Yousuf Raza – The Deceit of Drug Rehabilitation Center
AI: Summary ©
The speakers discuss the complex dynamics of drug addiction and the importance of mental health awareness and consistency in treatment. They emphasize the need for proper work and consistency in treatment to avoid complications and avoid mental health harm. The speakers also discuss the importance of education and negotiating with the insurance industry to convince people to get admission to a school. The speakers emphasize the need for professional help to convince students to get admission to any university and the importance of psychiatry in scientific research.
AI: Summary ©
Assalamu alaikum wa rahmatullahi wa barakatuhu.
Wa alaikum assalam Yusuf bhai, how are you?
I am fine Azam, how are you?
I am fine, Alhamdulillah, I am fine for
now.
You are fine for now?
Let's see what's next.
Are you ready?
Yes, Inshallah.
Deceit of Drug Rehabilitation Centers.
Yes, Dr. Yusuf, why did you name it
as Deceit?
I didn't understand it myself, why?
Okay, because according to my experience, most
of the drug rehabilitation centers are not drug
rehabilitation centers.
There is no rehabilitation, there is more deceit
and fraud.
And there is no rehabilitation.
Okay, you said most of, so is it
most of or all of them?
I mean, will there be some that will
be comparatively better?
A lot of people ask me to name
a drug rehabilitation center.
And I ask back and forth from seniors,
colleagues, and from somewhere, nobody has any trust
in any.
So if there is anyone, then it is
not in our knowledge, at least not in
my knowledge.
We know more how untrustworthy they are, rather
than how any of them can be trusted.
So the words you have used for drug
rehab centers, you are calling them deceit, untrustworthy,
fraud, you say a lot of things in
your private meetings.
Yes, I still say it.
So what is the reason for this?
After all, they also give medicines, people go
there, and a lot of people also report
that we went there and then left the
drug.
So what is the reason for all this?
See, for the large part, all the drug
rehab centers we have, there are some protocols
that they follow, some qualified personnel are on
their panel, are included in their employees, most
of the people working for them, don't have
the first idea about what drug dependence is.
All the drugs that people depend on, what
are their protocols, what are their treatment methods,
what are the dos and don'ts, none of
that is defined, none of that exists.
If there are any government recommendations, if there
are any protocols that a psychiatrist should be
in drug rehab, or a licensed clinical psychologist
should be there, then at max, more than
the paperwork, how a psychiatrist or clinical psychologist's
drug rehab center actually works, they have no
say in that.
The owners, the businessmen, they define how the
rehabilitation will be, how it won't be, what
treatment to give to the patients, what medicines
to give, how many people have to hold
them, drag them, hit them.
All of that is going to be decided
by people who have utterly no qualification in
what drug rehabilitation is supposed to be like.
Yusuf bhai, what you said, one thing that
comes to my mind, and what I remember,
is that many times, there is a psychiatrist
who is credible himself, and he doesn't malpractice
himself, but when he admits someone somewhere, admits
his patient in a rehab, then what happens
after admission, is usually not in the hands
of that psychiatrist.
And many times we have seen this, I
know some of my colleagues, who are prescribing
something else, but the drug rehab centers are
prescribing something else, the actual medicines that are
going are something else.
So what is the reason for this?
Why do rehab centers do this?
Why do they do this?
And this not only harms the patient, but
also causes a bad name in the name
of a psychiatrist.
So why are rehab centers doing this?
Why don't they listen to a psychiatrist?
Again, psychiatrist, this is most likely a very
recent intervention from the government, that to function
a rehab center, it is very important to
have a psychiatrist on board, that in their
documents, it is very important to have a
psychiatrist.
And now, the drug rehab centers, for so
many years, without any psychiatrist, and they don't
have any kind of international guidelines, they are
not following any kind of recommendations, they have
a self-managed management protocol, on which they
operate.
On the basis of that, they have some
cocktail medications with some drug companies, some cocktails
of medications, which they have prepared.
Now a psychiatrist will come and tell, that
for this disease, or for this withdrawal symptom,
they don't give 15 medications, they give one
or two, whatever it is, he will give
such recommendations.
Those cocktails that are running, which are in
their contracts with those drug companies, the drug
companies, one is their source of revenue, obviously,
those poor patients, who have to pay lakhs
of rupees, to these frauds, they are in
their place, but their source of income, from
the drug companies, it is even at times,
more profitable, than the patients themselves.
