Psychiatry 

About the Department

The department of psychiatry has adequate infrastructure for consultation and counseling of both outpatient and in-patient psychiatric patients. The department has faculty trained from various premier institutes of the country. In- Patient facility includes general ward and acute care services. The department of psychiatry is planning to come up with rehabilitation setup for patients with severe mental illness and addiction and recent instruments like Repetitive Transcranial Magnetic stimulation (RTMS). Apart from providing mental health care facilities,  department is also trying in improving awareness and educating  public about mental illness, manpower training in mental health and working towards de-stigmatizing psychiatry and mental illness.

Head of the Department

The department of psychiatry is currently headed by Prof Abhay Matkar, who did his M.D from AFMC Pune. He has varied interests in research which include de-addiction medicine, while he is a dedicated postgraduate teacher.

Patient Care

The Department of Psychiatry offers both inpatient and outpatient clinical services. The services provided broadly include assessment and management of severe mental illness (schizophrenia, bipolar and depressive illness), common mental illness (neurotic and stress related), addictions, consultation liaison psychiatry, epilepsy and related behavioral disorders, dementia and memory related disorders, child and adolescent services. The department provides services for Modified Electroconvulsive therapy, Electro Encephalogram and Narcoanalyses. The department is successfully conducting group therapy, 3 days in a week for all inpatients and outpatients with alcohol dependence syndrome. The department provides counseling and psychotherapy services on both inpatient and outpatients using various techniques like cognitive behavior therapy, interpersonal therapy and psychodynamic therapy. Department also runs suicide prevention clinic, among which screening for all students in SDM institutions for suicidal behavior has been done on yearly basis. Also public awareness programs in the form of monthly radio talks, articles in paper are other activities of the department. The department has launched the suicide prevention 24 hour helpline, which is handled by psychiatry consultants. Counseling center managed by the department provides services such as pre and post surgery counseling, tobacco cessation services, premarital and sexual clinic, memory clinic, developmental disorder and stress management. The counseling centre is situated in the medicine OPD and the psychiatrists are available on all days. Apart from counseling services, long term psychotherapy services for patients with mental illness are provided by both psychiatrists and psychologists.

Diagnostic Facilities

The department has an outpatient based Electroencephalography, neuropsychological and psychodiagnositic facilities. Neuropsychological testing includes IQ assessments, cognitive assessment and neuropsychological tests, while psychodiagnostics include Rorschach Ink blot tests, Thematic Apperception Test and tests for personality assessments. The hospital provides serum lithium level assessment also.

Treatment Facilities

Treatment provided is pharmacological using medications, Electroconvulsive therapy and non pharmacological methods including psychotherapy. The department runs the group counseling for patients with alcohol dependence syndrome for 4 days in a week for both in-patient and outpatients.

Psychological Interventions

Department of Psychiatry has 4 clinical psychologists, who have been trained in clinical care and teaching. Counseling center has been started in the Medicine OPD which runs daily from 9 am to 5 pm, with counseling services provided for tobacco cessation, stress management, marital and sexual dysfunction, pre and post surgery counseling. Group therapy for alcohol dependence syndrome has been successfully conducted on 4 days in a week covering motivation enhancement to relapse prevention in alcohol and nicotine dependence syndrome. Individual psychotherapy and family therapy for patients has been done including various schools of psychotherapy from psychoanalysis to Indian system of psychotherapy.

Teaching Program

The training programs for postgraduates in psychiatry are carried out at the department level and also interdepartmental level. Training is also imparted to undergraduate and post-graduate trainees of other departments of the Institute. The departmental activities for postgraduate training include- Seminar and journal club as per the syllabus prescribed by Rajiv Gandhi University of Health sciences, Bangalore. Along with these academic programs, more focus is given to bed side teaching and case discussions. There are teaching programs conducted by the faculty as a series of introduction to psychiatry – history taking and mental status examination, research methodology, statistics, basic sciences and psychology. The residents are required to keep a record of details of their training in the form of a logbook including departmental case presentations, seminars, journal club and other academic activities, which will be monitored regularly.

