rupinder kapur

small town Psychiatrist

[rupinder kapur @rupenk]

@IndiGo6E Dear sir, are senior citizens who avail concession are second hand citizens. My fight for 22nd March, PNR RPGHFH, is not being cancelled. Does it mean that those with concessional tickets can't cancel tickets and forced to fly during Janta Curfew

[rupinder kapur @rupenk]

@grok @iamakshay_007 @The_Nehru Can you please share the video of the speech

[rupinder kapur @rupenk]

I know the feelings of a treating psychiatrist when he sees a mother a father or sister or brother get well and take back charge of their lives. That's our reward and our source of happiness

[Om Prakash, MD @ompsychiatrist]

More than 25 years in psychiatry has taught me something simple.

I've seen a young mother with severe depression stop eating and become unable to care for her children. A week after starting the right treatment, she was eating again, looking after her family, and beginning to feel like herself.

I've seen a man tormented by hallucinations for years. With the right medication, the voices faded, he returned to work, and rebuilt relationships that had nearly been lost.

Not every patient improves this quickly. Not every treatment works the first time. But in countless cases, medication has been the turning point.

I don't need a debate to convince me of that. I've watched it happen.

[rupinder kapur @rupenk]

@PTI_News Speaking as psychiatrist,l would like to know what drugs are called schizophrenic drugs.
Schizophrenia is a diagnosis.
Druga are never called schizophrenic.
And just by claiming that she was on drugs is not conclusive

[Om Prakash, MD @ompsychiatrist]

Are you depressed?

[rupinder kapur @rupenk]

@ompsychiatrist I can't understand why we are stretching this thread with a mere psychologist.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin Why reply to a confused mass of protoplasm

[rupinder kapur @rupenk]

@DrMcFillin So are you

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin I think its childish in engaging in a discussion with a psychologist who doesn't even know the basics of the brain structure and pathophysiology

[rupinder kapur @rupenk]

@DrMcFillin Please define id, ego and superego.
Let's see how clear your human psychology basis are

[rupinder kapur @rupenk]

@DrMcFillin Framing depression purely as ego or belief may sound appealing philosophically, but it risks invalidating suffering and delaying effective, evidence-based care.

[rupinder kapur @rupenk]

@DrMcFillin Clinical outcomes matter — untreated depression is associated with impaired functioning, increased morbidity, and a significantly elevated risk of suicide.

Psychological and social factors contribute, but they do not negate the biological and clinical reality of the disorder.

[rupinder kapur @rupenk]

@DrMcFillin Neurobiological changes are well documented — involving dysregulation of neurotransmitters, altered stress response (HPA axis), and structural/functional brain changes.

[rupinder kapur @rupenk]

@DrMcFillin Depression is a recognized medical disorder, classified in both the DSM-5 and ICD-11, based on consistent symptom clusters, course, and response to treatment.

[rupinder kapur @rupenk]

@DrMcFillin Depression is not just a “mindset problem.” That position doesn’t hold up clinically or biologically.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin If a suicidal patient walks in after losing everything, they don’t need philosophy.
They need care, safety, and treatment.

Telling them to “just awaken” isn’t insight.
It risks leaving them alone in an illness that is treatable—and sometimes fatal if ignored.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin They don’t replace therapy.
They often make therapy possible.
We don’t tell diabetics to “outthink” insulin resistance.
Depression deserves the same medical seriousness.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin That’s why some patients cannot “think” their way out, even when they desperately want to.

Antidepressants are not about numbing.
They help restore function, improve plasticity, and reduce suicide risk—especially in moderate to severe depression.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin Tweet 3
We see:
• Neurotransmitter changes
• Dysregulated stress response (HPA axis)
• Impaired neuroplasticity
This is biology, not just philosophy.

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin Tweet 2
Yes, life events trigger distress. But in many patients it progresses into measurable brain dysfunction—not just “thought patterns.”

[rupinder kapur @rupenk]

@ompsychiatrist @DrMcFillin Tweet 1
Saying depression isn’t a real brain illness may sound appealing. It doesn’t match clinical reality.