Psychiatrist Greenville SC “Sound mind in a healthy body”

Mind Body Connection

Even though an astronomical growth of mankind has reduced nature to an ever-shrinking corner*- we are a product of our environment and totally at its mercy – becomes very clear when some natural calamity happens.

We are becoming more and more insulated from the elements of nature because we have learnt to live in our own little safe “catacombs”. I am borrowing from the short story by EM Forster – “the machine stops “which was written almost one century ago -plot is set against uninhabitable earth- athleticism is scoffed upon and sedentary life is promoted. No one travels anymore because everything including medical care is provided to the subjects in their little cubicle by “the machine”. It eerily forebodes some such future for us all.

The reason I am bringing this up is to see if the definition of health and mental health is being redefined.

As a society we are less tolerant with any behavior which falls outside the narrowly defined normal behavior. Take for example- ADHD. Having worked with children over the years I have noticed that we dole out the diagnosis of ADHD much more than in the past. So, logically speaking either ADHD is becoming more prevalent, because of environmental, nutritional or some other influences OR maybe that, we are allowing “normal attention”, a very limited range. What I mean that their attention was good enough for working in their farms doing agriculture and all. There could be a psycho economic gain – there is more demand to stay focused in the binary world of computers than it was in the days when we counted with fingers.

Going back to the story “the machine stops” – the protagonist’s “athleticism” couldn’t be totally stomped out – and he started to explore the space outside his catacomb and at the surface of the earth and his dear mother warns him that “machine” would punish him harshly for these transgressions. He wants to meet his mother, who lives at the other end of the world. Mother is very astonished, saying “why do you have to come to see me, we can always talk and see each other on the screen”.!

Our mind, which is programmed to live in a tightly knit social rubric but instead must accept the make believe “social networks on the social media”. On this platform, the rules of communication are such, that we say something, which we would like to hear from others, and others say exactly something which we would like to hear. The personal opinions and the meaningful conversations are vanishing*.

Let me take the liberty of making a sweeping statement, by saying that biologically we have not evolved in terms of our body or mind, since we were hunter gatherers, but the demands are being made on us to do that. the burning questions is whether it is possible or not? Furthermore, is it redefining what is normal?

*The source is Umberto Galimberti’s philosophical assay, which I have made available        in one of my previous blogs.


Best psychiatrist” OR “Good enough psychiatrist” in Greenville SC

“Good enough mother”
The best bet against mental illness

I am spinning a pun on the famous pediatrician Winicott’s “ good enough mother” but not really!

What did he mean by that concept? Let’s explore because this has a very direct bearing on the subject matter

Winnicott thought that the “good enough mother” early on, tunes in completely with the infant because the later has no way of communicating except “crying”. She has to be like an “empath” who can read her infants mind and feel perhaps the same emotions what her child is experiencing.She is entirely devoted to the baby and tries to take care of its needs. As time goes by, however, the mother allows the infant to experience small amounts of frustration.

We can continue what else goes on in the mother – child duo but we are using this concept as a yardstick to measure “psychiatric care”.

Let’s refocus on the “patient- psychiatrist” first encounter- I need to qualify that I would be using the word “newborn/infant/toddler” to signify the “patienthood” and not the patient as a person and also psychiatrist as a “provider” and not as an individual.

Patienthood is born when a patient meets “the good enough” psychiatrist. Coming to see a psychiatrist is a “big step” in willingness to accept one’s helplessness in not being able to cope with the conflicting demands of life both within and without.

If the patient “feels” being held by the psychiatrist’s presence – it’s a good start. The way a “good enough “ psychiatrist is able to do that, is by giving an undivided attention to the patient. This kind of attention is not available outside a “loving relationship”. There is a “catch-22” here , because psychiatric illnesses attack the “ capacity to form loving intimate relationships “. This “capacity” is contingent upon the ability to accept one’s vulnerabilities to hurts and pain which is unavoidable in the struggle to develop intimacy. “A good enough” psychiatrist can at the very least provide with a “sample of this much needed relationship”to satisfy that need” to give some hope to the patient, that intimacy is possible.This simple explanation does run the risk of ridicule,by the likes of William Schofield, who writes in his critique of our profession “Psychotherapy- the purchase for friendship”, that, psychotherapist not trained as a specialist in therapeutic conversation, can fall unwittingly into the role of moral counselor or morale coach, and can be seduced into the chronic role of “best friend.


Myths-Stories-and Mental health

Why we love stories? 

Let’s first define what’s the anatomy of a story –  – it has a beginning- a middle  and an end –

How about our life – we know the beginning- the middle is how our life is unfolding -(which one could know if one is able to stand outside the trappings of life) but the “end”- we won’t know – only the “others” would know that once we are gone.

Before I venture into the philosophy of this question I would like to tell few stories- which are really the lives of few persons I found entertaining and want to fictionalize a bit so as to make create a smooth flow.

The plan is to tell a story and go back to the question of our life’s story. 

Story #1

“Living an Oedipal fantasy”

Urvashi worked in my office. I have known her for last 22 years when I started my practice of psychiatry. I met her when I used to go to a church not that I am a Christian or religious at but or just to have some social interaction since I was marooned in this godforsaken Backwaters of Alabama.One could ask how did I endup there. The simple answer is that I was given a choice either to go back to my country of origin which was India or come to this underserved area and put in three years before I could get my green card. I wanted to explore the “underserved Alabama” because the underserved India was pretty familiar and mundane”.