Workshops, CME and Conferences Conducted

  1. Workshop on “Electroencephalography (EEG)” on11th& 12th February, 2006.
  2. CME on “Psychosexual Medicine and Parapsychology” on 11th February, 2007.
  3. CME on “Psychosomatic Medicine: Mind-Body interface” on 10th February, 2008.
  4. Indian Psychiatric Society – South Zone PG CME on “Psychopharmacology Update” on 18th& 19th April, 2009.
  5. Indian Psychiatric Society – Karnataka State Branch Annual conference (KANCIPS)on 21st& 22nd August, 2010.
  6. Workshop on “Cognitive Behavioral Therapy in Clinical Practice”on 15th May, 2011.
  7. Workshop on “Medico-legal aspects in Psychiatry”on 25thMarch, 2012.
  8. Workshop on “Electroencephalography (EEG): Theory and practice”on 26thAugust, 2012.
  9. Indian Psychiatric Society – Karnataka State Branch PG CME on “Empowering clinical skills in Psychiatry” scheduled to be held on 10th February, 2013

Publications

  1. ShivarajGowda, SantoshRamdurg, M Anil, PB Desai, VijaylakshmiKulgod, VD Patil, “Neonatal Diabetes Mellitus with Homocysteinuria” JK-Practitioner 2007;14(1):41-42
  2. Pavitra, K.S., Chandrashekar, C.R,Choudary, P. Creativity and mental health: A profile of writers and musicians. 2007 Jan;49(1):34-43. doi: 10.4103/0019-5545.31516.
  3. Babu G.N., Subbakrishna DK & Chandra PS, “Prevalence & correlates of suicidality among Indian women with post-partum psychosis in an impatient setting”.  Australian and New Zealand Journal of Psychiatry 2008, 42:976-980.
  4. Pavitra, K.S. and Sridhara, K.R. Contraceptive attitude among college students and its relevance to family life education. Indian Journal of Private Psychiatry, 2008;50(26).
  5. Desai G, Babu G.N, Rajkumar RP & Chandra PS. “More questions than answers Clinical dilemmas in psychopharmacology in pregnancy and lactation”. Indian Journal of Psychiatry Jan-Mar 2009, 51(1)26-33.
  6. Culture and depression-a study of the association of depression with cultural change in Havik Brahmin women of South India. Indian Journal of Social Psychiatry. 2010;26 (1-2):34-44.
  7. Babu GN, Desai G, Harish T & Chandra PS, “Birth weight and use of olanzapine in pregnancy a prospective comparative study”. Journal of Clinical Psychopharmacology, 2010 Jun.:30(3);331-2.
  8. SantoshRamdurg. Systemic review. Kleine–Levin syndrome: Etiology, diagnosis, and treatment. Annals of Indian Academy of Neurology; 2010 Oct–Dec; 13(4): 241–246.
  9. Soumya R.N, Grover S, Datt A, Gaur N. Angioneurotic edema with Risperidone : a case report and review of literature. General Hospital Psychiatry.Nov.-Dec.2010;32(6):646.31-3.
  10. SantoshRamdurg, AtulAmbekar, RakeshLal: Sexual dysfunction among male patients receiving buprenorphine and naltrexone maintenance therapy for opioid dependence. Journal of sexual medicine: 2011 Mar 2. doi: 10.1111/j.1743-6109.2011.02219.x. [Epub ahead of print]
  11. SantoshRamdurg, ShrigopalGoyal, PrashantGoyal, Rajesh Sagar, PratapSharan. 'Socio demographic profile, clinical factors and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care centre' Industrial Journal of Psychiatry; 2011;20:11-6.
  12. Babu GN, Desai G &Chaturvedi SK, “GlutaricAcidemia type II associated with Bipolar Affective Disorder:A Case Report GermanJ Psychiatry 2011; 14:48-50.
  13. Basavaraj V, Girish BN, and Prabha Chandra Mirtazapine induced mania in a woman with major depression in the absence of features of bipolarity, Aust N ZJ Psychiatry 2011, Oct;45(10);901.Epub 2011 Jun.21.
  14. Prabha S, Chandra &Girish N Babu. “Lithium in drinking water and food, and risk of suicide, letter to editor. British Journal of Psychiatry.195.3.271a.
  15. Rajender Singh Rathod, Lokesh Singh Shekhawat, Santosh Kumar, SantoshRamdurg. Unusual Foreign Body in Esophagus in a patient with Schizophrenia. RINPAS Journal 2011; 3 (1): 108 – 110
  16. SahooSaddichha, Ram Kumar, Girish BN, &Prabha Chandra. “Aripiprazole Associated with Acute Dystonia, Akathisia, and Parkinsonism in a Single Patient, Journal of Clinical Psychopharmacology. 2012 Sep;52(9):1448-9. doi: 10.1177/0091270011414573. Epub 2011 Sep 8.
