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MEDICAL
TRIAD...DOCTOR....PSYCHIATRIST...PSYCHOTHERAPIST
Dear Friends, I was quietly
reading the comments of Zia, Farzana,
Rashid Mughal and Ahsan, but Ahsan's
comment that he wanted to know the opinion of House Doctors of the Family
of the Heart inspired me to write a few lines.
As a student of science I know
that when matter changes its form and shape it also changes its qualities
and characteristics so much that it looks and feels different for example
two atoms of Hydrogen and one
atom of Oxygen make ...H2O
but we can see it as
solid...as ice
fluid as water
gas as vapour
now we
can focus on diversity or unity or both. Mystic poet Kabir
Das said everybody sees millions of water drops in the ocean but a wise man
can see the ocean in the drop of water. In my mind that is the difference
of knowledge and wisdom. Wise man is holistic and can see unity in
diversity and diversity in unity.
As a student of medicine and
mental health although now I practice as a psychotherapist but I was a
medical doctor and a psychiatrist before I became a psychotherapist and now
I want to benefit from all medical disciplines. let
me share with another example from my clinical practice.
I met three patients suffering from
Depression
The first one I sent for tests
and found out that her depression was because of medical reasons....disease
of the Body....she suffered from hypothrpidism
and her depression was treated medically with Thyroxine
The second patient suffered from
Manic Depressive Illness and had family history of affective disorder. He
illness was because of the illness in the Brain and was treated with anti-depressents
The third patient was depressed
because of his unhappy marriage and the thought of leaving his wife and children
and divorce was making him feel guilty as he was brought up in a religious
family. His Depression was more to do with his Mind and personality and
needed Psychotherapy
This is just one example to show
how the same condition Depression in different patients can be caused by
the dysfunction of the
Body....or
Brain...or
Mind / Personality
We know very well that body,
brain and mind are intimately connected but
as
students of science and psychology the better we understand the causes and
dynamics of Depression the better we are able to help our patients.
I also want to share that one
type of Depression does not exclude the other. Some people have double Depression and
need medications as well as psychotherapy.
Thank you Ahsan
for your inspiration.
sincerely,
sohail
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