So, there are a lot of such psychiatrists,
and perhaps that deserves a show in itself,
an entire psych meeting, on what independent of
drug rehab centers, the corruption in medical practice,
the prescription malpractice, the over-prescribing, the pharmaceuticals,
the prostitution of doctors, that is, let's just
not go there for today, let's stick with
drug rehab centers.
So, for them, the psychiatrist, is a pain
in the neck, he is an obstacle.
Okay.
Dr. Yusuf, we often hear, that a patient
went to drug rehab, and he left the
initial addiction, but he got addicted to some
other medicine, or something else, so how does
this happen?
Again, the psychopathology of addiction, the way addiction
works, it's not just one type of drug,
there are multiple types of drugs, the root
cause, and every patient will have a different
cause, not every addict of heroin, has the
same psychopathology, every patient is unique, every situation
is unique, there are multiple array of factors,
which have influencing factors, when no one has
ever addressed them, forcefully, against the basic human
rights, if someone is released, from the dependence
of a particular drug, so naturally, since the
influencing factors are still there, the problems have
not been addressed, they will fall on to
some other drug, and not only that, the
drug rehab centers, they are in a very
tight nexus, the pharmaceutical companies, which are legal
drugs, prescription medications, they have illegal contracts with
them, they are in their place, the dependency
drugs, the drugs of abuse, drugs, heroin, cocaine,
you name the whole bunch, drug rehab centers,
are the supplying centers, the people who supply,
with them also, there is a tight nexus,
of the rehab centers, we get to hear
from many patients, that the best church, or
the best heroin, is from a certain rehab
center, or from there, or from here, so
for them to go from one medication, from
one addiction to another, and in another way,
one influencing factor of addiction, is a kind
of rebelliousness, that the society engenders, and when
you force someone, to go through all kinds
of physical pain, and force them to get
rid of a drug, then that rebelliousness is
not going down, it has increased, and they
have to find a chance, that wow, when
that will come around, and when that will
lead for the people, to take some drug
or the other, in
government hospitals, where I have worked, we keep
them for maximum 2-3-4 weeks, to
reduce their biological dependence, the acute issues, and
send them home, and engage them for a
long time, and we saw this practice outside,
so in these addiction centers, the initial bond
is of 2-3 months, and the initial
payment is also taken, so the financial strain
on the patient, and the way he is
kept in a room for 2 months, does
he not respect it more, that he will
come out and start again?
Definitely, not only will he come out and
start again, but he will do it with
a new passion, with a new excitement, with
a new anger, with whom, as you said,
the practice in our hospitals, we used to
go after so many protocols, and admit someone,
that we had to see their commitment, we
had to see at what stage they are,
we had to see that, when these government
resources will be applied to them, then the
possibility of a relapse, how much is it,
how much is it less, and if it
was not on the stage, that all this
effort is going to be worth it, we
did not even admit it, so we had
properly defined protocols.
Dr. Yusuf, at least in this matter, we
can safely say that, the management of government
hospitals, is better than the private businesses, of
the drug addiction centers, and is safer than
them.
Far better, far safer, there you will have
a full team, ranging from professor to consultant,
with postgraduate trainees of all levels, and house
officers, that in itself having that entire team,
from senior to junior, that in itself controls,
what type of management will be done, what
level of management, which is a completely egregious
kind of offenses, at least they get debarred,
they get precluded, we get saved a lot
from them.
This is another thing, that the same consultants,
outside in some other rehab center, in their
private clinics, follow some other guidelines, and that's
a separate story altogether, but nevertheless within that,
that institutional set up, that government set up,
it's far better, it is definitely far better.
And in the institutional set up, the support
that comes from psychologists, and social workers, in
the drug rehab centers, that is also far
better.
Absolutely.
In fact, in drug rehabs, the physical abuse,
sexual abuse, economic abuse, emotional abuse, the extent
to which it happens, that is of a
whole new level altogether.
That the mentality of the people working there,
the people running those institutions, about the drug
dependent patients, they conceive of them to be
less than human.
They think they are a little above the
animals, or even below them, they think everything
is justified on them.
Psychiatric patients are stigmatized the same way.
If someone has a psychiatric problem, the same
concept is used, that we know the story,
and we know the way the society treats
or perceives them.
But if it is an addiction, then we
will find even the most trained and experienced
people, having a great deal of difficulty, to
empathize with them.