I had just finished my residency in Psychiatry at an inner cityhospital in Brooklyn NY. The turn of the century- year 2000. My flight was supposed to be at 12 noon and I reached well within time but come to find out America’s day light saving had ended and “I was not informed” lol! Bottom line, I missed the flight and it happened to be April 1st. America had made a perfect April fool out of me!

I met Urvashi, few days after I landed in Birmingham,AL. She was a social worker and had just started working there. She was a member of the local Presbyterian church. One of my other colleaguealso went to the same church and invited me for the Sunday service. I first met her in the church. We hit it off well because she was interested in Eastern thought – influenced by Carl Gustav Jung. We often bumped into each other in the cafeteria and at times would exchange ideas. I was learning the southern culture and in the bargain I would share whatever little I knew about eastern philosophy.

She had just earned her graduate degree with a major in social work in-spite of being a single mother of a 5 years old daughter. She lived with her parents. Few months into our association, she met someone got married and moved out of her parental home. Her husband worked in construction and made good money. After three years of the commitment to the “underserved place” I moved to Atlanta,GAand lost touch with Urvashi.

Fast forward, 20yrs and our ways crossed again. We filled each other with some details of our lives in the interim. I had married during this time and we had three children. She had three children as well but was divorced from her husband and was dating someone. We met occasionally during the monthly grand rounds or sometimes over a cup of coffee. As the time went by our relationship evolved from acquaintance to more of a friendship. 

Few days back,  she sought me out,saying she wanted to discuss some pressing issue. That evening we met for a drink. She told me that her son is very angry with her because she is dating his friend. I knew her son was around 18yrs of age and was a senior in high school. I couldn’t help not  ask her about this guy’s age. Lo and behold!he happens to be the same age as her son. Urvashi is around 35. She is in love with this guy- heads over heal. Uravshi’s parents are distraught and so are her friends. Of course, her son is outraged by this situation. Both his friend and he are still living under the same roof. This is just a very brief and very circumscribed view of her “life”. 

If this were to be a “story” it would have an end but “her life” is still unfolding. One could only speculate an end of this affair or not. We are left wanting,because it doesn’t have an end whereas in a story there would be an end. This is the only difference. 

Quoting, Tom Clancy

The difference between fiction and

reality? Fiction must make sense.


Depression and Learned Helplessness

Imprisoned by Depression

To study a “ new antidepressant” , researchers have to conduct “animal studies”. Since, we are testing a drug which is supposed to lift depression- the question is “how to demonstrate its effectiveness in animals. Quandary is, that except for dogs, who perhaps because of “being man’s best friends” for eons , other creatures are not afflicted by this malady to the best of my knowledge.
So the problem becomes of “inoculating them with the virus of depression”.
This feat is accomplished by coming up what the scientists call an animal model.
One such model is “learned helplessness”. What they do that they create a situation for the animal say a mouse where in it feels helpless and to conserve its energy, which is a biological advantage, it simply gives up. To explain more clearly they would put a mouse in a big container of water from which it cannot escape however hard it tries ,so it keeps swimming but after sometime it just floats realizing it’s futile to swim , thus conserving energy .
A parallel human situation would be someone in a shipwreck swim for a little bit but finding the land is not reachable gives up swimming and just floats.
Coming back to the animal model they repeat the experiment after injecting the animal, in this case a mouse with the new test chemical “purported-to be new antidepressant”. If the antidepressant is effective the animal would swim for a longer time before giving up.
So what an anti-depressant is doing is “buying time” and hoping help is on the way to address what is causing depression -myriad of causes, ranging from socioeconomic to psychological ,unfolding within the genetic makeup.
More of this next time, as for now,I want to focus on how could one address this learned helplessness by other means say for example exercise and biofeedback. One of the common symptoms of depression is that a person does not have much energy left and he’s lethargic.
I will start off with exercise since that’s easy to understand and to practice. There are twofold effects of exercise -one is causing neuro-chemical changes and the other is an indirect communication to the mind that one is not helpless. The helplessness in a “shipwreck” situation is a biological advantage but otherwise it’s like “ barking at the wrong tree”
The mind may start “ retuning to this “normal”level of activity and may in turn feel “better”. In other words if body sends the message “I am not giving up” mind recalibrate into thinking “the situation doesn’t demand “giving up” or in other words be in the “helpless mode”. The neurochemical changes caused by exercise also mitigate depression.

Of course if it doesn’t work the medication’s are available to break this vicious cycle of depression.


Algorithms and psychiatry

I admit that it’s little “tacky” to view life vis a vis algorithms but it’s my effort to take into cognizance “the ever evolving technology” and the impact it’s having on our life.
In “non algorithmic” life the “dictates of religion” the challenges posed by nature determined how we lived.
However, nature having been contained in a small conclave and the “religion” to the places of worship we need to come up with our own “unique dictates sans algorithms to feel connected to “what life is about”.
For the starter- let’s see how the simple algorithms are generated? Since, I have no background in programming I could share only a broad sweeping statement that it involves giving the computer “ binary instructions” ( that’s the only language computer understands – “0”s and “1”s- a zillion permutations and combinations) – around a problem and then instructions around the “ answers to the problem” computer comes up with.
It’s very boring and tedious job for the computer but it doesn’t get bored or frustrated with the wrong answers.
To this I want to add a little anecdote or it may even be a legend about Thomas Edison . As the story goes – he failed 600 times with his experiment to make a “light bulb” and everyone counseled him to give up this “expensive” mission. But his response was “ hey those failed experiments tell me that those 600 ways of dealing with the problem were wrong and we should be very close to “the right” answer since there could be only limited solutions to a problem. Believe me or not,this is how the algorithms are generated – these machines are generating random solutions hoping to “slay the right one” not unlike the hope, that there exist a possibility-doesn’t matter how small -of writing a work of Shakespeare if a bunch of monkeys are given typewriters who could f* their brain out punching the keys zillion of times.
But… we are not monkeys and we don’t have zillions of failed strokes available to us and furthermore we all are not striving to be Shakespeare.
So, rule number one -before we start on a path of failures which, if we have enough time ,but we don’t since we all are mortals, is to really know who we are and what and why we want something.
This comes forth only if we become “aware”
It’s the awareness which comes when we “meditate” on our desires, fears, fantasies, and so on. All of this is inside of us. We are not yet talking about outside of us- which is the world of science, money, politics, power and so on.
In my next blog, like a monkey on the typewriter NOT!, I hope to come up with the next rule.


