Yousuf Raza – Seeking Help When to see a Psychologist Psychiatrist
AI: Summary ©
The speakers discuss the definition of a psychiatrist, psychologist, and medical doctor, emphasizing the importance of mental disorders and physical conditions in many domains. They touch on the use of psychological issues as a sign of good health and how it can affect one's behavior and professional domains. They also discuss the risks of distressed mental health and the need for mental health professional consultation and guidance. The speakers emphasize the importance of positive mental health coaching and mental health professional development for future mental health professionals. They also discuss the potential risks of distressed mental health and the need for training specialists and coaching for psychiatrists and clinical psychologists. They caution against seeking help for mental health professionals and emphasize the importance of building relationships with mental health coaches and working on a plan to extend services. They also mention the launch of telephaliatry and the launch of a telephaliatry platform.
AI: Summary ©
Alright.
I think we should first describe 2-3
different things.
It will clear a lot of things.
What is a psychiatrist?
What is a psychologist?
What is a counselor?
What is a life coach?
What is a life coach?
And apart from that, there is something else.
What is that?
Absolutely right.
And not only do we have to clarify
when to see a psychiatrist or a psychologist
or a counselor etc.
When not to see them as well would
be equally important.
Alright, so let's take it off.
I think it's probably a good idea to
start off with the definitions and technical and
practical as well.
Let's start with what is a psychiatrist?
So, this question is asked to me.
Are you a psychiatrist or a psychologist?
So, a psychiatrist is basically...
We are confused.
We are confused.
A psychiatrist is basically a doctor who, after
his MBBS, for 4 years or 2 years,
he has done training.
From CPSP or from anywhere.
He has done training for that matter.
And the obvious difference you will find in
a Pakistani setting or any setting is that
when someone is prescribing you medicine, then he
is a psychiatrist.
So, he is trying to be a psychiatrist.
So, a psychiatrist would be a simple definition.
He is a doctor who has done this
job after becoming a medical doctor.
And because of this, he has been abused
by people.
That you are going to a tired field,
you will go crazy.
You are going to become a doctor.
Exactly.
So, he is a psychiatrist.
Now, what is a psychologist?
So, a psychologist is someone who has taken
a different route.
And that is that they have done their
bachelors, masters, MPhils, and all that.
Or even PhDs.
They are not medical doctors.
But they have studied academic psychology, and then
they have done clinical training under supervisors, under
proper training.
And they become psychologists.
So, these people are what we call psychologists.
Fair.
So, psychologist is going to be a broader
term.
Right?
If you go specifically related to therapy, then
we are looking at a clinical psychologist.
Right?
Who has to do clinical assessments and clinical
interventions.
So, a more appropriate distinction would be between
a clinical psychologist and a psychiatrist.
Right?
And we will come to that.
A psychologist can deal with purely theoretical and
academic psychology.
And there is no connection with the clinic.
Neither from the perspective of research, nor from
the perspective of seeing the patient, nor from
the perspective of seeing the client.
All of those things are to be made
clear.
Okay.
And clinical psychologist, psychiatrist, medical doctor.
Psychologist is not a medical doctor.
What would that mean practically?
In terms of how they practice.
You have told one thing that it is
prescription.
But as we know that this is the
case in Pakistan.
We don't have any such diploma or certification.
That clinical psychologists can prescribe medicines.
But in the West, that practice is also
there.
That clinical psychologists, after going through certain courses
and training, can also prescribe medications.
Right?
So, this is not the case in Pakistan
for now.
The psychologist who is prescribing medicine here.
He must be cheating.
And he must be cheating.
And as far as you can run from
that psychologist.
You need to run.
Right.
Absolutely.
Any other differences practically?
Practically, at least.
Psychiatrists are not very well trained practically in
psychology.
Their training in psychology is generally very limited.
If a person wants to study in his
own way.
If he wants to do something from here
and there.
Then he can do it.
Him being in a psychiatry ward.
Meeting people every day.
That thing helps him a lot.
That if he reads something.
But the training modules.
The training structure.
There is very little psychology in it.
Absolutely right.
So, psychology generally in psychiatry training.
Is not.
I think that's a very recent trend.
If we look at our own 10-15
-20 years old exam papers.
CPSP.
