[Time-lapse @SynapseDot]

The glorious careers of many professors in Indian Medical Colleges rests on fragile foundation of cooked up dissertations, manipulated datas, projects whose end results are already decided, at the cost of intellectual corruption & wastage of precious time of 100's of residents.

[thinkchangeforum @thinkchangefor]

This important discussion goes live today. Watch this space for the link

#addiction #drugabuse #vaping

[Dr. Sudheendra @docsudhee]

Also in many cases structured environment and intelligence can mask symptoms in childhood or early adolescence , which are not noticeable till they reach graduation or get into jobs..

[Dr. Sudheendra @docsudhee]

Very informative thread on ADHD. Many adults are also misdiagnosed and don't receive treatment due to lack of awareness and masking of symptoms due to other psychiatric co-morbidities,however core symptoms are persistent & manifest irrespective of mood/anxiety states.

[Anirudh Kala @anikala]

(mental health awareness series)

The Child Who Does Not Sit Still and is quite a Handful.
ADHD

Attention Deficit Hyperactivity Disorder is the most common psychiatric diagnosis made in children. The two important components of ADHD are: -
a) psychological inattentiveness and b) motor hyperactivity.

The intelligence is typically normal. 3-5% of all children have ADHD and it is mostly diagnosed between 3-5 years of age. Most children mature out of it after adolescence, but some do carry it into adulthood.

The three types of ADHD are
a) predominantly hyperactive, fidgety type,

b) predominantly inattentive, dreamy type and
c) combination of both.
The last is the commonest. Boys present more with hyperactivity and girls more with inattentiveness. As hyperactivity is more disruptive, boys are brought into treatment more commonly and earlier. Hyperactivity leads to disturbance at school and at home; and inattentiveness to not being able to concentrate and learn and a result lagging behind inspite of normal intelligence.
The hyperactive child fidgets and squirms when seated. In class, he keeps moving from his seat on the pretext of borrowing things from his class fellows and every now and repeatedly asks for permission to use the washroom. These children have difficulty in engaging quietly in play or a leisure activity. They are always on the go and act as if ‘driven by a motor’. In a shopping mall sometimes, we see a five-year-old going up alone in an escalator chased by a harried mother several steps down. The mothers typically are anxious and thin from all the running around. The children often walk in the direction of blinking lights or any source of excitement and are liable to get lost.
The predominantly ‘in-attentive type’ children fail to give full attention to details and make careless mistakes in schoolwork and homework. The child has difficulty in sustaining attention in tasks, often does not seem to listen when called, even when sitting next and seems forgetful in daily activities.

However, memory itself is normal. To recall something from memory the event must be first registered. If at the time of the event, the attention is somewhere else it does not get registered and so cannot be recalled. In the caricature of the ‘absent minded professor’ the professor is not forgetful; he is just inattentive.
Aggressive behaviour and conduct disorders sometimes supervene, in the hyperactive category and make the picture complex. The hyperactive kid get into fights, beats, and get beaten. I saw a kid years back, who to keep himself away from fights, would kill insects and lizards and pin those to curtains, spooking the parents.
ADHD is now believed to be a neuro-developmental illness with a delayed maturity of only certain functions. Environmental factors like a chaotic childhood with a lot of people coming and going have also been cited as a factor.
Most of us, when sitting in a restaurant and absorbed in a conversation, are oblivious of the sounds and the activity around us and do not look up even if people pass by our table. Just for the sake of understanding, let us assume that this happens because our brain has some ‘gating mechanism’ which screens out these irrelevant stimuli so we can concentrate on the task at hand. In these children, to carry the analogy further these gating mechanisms develop late and till then, so to speak they are at the mercy of environmental stimuli, whether it is the sound of cutlery from a distant table or the entrance door opening.
Treatment is with both medication and behaviour therapy along with parental counselling. Paradoxically the stimulants make these kids less hyperactive. It happens because the stimulants increase attention and concentration. That is why older students during exams take stimulants when they must study hard, in addition to for their alerting effect. Non-stimulant medications are also there.
In adult ADHD the hyperactivity mellows down or turns into restlessness but the inattentiveness persists. Mind of these people, while listening to somebody even in a one-to-one situation.
In adult ADHD the hyperactivity has mellowed down or it turns into restlessness but the inattentiveness persists. Mind of these people, while listening to somebody even in a one-to-one situation drifts off and after a couple of minutes when they manage to snap back have just a hazy clue of what was told. In managerial circles would be classified as having poor listening skills. However, they are aware of it; they just do not know it is a disorder. Their seniors put it down to carelessness. There is believed to be an association between adult ADHD and substance use disorders.
Psychiatrists have been blamed by the Antipsychiatry lobby to “pathologize naughtiness in children, label it ADHD and give them medication un- necessarily.”
However naughty or badly behaved children are different from ADHD children. They have a say in the matter, and they can behave well when they want to while children with ADHD cannot, even when they want to and sometimes during therapy, they tell you this with tears in their eyes.

[Dr. Sudheendra @docsudhee]

Amazing feature. Another epidemic of behavioural addictions, human to human communication issues to follow.

[Tim Cook @tim_cook]

Welcome to the era of spatial computing with Apple Vision Pro. You’ve never seen anything like this before!

[Mark Wlosinski @LTI_finance]

Apple just announced its first major new product since 2015.

Introducing the groundbreaking AR headset ‘Apple Vision Pro’

Here’s some of its most amazing features:

[Dr. Sudheendra @docsudhee]

@narasimha1988 @deoghar_aiims @NarendraKArora @pratimamurthy @drsaurabh68 @vknNIMHANS_ECHO @lekhanshshukla @doc_santanu Congratulations narasimha. Well deserved

[CLEAR Drugs Policy Reform @CLEARdrugpolicy]

Devastating news that today we have lost Raphael Mechoulam, the Israeli scientist who was the founder of modern #cannabis science and discovered the endocannabinoid system. He was still working until recently at the age of 93. #RIP #legend #drugspolicy https://t.co/WPq5yg11RR

[Peter Reynolds @TweeterReynolds]

Devastating news that today we have lost Raphael Mechoulam, the Israeli scientist who was the founder of modern #cannabis science and discovered the endocannabinoid system. He was still working until recently at the age of 93. #RIP #legend #drugspolicy https://t.co/IiztJS8D9h

[Dr. Sudheendra @docsudhee]

@Theholisticpsyc 'Being addicted to Cortisol' such condition doesn't exist. If someone presents with symptoms like you described test for ADHD.

[Nirmala Sitharaman @nsitharaman]

“…the success of India's vaccination programme…the country was able to deliver on all three 'As' - Availability, Access, and Affordability…home to one-sixth of the global population, but barely $2,500 in per capita…(GDP), this has been no mean feat.” https://t.co/QlGYvX85gm