Addition Behaviour Management and Research Centre



  1. Introductionï
  2. About the Organisation
  3. Substance misuse and dependence
  4. Alcohol mistreatment and dependence
  5. Psychiatric Disorders
  6. Cases
  7. Key Learning
  8. Daily Dairy Report
  9. Review of Literature
  10. References



Sambal psychiatric and de habit hospital had become in 2000 by the name of "Samadhan". It was found by the three directors Dr. Shashi Rai (M. D. Psychiatrist), Dr. P. K. Khattri (Clinical Psychologist/older Counsellor) and Dr. Rajiv Kumar Shrivastava (Communal Scientist). It was renamed as "Sambal" in 12 months 2006.

It is a psychiatric clinic that admits patients with psychiatric disorders and patients of alcoholic beverages/drug dependence. The instances (of psychiatric disorder) witnessed were those of paranoid schizophrenia, bipolar disorder, somatoform disorder, severe depression and schizo effective seasonal symptoms.

  • SCHIZOPHRENIA- It's a mental disorder characterised by hallucination, delusion, bogus beliefs, distorted thinking, disoriented operating, etc. It has various sub types. The truth noticed was that of paranoid schizophrenia. Paranoid schizophrenics are often paranoid, suspicious and fearful of anything and everything. Symptoms accompanied by hallucinations particularly auditory and perceptual disturbances.
  • BIPOLAR DISORDER- It can be characterised by cycles of elevated spirits and depression. Elevated feelings is specifically called mania or hypomania. Symptoms are such as unusual feeling of delight and pleasure or in contrast exteremely irritable, rest deprivation, sometimes suicidal tendencies as well.
  • Somatoform disorder- These are characterised by physical symptoms such as pain, sensations disability, blindness, erotic malfunction in addition to symptoms like frustration and stress.
  • Severe depression- Mental disorder characterised by pervasive low spirits, low self-confidence, disinterest and suicidal tendency etc.

Psychiatric patients and patients of drug abuse are given with proper medications (not brought up), therapies and counselling sessions by the hospital. They are given with music remedies, yoga remedies, motivational n family counselling etc. A healthcare facility also focuses on managing the behavior and adjustment of patients with the environment.

Substance Maltreatment or Dependence

Substance abuse and dependency are extremely common in our contemporary society and other countries also. Substance abuse defined as a style of hazardous use of any product for mood-altering purposes. The usage of substances that affect spirits and tendencies is normal. A couple of substances that may be abused because of their mood-altering effects that aren't drugs whatsoever -- inhalants and solvents -- and there are drugs that can be abused which have no mood-altering or intoxication properties. Substance Dependence include more serious forms of material use disorders and usually requires a designated physiological need for increasing levels of substance to attain the desired results. Dependence in these disorders means an specific will show a tolerance for a medicine and experienced drawback symptoms when the medicine is unavailable. Tolerance defined as a need for increased levels of the substance to accomplish intoxication or desired effect, or with diminished effect with ongoing use of the same amount of compound. Withdrawal symptoms are physical symptoms like sweating, tremor etc.

Alcohol Misuse and Dependence

Alcohol misuse and dependence are major problems in our country. Alcohol misuse is associated with over one half the deaths and major accidents suffer in car accidents each year. Alcohol maltreatment and dependence inside our country trim across in every ages. Alcohol abuse and dependence means that any person engage in drinking alcohol too much or every day. It results the person's life atlanta divorce attorneys area like work, in home. Alcoholic beverages dependence also known as alcoholism. The individual is rely upon alcohol actually or mentally. Alcoholic beverages abusers are different liquor dependence, because liquor abusers are not physically addicted but they failure to comprehend the problems or dangers that harm to themselves yet others. They are able to control and change their taking in patterns.

Psychiatric Disorder

Psychiatric identifies mental condition and mental medical condition. Psychiatric disorders may be defined as mental or behavioural design that causes impairment, impairment or hamper normal physiological and mental working and which is not socially or developmentally normative.

Types of Mental Illness

There are extensive different conditions that are named mental illnesses.

  • Anxiety disorders
  • Mood disorders
  • Psychotic disorders
  • Neurotic disorders

The cause and consequence of such disorders is determined by various factors such as individual's personality, living and working environment, hereditary reasons, etc. These disorders may be transient or persistent in characteristics depending upon the depth of the disorder. A few of these disorders can be cured to an amount while the effect of others can be reduced up to level through medications and therapies.

Some psychiatric disorders are believed to be most serious such as schizophrenia, personality disorders, etc. Such disorders are characterised by various long term symptoms respectively.


Case No - I

001 is an individual of Bipolar and facing the condition for previous 1and 1 / 2 years. She stayed here from previous 25 times. In the next week, she was hyper energetic, voilent and believed in God sung a bhajan first of all forced by the counsellor then she begins. In the last week she was effective but not violent and sung a bhajan regularly move her fingers on thumb prefer to rely. She learn singing from her own house. When she come she encountered a problem of insomnia.

Case No - II

002 is a patient of long-term paranoid schizophrenia. He previously been accepted in Sambal for over 40 times. The counsellor reported that when he was admitted, he previously not bathed for days and nights, had not ate for probably over 48 time, is at shabby costume and was unwilling to do or say anything. He always say no atlanta divorce attorneys things. Counsellor ask to learn a newspapers and daily routine activity he did not take a part. However in the the other day he was initially time take effort in the tedious activities.