Neuroscience of Anxiety-Xanax, Klonopin, Ativan and beyond

Lorazepam belongs to a group of medications which are called benzodiazepines. The first one ever to be invented was Librium more than 50 years back soon followed by Valium. It was just like any other new drug was promoted as “ A wonder drug” i’m sure it was those people who are truly truly anxious they were using alcohol or barbiturates would much more side effects and toxicity unlike benzodiazepines it was safer and more effective for anxiety. Over the years they have added many benzodiazepines.
Let’s try to understand how are they acting in our body. They act through GABA which is primarily a neurotransmitter in our brain who’s function is to inhibit the nervous excitement and hence usefulness in anxiety and many other conditions were such dampening of excitement is required such as in epilepsy muscle spasm and so on
If you’re taking such medications it would be useful for you to understand what are the pros and cons
There is a lot of information available on the Internet so I am not going to go into that
My main purpose this post is to help you understand those effects on your mind which you may not like in the long run such as loss of memory disordered sleep especially REM sleep which, is very vital for our brain,to be able to process our experiences.
If you want to use these medications in a smart way the best bet would be use them for very short duration, and buy time,to be able to either get help with your anxiety through other medications or making changes in your living,in dealing with the underlying issues which might be causing these anxieties.
The public perception,as well as the authorities,take on these medications oscillates like a pendulum ,wherein, initially these were good drugs and now they are bad drugs. Because of this skewed

perception some of the patients really need these medications suffer. I need to stress that there are no good drugs or bad drugs and that would hammer home if you try to remember all medications in high doses are poisons and some of the poisons in small doses could be medications. Also if someone tells you that this particular medication doesn’t have any side effects I would urge you not to take it because probably it’s not a medicine at all In nutshell all medications do have side effects so the question is to weigh the desired effects with the undesired effects and if you find the desired effects outweigh the undesired effect that’s on medication you should take. Different individuals would have different expectations from a medication and if their expectations are not being met by that particular medication‘s and the undesired effects are unacceptable that is not the medication for that particular individual. Sometime it is difficult to figure out which one particular medication would work for who even though those medications may be similar and that’s where the genetic testing for how your body processes these medication‘s could be useful.

Technology and Human Aspirations: The Eclipsing of Emotional Logic

The rapid advancement of technology has had a profound impact on our daily lives. From the way we communicate to the way we work, technology has changed the landscape in countless ways. However, with these advancements come new challenges, particularly in regards to our emotional wellbeing. In this paper, we will explore the ways in which technology is stifling human aspirations by eclipsing the logic of emotions.

One of the key ways that technology is stifling human aspirations is through its ability to reduce our emotional engagement with the world around us. The convenience and efficiency of technology often means that we spend less time interacting with other people, and more time alone in front of screens. This reduction in face-to-face interaction can lead to feelings of isolation, loneliness, and depression. It can also make it more difficult for us to form and maintain meaningful relationships, as we rely on screens to communicate rather than using our own emotions and body language.

Another way that technology is stifling human aspirations is through its impact on our attention span. With an endless stream of information and entertainment at our fingertips, it can be difficult to focus and concentrate on one thing for an extended period of time. This can negatively impact our ability to think deeply and critically, leading to a decline in our problem-solving and decision-making skills. Additionally, the constant stimulation provided by technology can also make it difficult to achieve a sense of inner peace and tranquility, which is essential for our overall wellbeing.

Finally, technology is stifling human aspirations by encouraging us to prioritize rationality over emotion. In our highly digitized world, data and algorithms are often seen as the most reliable sources of information. However, this emphasis on rationality can lead to a disregard for our emotional experiences, which are just as valid and important. By focusing solely on data and numbers, we risk losing touch with our instincts, our gut reactions, and our ability to empathize with others. This can have serious implications for our relationships, our communities, and our sense of purpose in life.

In conclusion, technology is stifling human aspirations by eclipsing the logic of emotions. The convenience and efficiency of technology can lead to a reduction in face-to-face interaction, a decline in our attention span, and an emphasis on rationality over emotion. While technology has brought many benefits to our lives, it is important that we remain mindful of its impact on our emotional wellbeing and strive to maintain a balance between rationality and emotion. By doing so, we can ensure that our aspirations for a fulfilling and meaningful life are not stifled, but rather enhanced by the technology we use.