Then we would find that it was very
psychology heavy.
And when you and I trained.
The exact opposite was true.
Even the paper that was supposedly psychology.
There was almost no psychology in it.
And the greater emphasis was on.
What happened, Azam?
You are very old.
My time is completely over.
I am not old.
I am two years older than you.
It's okay.
You talk like this.
There were a lot of witches with me.
Okay.
So, Yusuf.
What is a life coach?
What is a therapist?
What is a counselor?
Right.
When we talk about psychology.
Actually, before I answer your question, Azam.
There is another thing that I do want
to highlight.
Between a psychiatrist and a psychologist, right?
A psychiatrist would be more informed.
Of psychological conditions.
That result from medical disorders.
And medical conditions.
That may present as psychological symptoms.
And then psychological conditions.
That need to be taken into very serious
consideration.
To manage other physical conditions as well.
And vice versa.
That the physical diseases.
They are not only their effect on our
physical body.
They will have psychological manifestations as well.
And there will be a lot of medical
illnesses.
Whose presentation may be psychological.
Right.
To be able to distinguish.
Where it is more of a psychiatric illness.
And less of a medical.
There is no medical issue involved at all.
You would benefit from a psychiatric experience.
Right.
So, this will happen.
And secondly, obviously.
When it comes to medication prescriptions.
What will be the involvement of those medications.
In different physical disorders.
For those physical disorders.
The medications they are already taking.
Which medication to give.
Which not to give.
Then the complications.
To manage them.
That's all going to be.
Related to a.
To a psychiatrist.
And a psychologist for the most part.
Especially how the practice is.
Organized in Pakistan.
Would not be concerned.
In that particular domain.
Okay.
Now coming to the part.
Psychologists.
Therapists.
And then counselors.
And then life coaches.
I think.
And psychoanalysts.
This is also a fancy term.
Okay.
Psychoanalysis is fine.
So let's start from the.
Let's start with life coaches.
As far as credentials are concerned.
As far as training is concerned.
As far as certification is concerned.
This is the least regulated.
Of all the.
Of all the people.
Who concern themselves with.
Another person's mental health.
Or look to.
Positively contribute towards their.
Psychological or physical health.
Right.
Life coaching key regulation.
World over.
No.
Very little.
Very restricted.
At best.
Right.
To become a life coach.
You don't have to do anything.
You just have to say.
That I am a life coach.
You should know how to speak.
You are very good.
If you want to be a good and
successful.
Life coach.
The one who warms the pocket.
You should be very.
Very good at marketing.
You need to be very articulate.
You need to be very good at marketing.
I am very articulate.
But maybe not as good at marketing.
But.
There are some.
Portraits behind you.
Who will not know.
You will not know.
As far as.
Most people.
Who are successful in this.
Life coaches.
Who are.
Actively coaching.
One-to-one sessions.
Motivational speeches.
And.
There is an entire.
Other genre.
Self-help books.
Category.
Most people.
Who are practicing.
As life coaches.
Self-proclaimed.
Self-help.
Self-proclaimed experts.
Most people.
For the most part.
Psychology.
95 percent.
Training.
Background.
5 percent.
Undergrad.
Less than.
1 percent.
Psychology.
Right.
For.
All of these.
Spectrum.
People.
People.
MBA.
Engineering.
All kinds of people.
You will find them and.
This is something that is more.
Of a case in Pakistan.
Life coaches.
Would be.
Religious preachers.
Turned life coaches.
Pakistani.
University college.
Culture.
Religious.
It's not propagated as such.
Even the audience.
The students would not respond.
Positively if they are told.
That a religious speaker.
Or a religious preacher.
Is coming to address you.
So what most religious preachers did.
Over the past 10-15 years.
Or so.
They started calling themselves.
Life coaches.
And they started even calling themselves.
Counselors.
Because that's the easiest thing.
That you can proclaim yourself to be.
You don't have to have any qualifications.
For that.
We do have an entire program.
Planned in.
To discuss.
Self-help industry.
Life coaching.
Introduction.
This is who life coaches are.
Level.
We have counselors.
Or.
Counseling would be.
Better regulated obviously.
Then life coaching.
At least in the west.
That's going to be the case.
Unfortunately.
Counseling.
Certification or regulation.
Schools.
Colleges.
