Introduction Department of Psychiatry was established in 1982 running PG courses of MD Psychiatry and DPM. Now, every year there are 4 MD candidates getting admitted to MCI recognized courses, whereas the DPM seat has been abolished. The faculty are- Dr. Ritambhara Y. Mehta, Professor and Head of Department, has developed the department gradually and persistently with her vision. She is a PG teacher for Psychiatry, guiding the postgraduate students. Dr. Kamlesh Dave, Associate Professor is a dynamic social psychiatrist, running help lines for board examinees students since many years. He is a PG teacher for Psychiatry, guiding the postgraduate students. Dr. Dimple Dadarwala, Assistant Professor is a young academician who has improved clinical and academic environment of department further. She has expertise in Child and Adolescent Psychiatry. Ms. Amiben Pathak, Clinical Psychologist has more than 15 years of experience in field of Clinical Psychology. Apart from clinical outdoor and indoor psychiatric services it also provides De-addiction Services through Oral Substitution Therapy Center (DOST Center since 2011), aided by NACO and GSACS, Drug Treatment Centre (DTC since 2017) for De-Addiction related services by NDDTC-AIIMS Project. Department has a Child and Adolescent Psychiatry Unit (CAP) facility since 2018. Department runs special groups for Caregivers of Mentally ill, Intellectually challenged, Psychosexual disorders, Alcohol use disorders and Geriatric problems. The department also undertakes DASH program from Distress and Suicide Prevention amongst PG students. It runs fortnightly Psychiatry OPD services at CHC Zankhvav as outreach community program. It has acquired grant and permission to conduct Clinical Psychology (M.Phil.) courses, which will start once the GoG appoints the Clinical Psychology teaching staff.

Goals/Objectives :

• To Start M. Phil. in Clinical Psychology with Manpower scheme B of NMHP in 11 th 5-year plan grant
• To enhance other training courses in Para-psychiatric fields of Psychiatric Social Work and Psychiatric Nursing

M.Phil. in Clinical Psychology course will be started shortly.

• For Clinical Department:

Number of OPD Patients per month/year –

Number of indoor patients per month/year –

Average duration of hospital stay per patient – 2 weeks

Number of procedures(ECT) per month/year –

Number of procedures(EEG) per month/year –

Number of IQ Assessment per month/year –

Number of Other Psychological Assessment per month/year –

Dissertations

Papers and Posters presented in Conferences

1. Sridharan S., Shukla D, Mehta R., Oswal R. Munchausen Syndrome masquerading as bleeding disorders in a group of pediatric patients. Indian Journal of Psychological Medicine 2011; vol. 33, Issue 1, Jan – June 2011:86-88.
2. Prakash S, Mathew C, Bhagat S, Dholakia SY, Shah ND. A case of mixed type of paroxysmal dyskinesia: is there an overlap between two clinical categories of paroxysmal dyskinesia? Neurological Sciences. 2011 Feb; 32(1):143-5.
3. Desai Nimisha, Mehta Ritambhara, Ganjiwale Jayashree. Study of prevalence and Risk factors of Post-Partum Depression. National Journal of Medical Research, 2012, volume 2, Issue 2, Apr. – June 2012:194-198.
4. Luhar Mehul, Patel Asha, Shah ND, Dave Kamlesh, Mehta Ritambhara. Usher’s syndrome and psychosis: A case report. Archives of Indian psychiatry, June 2013.
5. Nimesh C. Parikh, Prateek S. Sharma, Pradhyuman J. Chaudhary, Hitendra A. Gandhi, and Girish H. Banwari. Study of attitude of interns toward psychiatry: A survey of a tertiary level hospital in Ahmedabad Industrial Psychiatry Journal. 2014 Jul-Dec; 23(2): 143–148.
6. Chaudhary P, Banwari G, Parikh N, Gandhi H. Severe headache as a presenting complaint in sigmoid sinus thrombosis complicated by functional overlay. Industrial Psychiatry Journal. 2015 Jan-Jun; 24(1):79-81.
7. Mehta Radha, Gandhi Vishal, Shah Nilima, Mehta Ritambhara, Singh Gaurav. Case report of narcolepsy presenting as self inflicted genital injury. ISSN, 2165-7920, an open access journal.
8. Singh Gaurav, Mehta Radha, Luhar Mehul, Mehta Ritambhara, Dave Kamlesh. Dropout of patients from a psychiatric clinic attending government medical college in Surat, Gujarat, India: a retrospective study. International journal of scientific study, March, 2015, vol 2, issue 12.
9. Mehta Radha, Mehta Ritambhara, Shah Nilima. A case report study of aggressive behavior in stable patient of schizophrenia who have improved on treatment and in normal and its effect on quality of life at government medical college Surat. IJMSCI journal, volume 3 issue 2,feb 2016.
10. Singh Gaurav, Mehta Radha, Shah Nilima, Ritambhara. Handwriting changes as a psychiatry symptoms. IJMDS journal, Jan 2016.
11. Shah ND, Mehta RY, Vankar GK. Nursing Teachers’ Attitude Towards Suicide Prevention- A Study From Gujarat NJIRM 2016; Vol. 7(1) Jan – Feb.
12. Nemlekar Saumitra, Mehta Ritambhara, Dave Kamlesh, Shah Nilima. A case report on Marchiafava-Bignami disease treated with parenteral thiamine. Indian Journal of Psychological Medicine, March-April 2016, vol 38, issue 2.
13. Shabina Sheth, Nilanjan Chandra, Ritambhara Mehta.Temporal Lobe Seizures Presenting as Abrupt Clinging Behavior in a Child Article in Indian Journal of Psychological Medicine 39(4):527 • July 2017
14. Patel AH, Mehta RY, Chandra N, Chaudhary P, Shah RH. Self-reported suicidality behavior and attitude toward suicide among Medical and Paramedical Students. Ann of Indian Journal of Psychiatry 2017; 1:34-9.
15. Rajat M. Oswal, Dinesh M. Rathor, Falguni M. Patel, Kamlesh R. Dave, Ritambhara Y. Mehta.Study of sexual practices and relationship patterns in men who have sex with men. men128Int J Res Med. 2017; 6(1); 128-132.
16. Nilanjan C. Chandra, Shabina A. Sheth, Ritambhara Y. Mehta, Kamlesh Dave. Severe Tardive Dystonia on Low Dose Short Duration Exposure to Atypical Antipsychotics: Factors Explored. Indian Journal of Psychological Medicine 2017 Jan – Feb; vol39.
17. Dr.Nilanjan Chandra, Dr. Shabina Sheth, Dr. Ritambhara Mehta. Socio-Demographic, Psychosocial Factors in MDR And XDR-Tb With Psychiatric Co Morbidities And Their Relation with Drug Adherence. Journal of Dental and Medical Sciences 16(01):05-08 • Feb 2017.
18. Bindoo jadhav, Hemangi Dhavale, Shubhangi Dere, Dimple Dadrwala. Psychiatric morbidity, quality of life and care giver burden in patients undergoing haemodialysis. Medical Journal of DY patil university, Nov-Dec-2014, 7(6),722-728.
19. Dr. Dimple Dadarwala, Dr. Bindoo Jadhav, Dr. Hemangi Dhavale. Acne more than skin deep-Psychiatric morbidity and self esteem in acne patients: Across sectional study from India. Europian Journal of Pharmaceutical and medical research, 2016, 3(12),532-538.
20. Dr. Dimple Dadarwala, Dr. Bindoo Jadhav, Dr. Hemangi Dhavale. Study of social anxiety and its relationship to clinical variables in patients of acne vulgaris. International Journal Of Scientific Research. May 2017, 6(5),73-76.
21. Mehta R, Shah A, Vankar GK, Chauhan A, Bakre R. Golden roots to golden fruits of mental health in Gujarat. Indian J Psychiatry 2018;60:227-35
22. Nemlekar SS, Mehta RY, Shah ND. Diphenoxylate dependence treated with buprenorphine and naloxone combination. Ann Indian Psychiatry 2018;2:63-4.
23. Shabina A Sheth, Nilanjan C Chandra, Ritambhara Y Mehta Cognition and Opioid Substitution Therapy Adherence in Patients with Opioid Dependence Journal of Clinical and Diagnostic Research. 2018 May, Vol-12(5): VC01-VC05
24. Mehta RY. Case report guidelines and informed consent. Ann Indian Psychiatry 2018;2:158-59
25. Dr. Seth Shabina, Dr. Mehta RY, Dr. Chauhan Ajay, Humanizing mental heathcare- Experience of peer support in two different settings in Gujarat after WHO Quality Rights Project, International Journal of Medical Science and Current Research; Volume 2 Issue 5; Sept-Oct 2019
26. Saumitra Nemlekar, Ritambhara Mehta, Kamlesh Dave, Falguni Patel. Opioid withdrawal and its stabilization on sublingual buprenorphine in intravenous drug users: A South Gujarat Perspective. Archives of Psychiatry and Psychotherapy, v22 (1): 63-69; February 2020.
27. Chandra N., Sheth S., Mehta R., Dave K., When alcohol beckons, everything takes a back seat-cross sectional study of knowledge, attitude and practices about effects of alcohol on sexual functioning in patients with alcohol use and sexual problems. Int.J.Med.Sci.Educ 2019;6(4):6-11.
28. Shakya SR, Dadarwala DD, Mehta RY. Pathological internet use and its correlation with big five inventory traits among first-year undergraduate medical students. Ann Indian Psychiatry 2020;4:135-9.
29. Panwala ZZ, Dadarwala DD, Mehta RY. The Impact of a “Brief ECT Orientation Module” on the knowledge and attitude of nursing students toward electroconvulsive therapy. Ann Indian Psychiatry 2020;4:140-7.