Maximizing Life in Technology-driven world

Here are some tips to live to the fullest in a technology-driven world:

1. Balance screen time with physical activities and social interactions.

2. Disconnect from technology regularly to recharge and focus on mindfulness.

3. Maintain strong relationships with friends and family, without relying solely on virtual connections.

4. Cultivate hobbies and interests that don’t involve technology.

5. Engage in regular self-reflection and pursue personal growth.

6. Embrace new technologies while retaining traditional values and beliefs.

7. Make time for reflection and connect with nature.

8. Support causes and organizations that align with your values.

9. Stay informed, but be mindful of information overload and misinformation.

10. Continuously learn and adapt to change while staying true to what is important to you.

Aritificial intelligence

The Pros and Cons of Using AI in Medicine

Artificial intelligence (AI) is a field of computer science that deals with the design of intelligent systems, especially systems that can reason, learn, and act autonomously. In medicine, AI has the potential to improve the accuracy, speed, and efficiency of diagnosis and treatment. However, there are also concerns that it could be used to deceive or manipulate patients, and that it could lead to biased decision making. In this blog post, we will explore the pros and cons of using AI in medicine. We will also discuss some of the ethical issues that need to be addressed before AI is fully adopted in the medical field.

1. AI can help diagnose and treat diseases in a more efficient and accurate way

Artificial intelligence (AI) has the potential to help doctors diagnose and treat diseases in a more efficient and accurate way. 
One of the big benefits of AI is that it can help doctors see patterns that they may not have been able to see before.

Let me start with an example. Some people may not see does EI but it is the simplest form of AIAI that is generating an algorithm based on data. The example is of Goldbergs who developed an algorithm to try edge patients in the ER so that an effective use of the limited ICU bed availability Could be utilized. The problem and question was many of the ER physicians would or on the side of precaution and admit the patient does crowding the limited ICU beds. Using this algorithm, Goldberg found that those unwarranted admissions could be limited. This was 1970s It was simply known as Goldman’s rule.

Fast forward 1996, Brendan Reilly, was in dire need of a way to improve the conditions in the ICU and collected more data over 2yrs using Goldman’s rule in terms of accurate, diagnosis, treatment, etc. etc. when the data was analyzed to generate an algorithm rather than subjectivity guide the ER physician with much better outcomes.

Coming to the second decade of the second millennium, the plot thickens;having amassed zillions of bits of data to generate more sophisticated algorithms, which is what AI is.

For example, AI can be used to help doctors identify tumors more quickly and more accurately. 
AI can also be used to help doctors predict which patients are likely to respond well to a particular treatment. 
Another benefit of using AI in medicine is that it can help doctors save time. For example, AI can be used to help doctors identify which patients have a high risk of developing a particular disease.

2. However, AI has its limitations and can make mistakes

There are many pros to using AI in medicine. The technology can identify patterns and relationships that a human would not be able to see. AI can also help researchers find new treatments or cures for diseases. 
However, AI has its limitations. For example, AI can make mistakes. It can also be biased.

One very recent example has been in the case of Covid. In order to triage and diagnose or use, was made of AI guided decisions, but seem to be analyzing wrongly and diagnosing anything, but Covid because of the wrong kind of data fed into it. this is what happened to Derek Driggs group at Cambridge.

AI can be used to improve patient care but it can also be used to exploit patients. 
There are many concerns about the use of AI in medicine. We need to be sure that the benefits of AI outweigh the risks.

3. There are concerns about the misuse of AI in medicine

AI is already being used in a wide range of industries and there are concerns that it could be misused in medicine. This is because AI is able to process large amounts of data quickly, which could be used to make decisions that could impact the health of patients.
There are also concerns that AI could be used to automate decisions that are currently made manually, which could lead to mistakes being made.
There are also concerns that AI could be used to create doctored images of patients, which could be used to make decisions about their treatment.

4. Some argue that the benefits of AI outweigh the risks

Medical AI is quickly becoming a staple in many healthcare facilities around the world. However, before implementing this technology into your practice, it is important to understand the pros and cons.
On the positive side, AI can help healthcare providers save time and increase accuracy. For example, it is estimated that a human doctor takes approximately 250 minutes to review and diagnose a case of pneumonia. With the help of AI, this process can be streamlined and completed in as little as 10 minutes.
Additionally, AI can help to identify potential health risks and provide recommendations for treatment. For example, if a patient’s blood pressure is elevated, AI may be able to identify the cause and recommend a course of action.
However, there are also concerns that AI could be used to automate decisions that should be made by a human physician. For example, if a doctor is considering a surgery, AI may be able to provide a list of potential candidates without a human physician having the time to review each one.

5. It is still early days for AI in medicine, and there is much research to be done

While artificial intelligence (AI) has the potential to improve the efficiency and accuracy of medical treatments, there are still some cons to its use.

One of the first concerns is that AI could lead to over-reliance on technology. If AI is used to diagnose or treat a patient, for example, there is a risk that the patient could be incorrectly treated or even harmed if the AI system is not accurate.

Another potential problem with AI is that it could be used to discriminate against certain groups of people. For example, if AI is used to diagnose a patient, the AI system could be programmed to give more weight to medical information from white patients than from patients of other races. This could lead to unfair treatment of certain groups of people.

There is still a lot of research to be done before we can say for certain how AI will impact medical treatments. While the potential benefits of using AI in medicine are great, we need to be careful not to harm or discriminate against patients in the meantime.

6. There are pros and cons to each approach – how will doctors decide which to use?

Artificial intelligence (AI) has been making waves in the medical field for quite some time now. Doctors all over the world are debating whether or not to use AI in their everyday practices. Some doctors feel that AI is a great way to help them make better decisions faster, while others are scared of the implications of AI on human health.

Some of the pros of using AI in medicine include that AI can help speed up the process of diagnosis and treatment. AI can also help doctors identify potential risks and side effects more quickly. AI can also help doctors find new and more effective treatments for their patients.