People who have no formal training.
Or any certification.
Would be counselors.
Degree.
Private school.
Hire as.
Student counselor.
The.
The.
The.
And their agenda would be pretty clear.
As far as the student counselors.
In most private schools are concerned.
and that is against the basic tenet of
counseling.
You can't do agenda-based counseling.
That you have a child coming to you,
all kinds of problems, complications, family issues, cultural
values, career plans, everything.
You're going to disregard all of that and
just pursue that single-minded agenda that you
have to tell him in detail that the
best thing for him, which is just one
thing, is that he gets admission somewhere in
America or England.
And disregard everything else.
If there is one fundamental evil in counseling,
it is to have this kind of a
pre-set agenda.
You give it the name of counseling and
you further that sense.
Other than that, technically counselors should be certified.
They also have proper training and supervision before
they can be counselors in various domains.
But we don't have this here.
Yusuf, what is the difference between a clinical
psychologist and a counselor?
As I understand it, obviously we're coming from
psychiatry and as far as the two of
us are concerned, we're more into theoretical psychology
as far as our postgraduate interests are concerned.
And since the area of counseling isn't as
regulated and developed here, but a counselor does
not necessarily have to have a bachelor's in
psychology.
And will there be a difference in the
targets of both?
That he will deal with this and he
will deal with this.
Generally, we would expect that the severity of
the issues that a clinical psychologist is dealing
with would be relatively higher, would be relatively
more severe.
And a counselor would be at the level
of more of a day-to-day or
mild level of issues that he is addressing.
But of course, I'm sure there would be
counselors who will be certified for specific, more
severe issues as well.
But that's just how broad or how far
spread out these things have become.
It is difficult to simply put a label
on it and define boundaries.
There is a lot of overlap.
So moving on from there, psychotherapy, psychology, psychoanalysis.
How do we distinguish these two?
So psychology would be a broader term.
And in psychology, it's not just clinical psychology
or the psychology that comes in the domain
of clinical psychologists or psychotherapists or counselors.
It has a much broader scope.
In that, developmental psychology, industrial psychology, child psychology,
you can find as many nouns as there
are psychologies.
But psychotherapy is
the applied science.
The principles of psychology, the general psychology that
we talked about, using those principles, some tools
should be made, a tool box should be
made, techniques should be made that persons having
psychological problems or psychological disorders can address those
problems.
This would be psychotherapy.
When we talk about psychoanalysis, historically, it started
as a separate discipline.
And it has a lot of psychoanalysis principles,
a lot of ethical concerns, a lot of
theories.
They overlap with psychology.
But the way that whole discipline developed, we
can easily say it developed as a parallel
discipline with general psychology.
But we cannot make a sharp distinction that
this is psychology, this is psychoanalysis.
We cannot do this.
And that pretty much had a lot to
do with the influence that Freud, as a
thinker, had.
Even though he himself was a psychiatrist, and
he developed psychoanalysis, but its impact was so
overbearing and overwhelming that psychoanalysis ended up being
one of the foundational pillars of psychology as
it developed in the 20th century.
This is another thing that as more thinkers
came along and time progressed within the history
of psychology, many people descended from psychoanalysis, criticizing
it, defecting from it.
And they developed their independent schools of psychotherapy.
And then psychotherapy became the broader, the umbrella
term, and psychoanalysis became couched under that.
And so now psychoanalysis will be one form
of psychotherapy.
And there would be other psychotherapies as well,
which can be interpersonal, which we are asked
about the most and is also the most
popular.
Because when you google it, the first thing
you will see is cognitive behavioral therapy.
That is the most popular therapy.
And, of course, there is an entire discussion
as to how that is and why that
is.
But we're not going there just yet.
Okay.
You said you used a very appropriate word.
Psychoanalysis is couched.
So as much as psychoanalysts would hate to
hear that.
Yes.
And also the couch.
They're no longer on the couch.
They've moved away from the couch now.
Coming to our main topic, when should someone
seek help?
Right.
So as far as seeking help from a
mental health professional is concerned, in the context
of Pakistan, specifically, life coaches exist here.
As we said, counselors exist, usually uncertified, without
training, self-proclaimed as well.
Here, pretty much, we can safely say that
in the context of life coaches and counselors
in Pakistan, there is very little difference.