Case No - Iii

She is diagnosed with somatoform disorder. She was accepted in a healthcare facility through the fourth week. During the fourth week when the individual was discovered, it was seen that she got swelling and burns up around her body. The counsellor reported that she complained of experiencing severe headache problems and was first given painkillers, then painkiller shots and then eventually hard drug injections, which induced inflammations on her behalf body. This week she was given heavy medication anticipated to which she was asleep the majority of the time. In the last week, it was seen that the inflammations on your body and the inflammation had decreased with an degree. She reported that she possessed "life threatening" head pain. When she cannot tolerate it, she visited the physician who prescribed her the shots and after some time she became unable to "manage" without those shots. But these inflammations started to happen and she was taken to this medical center as "her treatment for her pain had already been happening out of this very hospital". She also reported improvement in her burns and throbbing headache after she came up to the hospital

Key learning

During the five weeks of internship, detected the circumstances of bipolar, paranoid schizophrenia, obsessive compulsive disorder, alcohol dependence and capsule dependence. It was observed that almost all of the circumstances are alcoholic beverages dependence and substance abuse. A lot of the patients were keep coming back for the same problem like alcoholic beverages dependence and drug abuse mostly. The behaviour patterns of the patients were same characterized such as anxiety, aggression, distorted talk and distorted attention. Once the medication was provided to these patients and detoxication was done, they bought delirium condition for approximately 5 to seven days with respect to the level of medicine/alcohol dependence. Regarding psychiatric patients, two of the patients were long lasting at a healthcare facility. A case of paranoid schizophrenia and a case of severe depression along with schizo effective seasonal symptoms. The behavior pattern seen in the patient of paranoid schizophrenia was disoriented talk, suspicion, unwillingness to perform any activity, disobedience and routine of expressing "no". The case of bipolar disorder was also discovered to be hyper energetic, participating, creative, mumbled up and quick speech and sound sensitive sometimes. He also said to be God. Also pattern as pain, stress, irritation and nervousness were observed in the individual of somatoform disorder. The difference in treatment habits for addicted as well as psychiatry patients were also observed. Example. The addicted patients received yoga remedy, music therapy and cognitive therapy along with the medication. Whereas psychiatry patients received heavy medications then slowly but surely motivational counselling and then further treatments. The behaviour pattern of the counsellor through the activity trainings with the patients, was also discovered.

Daily Reporting

In the first week, Introduction with the counsellor, the receptionist, kitchen personnel, the attendants of the patients. Took a circular of the hospital female wards- ground floor -1 general ward with three bedrooms. private wards with two beds each. male wards- first floor 2 general wards. Noted bills of the patients both IPD and OPD.

It starts off with normal boring things which he needed that relates to food or any other thing. Then start with prayer. A number of the patients pray with finished sight and fold hands. Some of them to see the chart where prayer was written. Then counsellor gave the newspaper to learn it one by one. Mostly patients read the newspaper but one or two patient do not read it. Patient won't read it and you are illiterate. Five out of two weeks game are performed by the patients and the counsellor. In a single week only patients be a part of game (term development in Hindi). It take 3 rounds with time limit. Within the other week all were take part in the game including counsellor and including us. The game was word creation with last expression in any words in Hindi or English. In three weeks counsellor informed a moral story to the patients and in one week the counsellor asked old patients to advised a moral tale. In the last week, old patients were better from the previous weeks. Some new patients come plus some old patients were gone. Old patients that were not active in the last a month however the patients were active and take part in daily routine activities like bath, wash clothes. There have been recognizable changes in the patients.

Review of Literature

  • Substance mistreatment and dependence disorders are normal problems inside our population (Adelson, 2006)
  • An approximated 10. 3% of parents in america develop drug (substance) use disorders on an illicit drug sooner or later in their lives, with about 7. 7% creating a drug abuse disorder and about 2. 5% creating a drug dependence disorder (Compton et al. , 2005).
  • About 8% of adult People in the usa develop alcohol misuse or dependence disorders (Lemonick, 2007).
  • People with one drug use disorder, such as alcohol dependence disorder, often present with another, such as cocaine dependence disorder (Stinson et al. , 2005).


Adelson, Warren; Hoving, Thomas; Wyeth, Andrew(2006). Andrew Wyeth: Helga in writing. NY: Adelson Galleries.

American Psychiatric Relationship (2012). DSM-5 Development: R Substance Use Disorder

Barker, R. L. (2003). The cultural work dictionary (5th ed. ). Washington, DC: NASW Press.

Compton, W. , Thomas, Y. , Conway, K & Collvier, J. (2005). Development in the epidemiology of Medication Use and Medicine Disorders. North american Journal of Psychiatry, 162(8) p 1494-1502.

Kinny, J. (2003). Lessening the hold: A handbook of Liquor Information (7th ed. ) New York, NY: McGraw-Hill.

Lemonick, M. D. (2007). The technology of obsession, Time, 42-48.

Stinson, F. S. ; Offer, B. ; Dawson, D. A. ; ET AL. Comorbidity between DSM-IV alcohol and specific medication use disorders in the United States: Results from the Country wide Epidemiologic Study on Alcoholic beverages and Related Conditions. Medicine and Liquor Dependence 80:105-106, 2005.

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