However, there are also some cons to using AI in medicine. For example, AI can sometimes create bias. AI can also lead to doctors making decisions based on data instead of patient needs. As a result, doctors will sometimes choose to use AI in ways that are not in the best interest of their patients.

Ultimately, it’s up to doctors to decide which approach to take when it comes to using AI in medicine. They will have to weigh the pros and cons of each approach and decide which is best for their patients.

7. The future of AI in medicine is promising, but there are many challenges to be overcome

The potential benefits of using artificial intelligence (AI) in medical practice are vast, but so are the challenges that need to be overcome.

Already, AI is being used to diagnose diseases, prescribe medications, and recommend treatments. In the future, AI could even be used to help doctors make decisions about surgery and even plan care for individual patients.

But there are a few major challenges that need to be addressed first. For example, AI is still not accurate enough to replace much of the medical decision-making that doctors currently do. And there are concerns about how AI might be used to harm patients.

Nevertheless, the potential benefits of using AI in medicine are so great that the challenges need to be addressed. Otherwise, we could end up replacing human doctors with machines, which would be a huge step backwards in terms of patient care.

8. Will AI completely replace human doctors?

Many people believe that AI will completely replace human doctors in the near future. However, there are still many pros and cons to using AI in medicine. Here are a few of the pros:

Pros of using AI in medicine

-Reduced errors. AI can help reduce the number of errors made by doctors.
-Reduced workload. AI can help reduce the amount of time doctors have to spend on paperwork and other tasks.
-Reduced costs. AI can help reduce the costs of running a hospital.
-Increased patient safety. AI can help improve patient safety.

Cons of using AI in medicine

-AI can’t always make decisions for doctors. AI can’t always make the best decisions for patients.
-AI can’t always understand the human body. AI can’t always understand the complexities of human physiology.
-AI can be biased. AI can be biased, which can lead to errors.

9. What other applications could AI be used for in medicine?

AI can be used in many different ways in medicine. Some of the more common applications are diagnosis, prognosis, drug discovery, and more. The possibilities are endless.

Some of the benefits of using AI in medicine include:

– Reduced error rates
– Increased speed
– Reduced cost
– Reduced wait times
– Increased accuracy
– Increased patient safety

There are also some potential drawbacks to using AI in medicine. Some of these include:

– Increased risk of bias
– Reduced accuracy
– Increased risk of data tampering
– Increased risk of cyberattack

10. The future of AI in medicine is still very much in the future – but it has the potential to revolutionize the field

There are pros and cons to using artificial intelligence (AI) in medicine. On the pro side, AI has the potential to speed up the process of diagnosis and treatment, by automating the work that doctors and nurses do. It can also help identify patterns and trends in patient data that would otherwise be difficult or impossible to detect.

Conversely, AI has the potential to create bias. If a machine is making decisions based on data, it’s possible that the machine could be influenced by the biases of the person or group who created the AI. For example, if a doctor is using a machine to diagnose a patient, the machine might be more likely to give the correct diagnosis if the doctor is familiar with the patient’s medical history.

There is a lot of debate surrounding the pros and cons of AI in medicine. However, the potential benefits of AI are so great that it’s likely that the technology will continue to develop and play an important role in the future of medicine.

As artificial intelligence (AI) continues to evolve and become more advanced, there are many doctors and patients who are debating whether or not to use it in their medical practices. In this blog post, we will provide you with the pros and cons of using AI in medicine, so that you can make an informed decision. We hope that this article will help you to understand the benefits and drawbacks of using AI in your medical practice, so that you can make the best decision for your patients and your career. Thank you for reading!

The secret to a happy life: Understanding Masculine Shame

In today’s society, there is a lot of pressure on men to be successful and be happy. Society expects men to be strong and independent, and if they’re not, they’re seen as failures. Unfortunately, this type of pressure can lead to feelings of masculinity shame. Masculine shame is when a man feels guilty or ashamed about his masculinity. It can be debilitating, and it can limit a man’s ability to be happy and fulfilled in life. In this post, we’re going to explore the concept of masculine shame and how to overcome it. We’ll also provide some tips on how to deal with feelings of masculinity shame in your own life. By understanding and dealing with masculine shame, you can have a happier life.

1. What is masculine shame?

Masculine shame is a feeling of self-blame and inadequacy that stems from a man’s sense of masculinity. It is often associated with feelings of guilt, shame, and worthlessness.

It’s not always easy to identify when masculine shame is present, but if you’re able to recognize it in yourself and others, you can start to work on addressing the issue.

There are a few things you can do to start addressing masculine shame. First, you need to be aware that it exists. Second, you need to understand that it’s normal to feel shame and guilt when it comes to being a man. And finally, you need to learn how to handle the shame and guilt.

2. The origins of masculine shame

Masculine shame is a feeling of guilt, self-loathing and helplessness that many men experience. It’s a hidden feeling that can be difficult to identify and even more difficult to overcome.
Shame is a common emotion that arises in response to events or situations that are seen as embarrassing, shameful, or damaging.
The origins of masculine shame can be traced back to our early childhood development. Boys are socialized to view their own masculinity as a central part of their identity. This means that boys are taught to accept and embrace masculine values, values that can be viewed as positive and positive attributes.
However, there are also negative aspects to being a man. Boys are taught to be strong, independent, and to be able to take care of themselves. This can sometimes mean that boys are shamed when they can’t do things on their own or when they need help.

3. The manifestations of masculine shame

Most people know that men experience different forms of shame, but what about the subtle forms that impact our daily lives? If you’re a man, you know that there are certain things that are just “not done.” For example, if you’re a man and you’re not seen in public crying, you’re considered to be strong. But what happens when the things that are considered to be “manly” are actually damaging to our mental and emotional health?