They're both pretty self-proclaimed, self-trained.
And, you know, they just have that title
and they offer that service without, and everyone's
doing it in their own way.
So that's one area.
Then you have the domain of a clinical
psychologist.
And then you have the domain of a
psychiatrist.
Now, And these last two domains, they are
pretty much well regulated.
The regulation of those two is much higher.
Relatively better regulated.
Relatively.
Relatively better regulated.
We look good when compared to them.
Otherwise, there's, as we know, crisis everywhere.
Okay.
So now you have to make a decision.
First, that I have to go to one
of these.
And when will that happen?
And when I make that decision, which of
the four would I want to go to?
So now, let's be very clear.
Everyone has psychological problems.
Right?
Everyone has psychological issues.
Often on, we would feel overwhelmed, stressed, anger,
irritability.
For the most part, these are human experiences.
These psychological issues are a sign of good
health.
If someone says, I don't have anything of
these, that's a problem.
Neither do I know how to cry, nor
do I feel sad, nor do I get
angry.
Now, whoever is saying that, is, that's a
bigger problem.
Right?
That in itself needs to be addressed.
So it is a sign of good health.
The way you are sitting in front of
fire, you will feel hot, and you might,
you might feel, and you would want to
move away, which is hot, it's painful.
That's a sign of good health.
That the fire is burning me.
This means that my neurons are inside my
skin, all the way to my spinal cord
and brain.
They're functional.
Everything is working properly.
Someone pricks me, someone sticks a needle, I
feel pain.
That's a good thing.
That pain is a sign of good health.
Similarly, all these typical psychological issues, they are
a sign of good health.
Just being sad, doesn't mean get up and
find a mental health professional to take a
consultation with, and see how everything is going.
What we would want to do though, if
these normal psychological issues, challenges, as negative as
they may be, when they cross a limit,
are persistent, right?
And they are creating dysfunction.
They are persistent, and my daily functioning, I
am a student, so I have to study,
I am an office worker, so my job,
my business, whatever it is, or my family
functioning, I have some responsibilities with my family,
interaction with them, my social responsibilities, my performance
in that, my self-care.
If my psychological distress, my normal psychological issues,
cross a limit, and in all these areas,
start creating dysfunction, start creating problems, my performance
comes down, or I don't go, I have
started taking holidays, I am not concentrating on
my studies, my exams have started getting bad,
I have started missing assignments, I have started
fighting with friends for no reason, if I
have a problem with one person, then okay,
it can be, I have a problem with
another, it can be, I have a problem
with a third person, then now we are
going to say, something is wrong.
If you are having problems with everyone, there
is, you know, there is a problem with
one or two, there are people like this,
but now you are having issues with, you
might want to see, so functionality in all
of those domains, social domain, professional domain, academic
domain, personal domain, all of that, if it
is coming there, that is a point where
you say, okay, clinical psychologist, or psychiatrist, counselor,
life coach, no, in this circumstance, where that
distress, first of all, subjectively, your own feeling,
that there will be more distress, that's it,
that's it for me, we even have these
phrases, right, and its effect, we see in
our functionality.
Azam, do you want to add?
Yes, and should we also include here, that
if because of you, someone else gets so
much distress, that its functionality, starts to get
affected, if, if, if this is also an
insight, then, then also, this step should be
taken, I just wanted to add, that everything
you said, Freud, summarizes all of this, the
inability to work and love, so inability to
work, and inability to love, so that's the
sign of great people, that what I had
so much trouble saying, and I tried to
add so many words, and I tried to
add so many words, it was said in
a couple of words, I'm talking about Freud,
not about you, so, okay, so this is
one thing, when you see this thing, apart
from this, as Azam said, if others are
also telling you, that because of you, here
our functionality, and our distress, has increased so
much, then it's also a good idea, to
take their word for it, to take their
word for it, and take, you know, find
a consultation, if everyone is saying, then they
are saying for some reason, might as well,
if it's, if it's one person saying that,
again, understandable, there are certain people like that,
who would just constantly, if there's two people,
and they don't have anything to do with
each other, they're saying that, again, fairly we
can say, three people are saying, that's again,
probably a sign, that it's something, that you
pay attention to, and get a consultation, from
a mental health professional, clinical psychologist, or a
psychiatrist, does that work?
