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This is an archive article published on July 3, 2009

Prescribing a way of life,this doctor is a guiding light for many

Giving a patient hearing to around 40 life stories a day,some rather depressing,is routine for psychiatrist Dr Ranjiv Mahajan.

Giving a patient hearing to around 40 life stories a day,some rather depressing,is routine for psychiatrist Dr Ranjiv Mahajan. His job becomes all the more challenging as he has to give a new direction to all these stories,prescribe ‘a new chapter’ and motivate people to turn over a new leaf after the end of a not-so-happy episode in their lives.

Over the last 20 years,Dr Mahajan who is a professor of psychiatry and the Head of the department at Dayanand Medical College and Hospital,has followed a routine of providing consultation to patients with mental disorders.

There is one thing,however,that still annoys him. “Why is it that a patient seeks medical help only when the problem becomes severe?” he asks.

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“There is a stigma attached to mental problems. Patients and their families are afraid to visit a psychiatrist fearing what the neighbours or relatives would think if they get to know. Most patients with mental disorders — whether its depression or other serious illnesses — approach a doctor only after it starts getting out of hand,” the doctor said.

“ WHO raised this concern in 2005 with the slogan,‘Stop exclusion,dare to care’. When a person suffers from a disease,the first thing a doctor wants to know is that for how long the symptoms have existed. When it comes to mental problems,on most occasions,a patient’s reply is,‘It’s been over a year,I guess. Maybe two. Or to be precise,it’s been about three years’. And we know that the damage has been done,” Mahajan explains,adding that there is a lack of awareness among people about getting the right treatment at the right time.

“Many people turn to spiritual healers but ignore the medical aspect of the illness. By the time they land in a doctor’s room,they have wasted several years,in some cases even 10 years,” he says.

An early riser,Dr Mahajan starts his day with a workout for about 50 minutes. At the hospital,his day starts with academic work and interactions with students. Then he proceeds for his clinic by 10.30 am and sees patients in the OPD in addition to attending the indoor patients.

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He also attends to outstation patients at his private clinic in the evening and after a two-hour break,he has patients from the city waiting to consult him.

“We have a high magnitude of people with mental problems in our country but very few come forward for medical care. And comparatively,there are very few psychiatrists as well. Besides,only 20 per cent of people with disorders have access to a psychiatrist as many patients fail to find expert help in small towns,” Dr Mahajan says.

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