Masculine shame is a term that has been used to describe the many different manifestations of shame that men experience. These manifestations can include feeling like you’re not good enough, not being able to express your emotions, feeling like you’re a disappointment to your family and friends, and more.

The reason why these manifestations are so damaging is because they create a cycle of negativity that can have a huge impact on our happiness and well-being. We start to feel like we’re not good enough and that we can’t do anything right. This leads toLow self-esteem and a feeling of inadequacy. This then creates a cycle of negative thoughts and feelings that can have a negative impact on our daily lives.

Thankfully, there are ways to break this cycle. One of the most important things you can do is to understand the manifestations of masculine shame and learn how to deal with them. Once you know what’s going on, you can start to recognise the signs and take steps to address them. This will help you to feel better about yourself, which will in turn help you to have a happy life.

4. The consequences of masculine shame

There’s a lot of talk about the “secret to a happy life” these days and for good reason. But what about the men who don’t feel happy? What about the men who feel like they don’t fit into society’s expectations of what a man should be? What about the men who feel like they are constantly in the wrong?
There’s a lot of research that suggests the consequences of masculine shame are devastating. And the number one consequence is that men feel a lot of sadness, anger, and insecurity.
They also struggle with relationships, work, and overall happiness.

5. Ways to overcome masculine shame

Every man faces a battle against masculine shame at some point in his life. This internalized shame can come from society, family, friends, or even yourself. It can be difficult to admit that you’re feeling shame, let alone talk about it.
There are several ways to overcome masculine shame and live a happy life. First, it’s important to understand that masculine shame is normal. It’s a natural response to feeling weak and powerless.
Second, it’s important to realize that masculine shame is a mental state, not a character flaw. You are not inherently a bad or weak man because you’re feeling shame.
Third, it’s important to seek out support. Talking to a therapist, counselor, or other mental health professional can be very helpful.
Fourth, it’s important to find healthy outlets for masculine shame. Activities like hiking, biking, weightlifting, and shooting can help you to feel strong and in control.
Lastly, it’s important to remember that you are not alone in your journey. There are millions of people out there who have faced and overcome masculine shame. You can find them by talking to others who have gone through the same thing.

6. How to heal masculine shame

In today’s society, it seems like there’s a never-ending battle between the sexes. Women are striving to be equal to men and men are fighting to maintain their masculinity. Unfortunately, this battle often leads to masculine shame.
Masculine shame is the fear that one’s masculinity is not up to par. It can lead to a number of problems, including anxiety, depression, and substance abuse.
It’s important to understand that masculine shame is not something that you are inherently bad or wrong for. It’s something that is learned, and it can be unlearned.
The first step in healing masculine shame is to understand it. Once you know what it is, you can start to work on overcoming it.

7. How to live a happy life with masculine shame

Most of us have experienced some form of masculine shame at some point in our lives. It’s a feeling of inadequacy or embarrassment that can stem from our early experiences with gender.
Masculine shame is often accompanied by feelings of anger, isolation, and depression. However, there are ways to cope and live a happy life despite these negative feelings.
The first step is to understand that masculine shame is normal and to accept that it’s a part of who you are. Next, it’s important to understand that you’re not alone in your struggles and to find support groups or counselors that can help you work through your issues.
It’s also important to take care of yourself physically and emotionally. Exercise, eat healthy, and get enough sleep are all important for overall well-being.
Lastly, it’s important to remember that masculinity is a spectrum and not a set point. You can always work to grow and improve yourself. With a little understanding and effort, you can overcome any struggles you may face and live a happy life with masculine shame.

8. Conclusion

Understanding masculine shame is the key to a happy life. Masculine shame is a hidden emotion that many men don’t even know they have. It’s a feeling of self-loathing, inadequacy, and embarrassment that men experience. It’s often associated with feeling ashamed of one’s masculinity.

But don’t worry, there’s hope. With the help of understanding masculine shame, you can start to change the way you think about yourself. It’s not easy, but it’s possible. And the benefits are huge.

We hope you enjoyed our article on the secret to a happy life. A lot of people don’t know this, but men and women experience shame in different ways. Men typically experience masculine shame, which is the shame that is associated with being a man. This type of shame can make men feel like they are not good enough, and it can lead to feeling like they need to be in control all the time. Women typically experience feminine shame, which is the shame that is associated with being a woman. This type of shame can make women feel like they are not good enough, and it can lead to feeling like they need to be invisible. In order to have a happy life, it is important to understand and deal with both masculine and feminine shame.


Algorithms in contemporary world- a blessing or a curse?

The contemporary world is a fast-paced and ever-changing environment. With technology evolving at a rapid pace, so too does the way we interact with the world around us. This rapid change has led to big changes in how we process information and make decisions. In this blog post, we will be exploring the role algorithms play in the contemporary world. What are their benefits and drawbacks? How do they impact our daily lives? And is there anything we can do to adjust to their changes? We hope you enjoy this insightful blog post!

1. What is an algorithm?

An algorithm is defined as a set of rules for solving a problem. In the contemporary world, algorithms play an important role in everything from our personal lives to the decisions we make as business owners.

While algorithms can be a blessing in disguise, they can also have a negative impact on our lives. For example, the algorithm that determines which articles we see on our social media feeds can be incredibly biased and can have a negative impact on our mental health.

On the other hand, the algorithms that determine whether or not we get a loan or a job can be incredibly beneficial.