Yes, one more category, Azam, the bizarre oddities,
do you want to add something, along that?
Yes, absolutely, one condition would be, that when
it happens, that it's possible, that the person
himself, doesn't feel, that I'm in distress, or,
there hasn't been, any such incident, that because
of that, someone else, is in distress, but,
is, that, but, that, the whole, acting out,
of that person, that the way, how he,
himself, has a normal, cultural, norms, that the
way, how he carries himself, that the ideas,
that he holds, that the way, social norms,
the way he behaves in society, if he,
grossly, misunderstands them, or, grossly, goes against them,
then, this is also a sign, that he
is having, some, issues, relating with the world,
because, the world, in seeing that, those issues,
are happening to him, and, how, how can
you, identify this, I think, we should, tell
you, some particular, signs as well, like, for
example, talking to yourself, becoming, very aggressive, making,
such, claims, that, socially, culturally, religiously, which are,
not possible, okay, and, we should, also, give
a disclaimer, that, if you, hear, someone, speaking
out, blasphemous, words, or, blasphemous, sentences, so, your
first step, should be a psychiatrist, not, some,
court, police, religious, and, it's, more probable, okay,
or, situation, or, similarly, aggressive, hyper, or, all
of, those, signs, may, lead, to, these, and,
the person, experiencing that, will be in denial,
okay, now, it's not, when to seek help,
for yourself, it's now, when to, seek help,
for somebody, in your circle, okay, man, bio,
miss a, but show me, say, you know,
even parents, friends, you will see, certain, of
these, alarming signs, that they will be, in
denial, they will not, want to acknowledge, that
there is, something wrong, with them, but, well,
it's probably, a good idea, to, get a
consultation, find out, what needs, to be, done,
and, in this situation, when these oddities, bizarre
behavior, a lot, we call it, psychosis, right,
in simple words, like, the symptoms, that I
mentioned, sadness, crying, anger, all of us, have
this, it increasing, and, affecting, our normal, functioning,
we call it, neurosis, right, if, some, big,
that, forces have moved, for my protection, because,
I, some, spies, had to come, and catch
them, and to stop them, and the talks,
on the radio, about me, my thoughts, they
hear, or, talk to themselves, like, there's something,
that nobody else can see, that they're having,
conversations with, now, this is not, something that,
we would classify as, okay, everyday, daily experiences,
this is now, going into the category, of
psychosis, specifically, you're going to, a psychiatrist, clinical
psychologist, Pakistan, domain, Pakistan, clinical psychologist, domain,
psychosis, at areas, address, for the most part,
if a psychologist, plays a role in this,
then, in, in a symbiotic, relationship, with a
psychiatrist, they, together, as a team, if they
do something, they'll do it, otherwise, predominantly, this
is the area, of a psychiatrist, okay, Yusuf,
if, there's someone, other than this, he says,
yes, I can work, yes, I can love,
but, but, I, do not, feel, okay, I
am, into my life, with a low, satisfaction,
quality, which I should get, from work, and
love, I'm not getting that, and, there is
some sort of, subjective, uneasiness, some sort of,
stagnation, hmm, what should he do, does he
need, any help, hmm, hmm, right, now, this
is probably, going to be the area, that
if we, that, counselor, or life coaching, for
a little while, with whom, we have, been
quite critical, till now, let's bring them, back
on the table, that, typically, those people, who
don't claim, that distress, or dysfunction, or that
way, they didn't experience, nor any, psychotic behavior,
like that, but yes, there is a dissatisfaction,
that I can do better, or, you know,
there is something, missing, usually, this, category, of
people, would resort, to counselors, be they, religious
counselors, or student counselors, or what have you,
or life coaches, hmm, not student counselors, hmm,
not student counselors, religious counselors, okay with them,
but not the student, counselors, means, if they
are in school, they might, certain schools, certain
counselors, may promote themselves, as such, but you're
right, generally, that's not true, that's not going
to be the case, those will be exceptions,
okay, so, typically, they will go to a
life coach, to, you know, have, that area,
explored, and this, is, a neglect, on our
part, as, mental health professionals, as psychiatrists, as
clinical psychologists, okay, despite, the academic background, that
we may have, the tradition, that we come
from, that we neglect, that we don't take
on, traditionally, typically, or even conventionally, now, it
has become such, that you, in psychiatry, or
psychology, disease, distress, just restrict that, and the,
bringing out your positive potential, meaning oriented, counseling,
meaning in life, all of that, out of
your scope, right, this is where logotherapy, would
come in, this is where Frankel, would come
in, again, our particular area of interest, that
we've picked up on, and, looked to develop,