They are seen as a burden on our
social resources, of their parents, of their family,
of the society.
They are seen as a hindrance.
And when all these labels are put on
them, then we can chemically abuse them, physically
abuse them, sexually abuse them, economically abuse them.
It just gets rationalized in their mind.
It gets justified in their mind, that it's
all a fair game now.
We are looting these parents, for something that
we know we can't provide.
Why are they justified?
They are justified because they didn't take care
of their children.
They put their children on drugs.
And the evil prevails.
Yusuf bhai, whoever has spent one or two
years in the psychiatric community of Pakistan, knows
what happens in drug rehab centers and what
doesn't.
But since the government has made a requirement,
that at least one psychiatrist is compulsory on
the panel of your rehab center, who should
come twice a week, and meet the requirements.
So we see that there are a lot
of rehab centers, which are functioning in such
a way, that the psychiatrist has only got
his name written there.
They know what's going on there, and it's
like turning a blind eye, that we don't
know what's going on there.
We are just getting our name written, and
instead of that, whatever share they get, or
whatever money they get.
So we, those psychiatrists, who are allowing these
things in their name, we can't exclude them
either.
Azam, you are a witness.
When your FCPS exam was cleared, you didn't
even get a degree yet.
What happened after that?
Exactly.
Would you like to share with people?
There are offers.
What offers did you get?
Of course, there are offers.
And whoever has done FCPS in psychiatry in
Pakistan, they can tell you.
The exam has just been cleared.
It has just been announced that you have
passed.
It's not even official yet.
That you have satisfied the board of examiners.
However you satisfied.
So you just give us your name, give
us your degree, and we will give you
a month's salary.
And whether you come or not, we don't
have any issue.
And it is very lucrative for a psychiatrist.
And at that time, you are getting paid
to take it.
But for a psychiatrist, that money won't be
more than 10, 12, 13, 15 consultations.
As much as the drug rehab center is
giving you.
So for the money of 15 consultations, you
let unethical practices happen under your name.
At least our own community should also think
about this.
Absolutely.
In fact, what you told me, that if
a psychiatrist insists, that no, no, I will
still go to the center or I will
go.
And I will see each patient.
And I will also give recommendations on it.
What happens to them?
What you said, if they are watching the
program, they must have understood.
You told the story.
Absolutely.
Even if you write on it, then your
prescription will not be followed.
Your paper is not more than waste for
them.
Because what you are prescribing, that prescription is
in the mind of thinking, that we have
to release them from here in 15 to
20 days.
We don't want to make them dependent on
new drugs.
So that after 15 to 20 days, they
go home and live with their family.
They get good social support there.
And they will live with us in the
plaza.
But the prescriptions that the drug rehab centers
want to run, is that they stay there
for at least 2 to 3 months.
And when they leave there, they should go
to such medicines that they can't live their
own lives.
And in a way, we get such patients
very easily.
The ones who went to the drug rehab
once, and then they were stuck in it
for many years.
That they stay for 2 months, stay outside
for 3 to 4 months, then they reach
the threshold again.
Then after 2 months, then after 3 to
4 months, this cycle continues.
It is exactly like this.
And do you remember what happens in that
cocktail?
Yes, I remember that.
There are at least 2 antipsychotics in it,
which is very famous.
Alloperidol and Largectal.
And Largectal, we usually, I don't think we
use it in any academic institution.
The medicine that was of the 80s and
90s.
Absolutely.
It has been out of the market for
a long time.
And let me also tell you that the
medicines used in drug rehab come in such
big jars, which are measured from Shalmi.
It is a jar of 500 pills, which
is being made on the back side of
the same shop.
And there are benzodiazepines in it.
One is anti-depressant, one is mood stabilizer.
And at hand, there are always antipsychotic injections.
And this is a cocktail.
And in every drug rehab, across the board,
this is the cocktail.
And we know that even the most severe
psychiatric illness, we will not give this cocktail.
At least, we can't describe that with a
good conscience.
And we will never give it on these
doses.
And we will never give it on these
doses.
And we also see this thing there, that
in psychiatry, even in the first year of
PGR, there is no concept that you have
to take the medicine up slowly, you have
to take it down slowly.
There is no such concept.
On the first day, the patient is numb,
he is like a zombie.
And he is numb, he is moving around,
he is falling in the washroom, he is
falling somewhere.
And in the same way, the patients are
kept there for two to two and a
half months.