2. How algorithms are used in the contemporary world

Algorithms are used in the contemporary world in a big way. They are used to sort through data, to make predictions, to filter results, and to optimize processes. They are a blessing and a curse. On the one hand, they help us make quick decisions and optimize processes. But, on the other hand, they can also lead to bias and discrimination.

3. Some potential benefits and drawbacks of algorithms

Algorithms have been around since the dawn of the internet. They’ve been used in order to help people find the right information, make better decisions, and even plan their day-to-day activities. But as algorithms become more and more prevalent, are they having a negative impact on our society?

On the one hand, algorithms can help us save time. For example, if you’re looking for a restaurant in a new city, an algorithm may recommend a few places for you to try. This can be a great help if you’re travelling and don’t have much time to spare.

On the other hand, algorithms can make our lives more difficult. For example, if you’re trying to find a job, an algorithm may recommend you apply to a job that you may not be qualified for. This can be a huge disservice to people who are looking for a specific job.

Overall, algorithms are a mixed bag. They can be helpful, but they can also be harmful. It’s up to us to use them wisely.

4. Ethical dilemmas raised by algorithms

Algorithms are omnipresent in the contemporary world. They shape what we see, what we hear and even what we think. They are at the heart of many businesses, from online retail to social media. But are they always a blessing?

In recent years, there have been a number of ethical dilemmas raised by algorithms. For example, the way Facebook ranks posts. This can have a huge impact on how people see the world. Facebook is known for its ‘filter bubble’- the idea that people see only content that agrees with their own views, which can be a major source of anxiety for those who don’t fit into the mainstream.

Algorithms can also have a negative impact. For example, when Google ranks websites, it can give websites a disadvantage if they don’t have high-quality backlinks. This can lead to a decline in traffic and a loss of business.

So, while algorithms are omnipresent in the contemporary world, they are not without their ethical challenges.

5. How we can create better algorithms

Algorithms have played a big role in our lives in the past and they are going to play a bigger role in the future. Whether we like it or not, they are here to stay. But are they a blessing or a curse?
On the one hand, algorithms can help us automate tasks and save us time. For example, if you are looking for a job, an algorithm can show you all the jobs that match your qualifications right away. This is a big help and can save you a lot of time.
However, algorithms can also be used to discriminate against certain groups of people. For example, if you are a woman looking for a job, chances are you’ll see fewer job ads than a man. This is because the algorithm is designed to show you jobs that are relevant to your skills and interests.

We hope you enjoyed our article on algorithms in the contemporary world. Algorithms have revolutionized the way we live, work, and play, but have also brought with them some concerns. In this article, we discuss the pros and cons of algorithms and how they are changing the way we live and work. We hope that this article has given you a better understanding of algorithms and their impact on our lives. Thank you for reading!


Why do we watch Crime Shows?

Recently, I started watching investigative police video, on You Tube. I was interested in learning how investigators gradually chip away the lies and expose the “criminal”in a crime. I stand guilty of enjoying them. Some of us, love to watch crime shows, and I started to become curious to understand the nature of this “pleasure”.

It reminds me, of the book I read long back by the forensic psychiatrist Dr. Simon’s “Bad Men Do What Good Men Dream”. He proposes

that the only difference between Good Men and bad people is that a good person may just imagine or fantasize, about those so-called “criminals acts” or rather socially and legally unacceptable impulses but doesn’t cross over to the dark side of the crime. The criminal does make this transition by acting on those impulses.When I come across someone saying “oh my God! I can’t imagine someone could do that horrific crime”. If I happen to be an in an unforgiving mood, I end up blurting out “dude you have a very limited imagination”! I won’t deny that I haven’t gotten into trouble for saying that.

What happens generally is that we keep these thoughts “securely chained” in our “unconscious mind’s dungeons”.

Sometimes, they jailbreak by spilling over in the dream content and make their appearance as “nightmares”.

Going back the original question “why we love to watch crime shows” – is it possible, that act of watching it, absolves ourselves of any bad thoughts?

One of my friends – a psychotherapist-recently saw a young man,who had just returned from his deployment overseas. He witnessed a lot of bloodbath in bombing, explosions and as a matter of fact one bomb exploded right over his tent,killing many of his coworkers. Surely enough he suffered from PTSD. Strangely, he himself was a sniper, and took many lives without feeling traumatized. He shared with her, in confidence, that he misses not being a sniper because “I was very good at

that”obliquely referring to killing people without really saying it.

Was he committing a crime?Not legally, no,because the state condones it, but would it be pardoned on the day of reckoning? Who knows? Dostoevsky’s character Raskolnikov, a former student, lives in poverty and chaos in St. Petersburg .He decides—through contradictory theories, including utilitarian morality and the belief that extraordinary people have the “right to transgress”—to murder Alyona Ivanovna, an elderly pawnbroker in crime and punishment struggles with coming to terms with one such crime.

Franz Kafka’s Mr. K in his novel “the trial” wakes up one morning and finds he has been arrested right there in his bedroom for a “crime, he has no clue about” and throughout the novel he’s trying to figure it out. He even presents himself to “the court “, meets his lawyer and meets people of influence to get himself out of this “pickle “but to no avail and in the end he’s “executed like a dog” for some crime he had no knowledge of. The psychoanalytic take on the plot of this novel is that the “the court of law” represents unforgiving ruthless “unconscious”. What was his crime- ignorance about the workings of the “unconscious mind”. I see many people who have been “arrested by the unconscious” – the psychiatric diagnosis could be anything from garden variety depression to schizophrenia.