as much as we can, and practice, by,
qualification, I would be a logotherapist, I am
a logotherapist, so, this is going to be,
logotherapy's criticism, on psychiatry, and psychology, that we
have to take, this positive aspect, this meaning
oriented aspect, this dissatisfaction, we have to take
this seriously, because this is a harbinger, for
future serious dysfunction, that which you would call,
illness, or disease, it's, this sign will start
coming, that if this, unheard cry for meaning,
which is coming from the inside, that something
has to be done, to do something big,
there is more potential, this, if this is
not heard, so this does, and it, it
does, and it will, and it can manifest,
as serious psychological problems, later on, as well,
right, so, this usually, falls in the forte,
of, coaches, they take care of this, there
is no harm in this, that they take
care of this, very, cautiously speaking, but, what
we would advocate, that the coaches, need some
level of training, as well, because when that,
unheard cry of meaning, a dissatisfaction, some illness,
is hidden, a coach is not going to
be able, to pick up on that, typically,
a coach is going to be, very tunnel
visioned, that the one book he has read,
self-help book, or seven habits of highly,
effective people, or that is subtle art, or
whatever it is, if something, goes out of
his scope, then, there will also be a
problem, so, ideally, now it is not like
that, because, Azam, we have to be real,
all the people in Pakistan, need, that positive
coaching, that we will say, everyone has it,
everyone has it, I have it, you have
it, we need mentors, we need, you know,
that kind of a help, those who have,
distress, dysfunction, illness, the number of people, there
are, there's 24 million people, in Pakistan, who
need, 240, 240, who have mental illness, okay,
I was talking about the total people, I
was talking about the mental illness people, 24
million people in Pakistan, statistics show, require, help,
right, so, how many are we, in Pakistan,
500, 600, every year, there is an increase
of 8, or 10-12 and the 500
-600 psychiatrists we know that if a patient
comes how many of them they refer him
towards a psychologist or the psychologists even though
they know that it is not in our
domain they do not refer them to psychiatrists
and this happens so there you go there
are 500 psychiatrists and only this many psychologists
the clinical licensed psychologists they are not more
than 500-600 all the
psychiatrists are on facebook the
idea is that considering this coaches and counsellors
they do have a role to play if
we look at the recommendations of the World
Health Organization the mental health gap program and
all of that is all about empowering non
-specialists provide them with adequate training specialists so
that they can bear this burden psychiatrists cannot
bear this burden even in the next 40
years so we can criticize them as much
as we want that they are unregulated they
are untrained they do whatever they want they
say the market is good so
if they get trained so that they know
their boundaries where to refer where is my
domain am I coaching someone in any aspect
where do I have to raise my hand
where do I have to go for supervision
where do I have to increase my skill
set get as much proper training as possible
as far as I am concerned every life
coach and counsellor should be regularly in touch
with a psychiatrist and a clinical psychologist and
vice versa psychiatrists and clinical psychologists also become
tunnel visioned by living in their own box
as we said by looking at the positive
aspect of humanity they become blind we are
unable to see that that's a possibility so
there is something that all of them have
to offer that we have to benefit from
for them, the answer to the existential crisis
is also Prozac exactly you don't see anything
other than medicine you are in distress you
are raising a question of meaning this is
a psychosis prodrome this is a psychosis prodrome
we have to get out of our diagnostic
categories to realize that there is more to
psychology than what is in DSM again long
story short as far as we are concerned
as I am summarizing when should people not
seek help and when should they seek help
first of all when should people not seek
help getting upset at others if there is
an issue crying over it from the professor
even for medical students if there is a
problem, crying over it if there is an
issue at home getting distressed if there is
an issue in the office getting distressed if
there is a presentation sleeping for half a
day this is normal there is no need
to get upset there is no need to
come to us and there is a possibility
that if there is an issue and you
go to a particular category of psychiatrists who
unfortunately are very numerous they will only listen
to the catchwords that I am upset, I
am not able to sleep they will not
look at the duration they will not look
at the intensity three medicines if they are
lucky otherwise six or seven as Yusuf said
in the beginning no matter what if there
is a phenomenon because of which the subjective
distress becomes so severe that your relationships and
