Raahat Hospital,is into providing treatments to psychiatric patients since 1994. Dr. Layeeq-ur-Rehman Khan started his psychiatry practice in 1994 at Parbhani. After three years of successful practice at Parbhani, shifted to Aurangabad in 1997. Our health care staff consists of 2 psychiatrists and 3 assistant doctors & 1 Qualified Nurse to guide the patients and take care of them in emergencies. We also have many on call Specialists like physician, Ophthalmologist and Anesthetist.
Here are the services we offer
The O. P. D Consultation timings are 9:00 AM to 5:00 PM from Monday to Saturday. ...Read more
Electro Convulsive Therapy (ECT) is an effective treatment for patients with depression, mania, and schizophrenia...Read more
The INTELLIGENCE QUOTIENT or IQ is a number describing the intelligence of people in comparison to the rest...Read more
Ours is a 16 bedded well equipped well staffed Hospital. Several categories of well ventilated rooms like special...Read more
ELECTRO SLEEP THERAPY has been in extensive clinical use for a variety of ...Read more
Pharmacotherapy is the use of medicine in the treatment of diseases, conditions, ...Read more
PSYCHOLOGICAL TESTING is a field characterized by the use of samples of behavior ...Read more
PSYCHOTHERAPYis an interpersonal, relational intervention used by trained ...Read more
—The O. P. D Consultation timings are 9:00 AM to 5:00 PM from Monday to Saturday. Emergency services are available 24X7.
We have a spacious waiting room for patients and relatives. As the relatives arrive with patient they are greeted by the smiling receptionist. They are informed about on duty doctors & probable waiting period.
The Patient is informed at Reception about the Hospital services, facilities, Doctors available and the Formalities.
The Patient and relatives are made aware at appropriate stage, about the various consent forms (Consent for E. C. T, Pentothal interview, Consent for De-addiction) probable expenses and other details.
Patient/Relative is informed about the services, which are not available at hospital such as Pathology, Radiology, Blood Bank etc.
The Service such as Pathology is made available if the investigations are needed.
There is Medical Store in the hospital premises.
There is TV set in waiting room which is tuned with appropriate TV channels for entertainment, information & education of patients/relatives. This is also used to show CDs/DVDs giving information about mental health treatments, medicines. Videos of free alcohol Deaddiction camps, health information camps, workshops & various activities are shown on the TV.
The psychiatrist first takes the history through the relatives. Then he takes the mental status examination of patient. He arrives at the diagnosis. After the diagnosis doctor talks to relatives about the line of treatment. If there is need of admission the patient/relative is sent back to receptionist. He/ She is informed regarding the charges, expected costs, duration of stay in Hospital etc.
Ours is a 16 bedded well equipped well staffed Hospital. Several categories of well ventilated rooms like special rooms, semi special rooms, general wards and a host of hospitality services have been specially designed keeping in mind all the necessary requirements of a patient.
Electro Convulsive Therapy (ECT)is an effective treatment for patients with depression, mania, and schizophrenia. The decision to suggest ECT is based on treatment options and the risk-benefit considerations of ECT.
Once decision about ECT is taken relatives are informed about the details of the procedure, risks involved and benefits expected. If relatives agree written consent is taken, then ophthalmologist (Eye Specialist) is requested to do the fundus examination. This examination rules out any abnormality in brain which causes increased pressure. When ophthalmologist gives normal report, anesthetist takes medical history and makes physical examination of the patient to assess his /her fitness to undergo ECT under general anesthesia. If needed patient is referred to physician. Routine investigations include blood, urine chemistries, chest X ray and ECG. The patient’s ongoing medications are carefully assessed for possible drug interactions with the adjunctive agents used with ECT.
Usually ECT is given in the morning. The patient is not given any food or fluid after 10 PM the previous night. A few minutes before the actual treatment, a drug called atropine is administered intravenously to minimize secretions and to create a mild increase in heart rate, which helps prevent treatment related decrease in heart rate.
The administration of ECT requires general anesthesia (unconsciousness), muscular relaxation (paralysis) and oxygenation. Patient is usually given oxygen from the onset of anesthesia to the resumption of spontaneous respiration, except for the brief interval of electrical stimulation. The depth of anesthesia is very light. In most settings, Thiopental (Pentothal) is used. It is associated with fewer incidents of ECT associated cardiac arrhythmias.
After the onset of anesthetic effect a muscles relaxant succinylcholine is injected intravenously.
he essential quality of the epileptic process is the occurrence of hyperactive and hyper synchronous neuronal discharges in an area of gray matter. When induced electrically, the clinical features of the convulsion are very similar to those of a spontaneous attack. With unilateral Brief Pulse ECT one stimulus electrode is typically placed over the non-dominant Centro-parietal scalp, just lateral to the midline vertex, appears to provide a configuration associated with a relatively low seizure threshold.
Unilateral placement is associated with less post seizure confusion and memory disturbance this is attributed to the smaller quantity of electricity required. There is considerable variation in the duration of convulsions in individual patients even with supraliminal stimuli. It is difficult therefore to indicate the minimum optimal period. It is about 25 to 30 second. After ECT is given patient is shifted to observation room. There he/she remains for about one hour. Once the patient feels comfortable he is shifted to his bed. He is kept NBM for 4 hour hours after ECT. Unilateral Brief Pulse ECT can be given, hence it reduces duration of stay of patient. Usually 6 to ECTs are given. Patient shows dramatic improvement in symptoms with ECTs.
