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Bangalore, India

Gowda M.R.,Spandana Rehabilitation Center | Ramachandran K.,Spandana Nursing Home | Harish N.,Spandana Nursing Home
Indian Journal of Forensic Medicine and Toxicology | Year: 2015

The Mental Health Care (MHC) Bill 2013 has its origin in the widespread presumption of inadequacy of Mental Health Act 1987 in protecting the rights of mentally ill persons. Central to this new Bill is the concept of “Advance Directives” which seeks primacy and respect for the ‘in advance’ stated wishes of the affected person on the line of treatment he/she prefers to be delivered. While this is noble, there could be serious concerns on the competency of the affected individual for making such directives. It is still uncertain whether this Bill can strike a balance between the practical needs of patients and caregivers in the Indian context, while complying with international conventions. Given the acute manpower shortage and the adverse ground realities existing in the current scenario, this expectation may be impractical. This article tries to address some of the pitfalls of the envisioned MHC Bill. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved. Source


Srinivasa P.,Spandana Nursing Home | Chandrashekar M.,Spandana Nursing Home | Harish N.,Spandana Nursing Home | Gowda M.R.,Spandana Nursing Home | Durgoji S.,Spandana Nursing Home
Indian Journal of Psychological Medicine | Year: 2015

Anorexia nervosa is an eating disorder characterized by excessive restriction on food intake and irrational fear of gaining weight, often accompanied by a distorted body self-perception. It is clinically diagnosed more frequently in females, with type and severity varying with each case. The current report is a case of a 25-year-old female, married for 5 years, educated up to 10 th standard, a homemaker, hailing from an upper social class Hindu (Marvadi) family, living with husband's family in Urban Bangalore; presented to our tertiary care centre with complaints of gradual loss of weight, recurrent episodes of vomiting, from a period of two years, menstrual irregularities from 1 year and amenorrhea since 6 months, with a probable precipitating factor being husband's critical comment on her weight. Diagnosis of atypical anorexia nervosa was made, with the body mass index (BMI) being 15.6. A multidisciplinary therapeutic approach was employed to facilitate remission. Through this case report the authors call for the attention of general practitioners and other medical practitioners to be aware of the symptomatology of eating disorders as most patients would overtly express somatic conditions similar to the reported case so as to facilitate early psychiatric intervention. Source

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