a.) Weekly Visits to Dang Ahwa

Every Thursday Weekly OPD services are provided at Civil Hospital, Dang Ahwa. Department caters to psychiatry services to around 1200 patients yearly.

b.) Sensitization & Mental Health Workshop for Anganwadi workers.

Every year department of Psychiatry conducts training for 60-75 Anganwadi workers from Dang Ahwa District under the DMHP Program. It is a 7 day residential program where the participants are educated about mental illnesses. The programme trains the health workers about identification of common mental illnesses and proper advice to be given to rural population regarding referrals, treatment and maintenance of compliance among other.

c.) IEC Activity

A Single day follow up IEC workshop of Trained Anganwadi workers was conducted at Public hall, Dang Ahwa. This program was attended by 30 Anganwadi Workers. An assessment was carried out to find the retaining of knowledge and practices leant during sensitizing workshop. It was an interactive session about perceived needs, problems faced with work, referral and feedback.

It is a tripartite model of collaboration enterprising government infrastructure, private psychiatrist and residents from the Department, attending to around 250-300 patients. Medications are provided free and Patients requiring further management are referred to New Civil Hospital, Surat.

a) Distress and Suicide Prevention Help for Medical students - Counselling

b) UG Induction workshops in batches of 50, for new entrant 1st Year medical students with aims of Sensitization and Awareness for Challenges and Stresses of Medical Student Life

c) PG Induction Workshops in batches of 50, for 1st Year Resident doctors with aims of Sensitization and Awareness for Challenges and Stresses of Resident Doctors’ Life and Doctor Patient Relationship.

d) UG Psychiatry Quiz for Intra-college level and South Zonal State Inter-college level.

A three year project sponsored by CAMH, Canada, operationalized by Government of Gujarat, the objectives are to assess the quality of the services provided by the mental health facility at Baseline, have an improvement plan to improve the quality of the services provided by facility. The improvement will be carried out through training of all level staff in various aspects of Human Rights, Communication Skills, Recovery Planning, Restraint Policy, etc and other aspects like improving the Infrastructure, Basic services, etc.Peer Support Volunteers

As an outcome of QR Project, with insufficient and nearly nonexistent parapsychiatric staff, PSV concept gained priority after Maitri and Saathi group meetings, which is supported by DoHFW, GoG through some remuneration to PSVs since 2016.