  17. SahooSaddichha, Ram Kumar, Girish BN, and Prabha Chandra. Orthorexia nervosa presenting as prodrome of schizophrenia. Schizophr. Res.(2011), oi:10.1016/j.schres.2011.
  18. SantoshRamdurg, PrashantGoyal, PratapSharan. A case of central pontine/ extrapontinemyelinolysis (osmotic demyelination syndrome) presenting as a catatonic syndrome. ActaNeuropsychiatrica: 2011;23 (2): 91–92.
  19. Santosh Kumar, Lokesh Singh Shekhawat, Santosh Ramdurg, Manish Kandpal Psychogenic Headache in a Nine Year Old: Posing Diagnostic Dilemma in ICD-10 Delhi Psychiatric Journal 2011; 14:392-394
  20. Nayak RB, Bhogale GS, Patil NM, Chate SS, PandurangiAA, Shetageri VN. Paliperidone induced neuroleptic malignant syndrome. J Neuropsychiatry ClinNeurosci 2011 Fall;23:E14-5.
  21. Nayak RB, Bhogale GS, Patil NM, Pandurangi AA. Mania associated with complicated Hereditary Spastic Paraparesis. J Neurosci Rural Pract 2011;2:190-2.
  22. Pavitra, K.S., Shubrata, K.S.The impact of ramadan fasting on psychiatric illness and treatment – implications to clinical care. Indian Journal of Private Psychiatry. 2012;6(1):46-53.
  23. Grover S, Nebhinani N, Neogi N, Soumya R. Chronic Mania: An Underrecognized Clinical Entity. Indian J Psychol Med. 2012 Jan-Mar; 34(1): 87–89.
  24. Santosh Ramdurg Kleine-Levin syndrome: a series of case reports. Sleep and Biological rhythms. published online,15 Apr 2012.doi: 10.1111/j.1479-8425.2012.00534.x
  25. Nayak RB, Lakshmappa A, Bhogale GS, Pandurangi A. Mania with Aarskog-Scott Syndrome. Indian Pediatr 2012 Apr;49(4):327-8.
  26. Pavitra KS. Breaking the barriers-the challenges in mental health care in India. SeishinShinkeigakuZasshi. 2010;112(2):126-32.
  27. Santosh Kumar, LokeshShekhawat, SantoshRamdurg, Manjunath N, and Prerna Gupta. New Variant Creutzfeldt-Jacob disease presenting with Catatonia: A rare presentation. Journal of Neuropsychiatry and Clinical Neurosciences. 2012 Summer;24(3):E51-3. doi: 10.1176/appi.neuropsych.11080199.
  28. Kulkarni RR, Melkundi S. Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review. Case Rep Psychiatry. 2012;2012:585303. doi: 10.1155/2012/585303. Epub 2012 Nov 14. PMID: 23213591
  29. Ramdurg S, Tukaram S, Kulkarni RR. A rare case report of risperidone induced Steven Johnson syndrome. Indian Journal of Drugs and Diseases. 2012;1(7);171-2.
  30. Rao KN, Kulkarni RR, Begum S. Comorbidity of psychiatric and personality disorders in first suicide attempters. Indian Journal of Psychological Medicine. Article ID: ijpsym_206_12. Oct-Nov 2012. Ahead of Print.
  31. Pandurangi A A, Nayak R B, Bhogale G S, Patil N M, Chate S S, Chattopadhaya   S.Clonazepam in the treatment of essential palatal tremors. Indian Journal of Pharmacology 2012;44:78-80.
  32. Nayak RB, Pandurangi A, Bhogale GS, Patil NM, Chate SS. Asterixis (Flapping Tremors): As an Outcome of Complex Psychotropic Drugs Interaction. J Neuropsychiatry ClinNeurosci 2012 Dec 1;24(1):E26-7
  33. Chate S, Patted S, Nayak R, Patil N, Pandurangi A. Pulmonary Thromboembolism associated with Clozapine. Journal of Neuropsychiatry and Clinical Neurosciences. (In press-Manuscript ID: APPI-JN-12-04-0077)

Dissertation/ Research

  • Dr. NitinShetty- Prevalence and correlates of delirium tremens in patients with alcohol related disorders in a general hospital setup.
  • Dr. Bhavya K Bairy- Disability assessment, quality of life and caregivers’ burden in patients with schizophrenia and depressive disorder: a comparative study.

 Faculty

1       Dr. Abhay Matkar Professor
2 Dr. Girish Babu N Associate Professor
3 Dr. Lohit S Assistant Professor
4 Dr. Sachin B S Assistant Professor
5 Dr. Sharath A R Senior Resident
6 Dr. Ashwini Jr. Resident
7 Dr. Namrata Jagtap Jr. Resident
8 Dr. Harshit Hemant Salian             Jr. Resident
9 Dr. Sharanya B Shetty Jr. Resident
10 Dr. Shilpi Jr. Resident

 

 

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