work start to deteriorate and your normal functions
across the day start to deteriorate your work
meeting your family your friends family members a
special type of love your biological functions if
they start to deteriorate and that deterioration it
doesn't happen in a day or two it
persists over some weeks I am not saying
over some days over some weeks at least
2-3 weeks only then you go to
any psychiatrist or psychologist I am talking about
clinical psychologists and as far as counsellors and
life coaches are concerned they are concerned that
you are not going down but you feel
that you can go more than that that
whatever you are doing in your life you
feel some void that it can be better
than this but you are not able to
do that that void meaninglessness or worthlessness I
am not saying worthlessness but the feeling of
meaninglessness to cope up with that this is
the subjective uneasiness that whatever I am doing
I can do more than this that whatever
I am now I can be better than
this if that is the case then you
should go for a counsellor or a life
coach but having said that we will definitely
say be careful that there is there
is a lot of things in the market
there is a lot of brands in the
market and unfortunately we can't even tell you
their identity that what will be their face
they come in all colors shapes and sizes
colors and brands and * and genders yes
so Yusuf should we take some questions do
we have certain questions do you see any
questions one question was a lot of people
are experiencing this in lockdown specially should they
seek help where is it?
Neda Shahid yes so yes if whatever you
said that they are experiencing this whatever is
included in this if it is so much
that it is hampering your daily activities your
ability to love and work if they are
hampering that then yes there is no harm
in seeking help but along with that we
should also say that because of lockdown our
previous our habitual lives there is a lot
of distortion so before seeking help if you
can go back to those lives with taking
all the precautions against covid so do try
that if it doesn't work then seek help
because those habits and routines change a lot
alright great so with that question we sum
up I think at this point it is
important to give our practical takeaways today I
tried to hit upon those subjects that there
is something that we are doing about and
we did announce in the previous episode to
this actually that we are going to launch
telepsychiatry.pk we are going to do that
inshallah in next two weeks that will be
out there we will want that we have
psychiatrists on board, we are the psychiatrists on
board and we the criticism we did on
life coaching along with its importance we tried
to tell how much the need is there
it's not popular just like that so what
we are going to try to do from
the platform of telepsychiatry.pk is to build
something of a relationship between the psychiatrists and
what we are going to call them as
mental health coaches that the need is fulfilled
obviously the kind of response that we have
gotten, people are already commenting the way you
started off Azam that you try a lot
to warm your pockets however much we try
to warm our pockets there is only so
many hours a day and the kind of
response that people have given we are very
hard pressed to accept new clients I for
one cannot take more than one or two
new people every month for the lord that's
already there from before that all slots are
going filled so it's beyond us quite honestly
the number of people that need help so
what we are doing is from the platform
of telepsychiatry.pk that we are going to
be launching look to extend these services to
as many people as possible and in addition
to the jeb garam karne wala aspect those
who cannot afford one of the fundamental aspects
of telepsychiatry.pk is going to be that
we are not going to turn people away
on account of inability to afford help so
we are going to try our level best
everyone who reaches out is helped to the
best of our capacity so for that reason
we have established those forms, the scholarship forms
for those who need help and donation forms
for those who can help us help them
for the structure that we have developed it
will be launching soon, we need all of
you to help support the process spread the
word in the very least and we continue
to bring you these topics these questions these
discussions Azam what are we doing next week?
I am not sure you are not sure
I am not sure either so we are
doing something next week there is some topic
that Azam does not remember I remember more
likely the topic that is
something along the lines of academic bullying or
how education education education properly, the university and
college education can serve or can be a
hurdle towards human growth ok so we will
be having that discussion next week thank you
all for joining us for watching, for continuing
to press us with questions which has resulted
in these bet hugs to take place this
was a question that was asked repeatedly which
is why we made an entire session out
of this, we will continue to do that
your feedback and questions keep coming thank you
Azam, thank you all and with that we
say Assalamualaikum