It also brings a question what would be considered a crime in the religious world. I’m not a clergyman, but whatever little I know about the Bible, I would say the first crime reported in the Bible was Cain killing Abel, and God became the first investigator. Cain committed one of the deadliest 7 sins – “jealousy” and that lead to the taboo of murdering his own brother. God asks Cain “where is your brother” and Cain retorts back “I’m not my brother’s keeper”. This answer was another crime he committed, because God opines “we are our brother’s keeper that means being responsible for others”. So, who are our brothers? Just the ones who share the same household, community, nation, or religion or could it be extended to all those who are sharing this planet. If we are all the bound by the bond of brotherhood, then killing someone dispassionately like that sharpshooter did, under to pretext of defending “our sovereignty” -should be a crime as well. But then again, “the poor guy was just following orders to make a living at the very least”. The character in Crime and Punishment – Raskolnikov provided a similar explanation for the murder. It is perhaps easy to demonize all the Nazi guards at the concentration camps for killing millions – in their own mind perhaps they were “just” following orders. More recently 9/11 terrorists killed thousands and were following “religious orders”.

A logical subquery of the subject question is –

Who decide what’s a crime? Should it be determined internally as Raskolnikov decided in the end; because under some strange circumstances, someone else was accused and found guilty. Raskolnikov, in the end decides to go to the police and confesses his crime.

After all these meanderings,I do want to come back to the original thought, “why do people indulge in their voyeurism vis a vis violence and crime”.And it is not only in the contemporary world, that people indulge in this pastime; Roman gladiators, and in medieval England, the public hangings served a similar purpose. The state would allow their subjects leisure time to participate in such activities.

Currently it’s not acceptable to watch even the cockfighting- it is a lot of blood- forget watching the execution or the blood bath in the “Roman colosseum “; so, the situations where people can have such gratification, is watching crime shows, playing violent video games and maybe watching violent sports like boxing.

It’s possible that, it gives a voice to their unacknowledged unconscious fantasies, fears and what not. In conclusion, my proposition that we love to watch crime shows, to absolve ourselves of “finding the same tendencies, within us, which has the potential to hijack our hard-earned bourgeois calm and peace”!

Treatment for depression,anxiety,panic attacks, mood swings,explosive anger,OCD,bipolar, ADHD,schizophrenia,social media and other addictions -medications, therapy and beyond!


Psychiatric treatment   Can this  With that  Help?


Everyone reaches a point where they think: “we need help,” but if their healing processes are compromised, then they are unable to help themselves. Although our bodies and minds have the capacity to heal, sometimes the healthy part gets buried underneath the wounded self. For example, when a surgeon is treating a wound, he has to secure healthy margins of the wound, to put a suture to close the wound. Similarly, a psychiatrist assists with the mental wound; to secure those parts of the mind which are unaffected by the disease process. He appeals to those parts of your being, which are relatively healthy. Simply by giving medications, this is not a cure-all solution. Medications are like a surgeon’s knife, can cure, as well as injure. To become a psychiatrist, one has to graduate from a medical school – just like any other doctor and go through specialized training focused on brain and psyche.Though not required, but it’s useful to study psychology and sociology as well. He also has to know how the society functions, because the individual he is treating does not live in a vacuum. Under optimal conditions, he is required to understand his own mind; which is an important tool to understand others. In addition, he needs to know his own biases and develop some clarity to know what the patient’s problems are, and not to confuse his own issues with the patients. On HBO Max, there is a relevant TV show “in treatment,” which describes the hard work of the psychiatrist; to correct these processes and to be able to assist the patients.

Looking for my “self”

“How do I find my self?”

To answer this question-first we would have to define “self.”

Defining something has always been difficult for me, but that struggle has translated into developing a varied perspective.

Let’s start with a simple approach; is my “self” what I feel, what I think, what I experience or how I appear? Is it how others perceive me? Is it what others reveal to me or how I connect with others? There may be even more approaches to the “self.” Let’s think our way through each of these hypothetical approaches to the self.

If self is “what I feel”, then it is constantly changing, since we have a variety of feeling tones. So, we may have happy self, sad self, angry self and so on.

If it’s connected with what I think, then it could be: how my mind perceives, processes, and imagines ideas, putting them in language and symbols: The final product is what I say, do, or write.

If self is what I experience, then it could be pleasant, unpleasant, toxic, stifling, despondent, hopeful, hopeless, helpless or uplifting and so on.

If self is my body,then it could be tall, short, white, black, beautiful, ugly, young, old, sick or healthy.

Is self located within myself or outside myself? I think most of us believe it’s something internal—but what if it is external to us, when we encounter others? Could it be like a halo that envelops us , and where all things outside of us converge—people, things, trees, animals, earth, sky and beyond.

The question of defining “self” can be pretty destabilizing! Similar to what the fellow Christians might have felt, when Galileo Galilei denounced“the church’s unchangeable truth,that earth is at the center of the universe.” This is what the leading thinkers on this topic of “self” face!

We want to see ourselves as cohesive and stable at the “core” , much like the pit of a cherry- but maybe it’s more of a scattered concept. Some psychoanalysts have stressed the importance of living through this “multiplicity of selves” rather than trying to encapsulate one’s psychic world into cohesiveness. What they mean in simpler terms is tolerance for “situational” selves and not looking for the continuity of self.

If that is so, then perhaps Jim Carrey in “Me, Myself and Irene” portrayed a universal struggle rather than that of a schizophrenic.

The quest for knowing our self is worthwhile and heroic if we are willing to risk our convictions and the security of feeling solid!

If you would like more resources on “self”and locating one’s self, leave a comment below and I can direct you to some interesting resources.