The INTELLIGENCE QUOTIENT or IQ is a number describing the intelligence of people in comparison to the rest of the population. The original definition of IQ when measuring the intelligence of children was: IQ is a ratio of the mental age to the physical age multiplied by 100. The mental age was calculated on the basis of the average results in the test in the respective age category.
An Intelligence Quotient or IQ is a score derived from one of several different standardized tests attempting to measure intelligence. IQ scores have been shown to be associated with such factors as morbidity and mortality, parental social status, and to a substantial degree, parental IQ.
PSYCHOLOGICAL TESTING is a field characterized by the use of samples of behavior in order to infer generalizations about a given individual.
A useful psychological measure must be both valid (i.e., actually measures what it claims to measure) and reliable (i.e., internally consistent or give consistent results over time).
PSYCHOTHERAPYis an interpersonal, relational intervention used by trained psychotherapists to
Psychotherapists employ a range of techniques based on experiential relationship building, dialogue, communication and behavior change and that are designed to improve the mental health of a patient, or to improve group relationships (such as in a family).
Psychotherapy may be performed by practitioners with a number of different qualifications, including psychologists, marriage and family therapists, licensed clinical social workers, counselors, psychiatric nurses, music therapists, and psychiatrists.
Most forms of psychotherapy use spoken conversation. Some also use various other forms of communication such as :
Psychotherapy occurs within a structured encounter between a trained therapist and patient. Psychotherapy began in the 19th century with psychoanalysis; since then, scores of other approaches have been developed and continue to be created.
Therapy is generally employed in response to a variety of manifestations of clinically diagnosable or existential crises. Treatment of everyday problems is more often referred to as counseling.
As sensitive and deeply personal topics are often discussed during psychotherapy, therapists are expected, and usually legally bound, to respect patient confidentiality. The critical importance of confidentiality is enshrined in the regulatory psychotherapeutic codes of ethical practice.
There are several main broad systems of psychotherapy:
Psychotherapy often includes techniques :
Psychotherapy can be provided on one-to-one basis or in group therapy. It can occur
Its time frame may be a matter of weeks.
Psychiatrists have medical qualifications and may also administer prescription medication. The primary training of a psychiatrist focuses on the biological aspects of mental health conditions, with some training in psychotherapy.
Psychologists have more training in psychological assessment and research and, in addition, in-depth training in psychotherapy.
Social workers have specialized training in linking patients to community and institutional resources, in addition to elements of psychological assessment and psychotherapy.
Marriage-Family Therapists have specific training and experience working with relationships and family issues.
This refers to the practice of administering barbiturates or certain other chemical substances, most often Pentothal Sodium, to lower a subject's inhibitions, in the hope that the subject will more freely share information and feelings.
In the Narcoanalysis the subject's inhibitions are lowered by interfering with his nervous system at the molecular level. In this state, it becomes difficult though not impossible for him to lie. In such sleep-like state efforts are made to obtain "probative truth" about the problems. Experts inject a subject with hypnotics like Sodium Pentothal or Sodium Amytal under the controlled circumstances of the laboratory. The dose is dependent on the person's sex, age, health and physical condition. The subject which is put in a state of hypnotism is not in a position to speak up on his own but can answer specific but simple questions after giving some suggestions. It is possible to lie under Narcoanalysis and its reliability is questioned.
Pharmacotherapy is the use of medicine in the treatment of diseases, conditions, and symptoms.
The use of drugs to treat illness is a practice that has been accepted for thousands of years. A famous example is Hippocrates, who is generally credited with revolutionizing medicine in ancient Greece by using beneficial drugs to heal illness. Traditionally, plants have been the source of medicinal drugs, but modern day medicine mostly utilizes synthesized or purified bioactive compounds, rather than an entire sample of plant matter. The advantage to this method of Pharmacotherapy is that the dose of medicine rendered is standardized and pure, rather than an unknown drug dosage administered in addition to a wide variety of other chemicals present in the plant. Modern Pharmacotherapy is the most common course of treatment for illness.
ELECTRO SLEEP THERAPY has been in extensive clinical use for a variety of psychiatric syndromes during the past 20 years. From recent studies it is highly suggestive that this safe and simple means of treatment is effective for chronic anxiety, tension states with associated insomnia. Treatments usually last 30 minutes and consist of a low voltage, pulsating direct current administered from an Electrosone® 50 units via electrodes over the mastoid processes.
The average course of treatments varies from five to ten given over a period of two or three weeks. Some patients may require maintenance treatments given at varying intervals as determined by recurrence of symptoms. Side effects are minimal with no known absolute contraindications except that some patients with primary depressive disease may decompensate and become actively suicidal. Thus, electro sleep therapy should not be the treatment of choice in this disorder and should be used with caution if this diagnosis is suspected.
"Our main purpose in establishing our web site is to Educate and inform the public about Mental and Sexual health issues. We will also update the programs and services offered by the Raahat Hospital Founded in 1994,...."
Dr. Layeeq-ur-Rahman Khan ___Raahat Hospital
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