Mental, neurological and substance use (MNS) disorders impose a significant burden on individuals, families and the society. The number of people affected with MNS disorders is not clearly known in India. We are using estimates that are based on studies done during the 1980s and 90s and even earlier. This lack of data has not helped develop need based programmes and prevented measuring the impact of interventions. In this context, the present survey is being undertaken across 12 states that would represent India and involves interviewing adolescents, adults and elderly (11-18 and those >18 years). From these interviews we will be able to estimate the burden of MNS disorders. The survey is done to document prevalence and pattern of mental health disorders in sampled population of South Gujarat. House to house survey in 60 different clusters of Surat, Navasari and Narmada districts covering 3000 adults and 300 adolescents using structured questionnaire. Data was analyzed by an apex institution NIMHANS at Bengaluru.Release of the Summary report on the occasion of World Mental Health Day 2016 at New Delhi By Smt. Anupriya Patel and Shri Faggan Singh Kulaste, Hon’ble Ministers of State for Health and Family Welfare, Government of India.

To view the Report Click here: External Link

a) World Schizophrenia Day – It comes on 24th May. This year Patients and Care givers meeting was held. They were shown a documentary, psycho-education regarding the course of illness and improving adherence is given.

b) World Alzheimer’s Day – Every year on 21st of September. A screening camp was held in OPD, in which baseline assessment was carried out along with requisite investigations. This was followed by a seminar for education about the early signs and pointers to the illness, methods to improve cognitive skills and skills for care giving were discussed.

c) Mental Health Week (4th to 10th October)- Every Year during the first full week of October, Mental Health week is observed in the Department of Psychiatry. Different awareness raising activities are done every year in mental health week. This Year following activities were done:

i. A series of short talks by service users about their journey through the illness and their subjective experiences of the illness was organised. The service users were the key speakers and the staff, care giver and other general population were the audience.

ii. The HOPE tree was painted on one of the wall of OPD-13, Service users who visit the OPD were given a leaf shaped paper where they were asked to write down one hope/ dream that they have and paste it onto the wall. The tree would have additional branches where service users can write about something or someone that helped them recover.

iii. Series of workshops, open to the users, care givers and general public was organised with the help of a charitable institute which does activities of skill training especially with marginalised people. Service users were trained in a set of skills so that they can make and sell those things that help them have confidence in themselves and help them in reintegration in society independently.

d) An epilepsy week to create awareness amongst the patients, Caregivers, & general population; and debunk the myths related to epilepsy by showing videos and interactive sessions by doctors was celebrated in OPD 13, NCH, Surat in January.

World Mental Health Day 2016	HOPE tree for QR Project
Mental Health Awreness program	Skills training for MH patients
World AIDS day 2016 at Dost Center	DOST center meeting
Maitri on Christmas 2016	Maitri on Uttarayan 2016
PG exam Aug 2016	SRC workshop 2016
UG Quiz Zonal level September 2016	UG Quiz State level Oct 2016
Mental health awareness week April 2017	Mental health awareness week April 2017
PG Induction programme May 2017	PG Induction programme May 2017
GUTS - ‘Give Up Tobacco Sensibly’ May 2017	GUTS - ‘Give Up Tobacco Sensibly’ May 2017
Gatekeeper training for suicide prevention July 2017	Gatekeeper training for suicide prevention July 2017
Mental Heath Awareness Week Oct 2017	Mental Heath Awareness Week Oct 2017
World Schizophrenia Day 2018	World Schizophrenia Day 2018
Dash PG Workshop 2018	World No Tobacco Day 2018
Dash UG Orientation Programme	World Mental Health Day
World AIDS Day	Pg guides training
Pg guides training	World No Tobacco Day 2019
Mental Health Training For Community Worker	Mental Health Training For Community Worker
WMH Day	WMH Day

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