And, now I am also thinking that the
rehabs that we get, at least in Lahore,
from 1500-2000 per day to 35,000
-40,000 per day, we get them.
And there is no difference?
Apart from logistics?
In medicines?
Absolutely, in medicines, there is no difference.
The only difference is that the room will
be good, the AC will be good, the
food will be good.
Apart from this, in the expensive rehabs, they
have put 8-10-12 psychologists, who will
do a small session every 15-20 minutes.
And, believe me, those sessions will not be
according to any guideline.
They will only be happening so that the
family and the patient feel that something is
happening.
And psychologists?
Typically, what will be the highest qualification of
these psychologists?
Maximum BS, MSB, even if they are there,
you will also get qualifications up to MS
MPhil.
But, the result of those sessions will be
that look at my coming and going.
One session is ending, another is starting, another
is starting, third is starting.
Absolutely.
So, that's the situation in most drug rehab
centers around the country.
Zainab is asking are all rehab centers the
same?
Are there any who have an ethical practice?
Yes,
Azam.
So,
he will also let you stay there for
a long time.
If you want to stay there.
this is exactly what happens.
There is no work to stay there.
The second thing is that usually the same
psychiatrists are there at rehab, like you and
me.
So, those who do not have their own
patients or do not have any other job,
they are doing a job there.
And the patients who are coming are coming
from rehab.
Or the old medical officers who are working
there are coming from rehab.
So, that psychiatrist does not have a say
there.
That psychiatrist is just a showpiece which is
kept in front that we have a psychiatrist.
Again, the same thing you said when we
were fresh graduates, we have just taken the
degree of FCPSP and we do not have
job opportunities.
Right?
We have done specialization.
It's not like there are hospitals lining up
to hire us.
There is no such thing.
We know how difficult it was for us.
What was going on in private medical colleges?
What was going on in public medical colleges?
What was going on in private hospitals?
You have a mental hospital in Lahore.
The biggest freaking institute for mental health in
the country.
And there is no psychiatrist there.
Now, I don't know if there is a
psychiatrist.
There is no psychiatrist.
Medical officers are running the show.
So, then a fresh graduate looking for money.
We used to get money in training.
We got the degree.
So, we have nowhere to go.
And so, when these drug rehab centers, they
will bring an offer in a sweet tongue
that Doctor, you come to us.
You come to us.
You come with us.
It will be as you say.
Serve the patients.
There is death in drugs.
There is life in treatment.
You come under the umbrella of this slogan
and see what happens.
Who has life in treatment?
And who has death?
That too, the writers know.
Everyone knows what goes on there.
Dr. Yusuf, my colleagues who worked like this
or I worked like this for a month
or two.
Our frustration when we used to sit together,
we used to see that we have written
this medicine but the next day when we
asked the patient if he got the medicine,
he said no.
And those who want to practice well, they
used to do the same with us.
We used to go to jail to do
jail duty.
We used to write medicines there.
In fact, the constable himself used to tell
us, whatever you write, they have to give
us what we have.
And that's another problem for another day.
I used to talk to my colleagues.
So, with those colleagues, their frustration was also
visible.
Many times we see this in the beginning.
Those colleagues fight.
The honor is that why did you do
this?
But slowly they also understand that that's the
way that's the way things go.
There is no other option.
Drug rehab or again, we need to know
this.
Obviously, the parents when they see that my
child is on drugs, they don't know what
is the difference between heroin and cocaine, LSD.
They don't know.
They only know it's drugs.
They only know it's drugs.
I have seen such patients who come and
tell that, Doctor, I used to smoke.
And the rehab center people told my family
that until he quits smoking, we don't recommend
him to go from here.
We will get him to quit smoking.
And no place in the world admits for
cigarette smoking.
There is no rehab for that.
Even Charski, we know for the majority of
patients, 99% of the people that we
deal with, they don't have physical withdrawals because
of Charski.
For 3 months, you are admitting them in
rehab centers.
So, even with them, everyone is put in
the same box, the same label, everyone is
put, it's drugs and for drugs, it's 3
months.
For the most addictive of medications, that's not
the protocol.
The money is advance.
The money for 3 months is advance.
And, I have heard that I have never
contacted them directly that there is such a
rehab center which takes advance check.
And when they have to cash after 3
months, if it is not cashed, then it
will be FIR against it, whose check will
be bounced.
That he has to give our money and
he has not given.
So, that's how they trap you in it.
Absolutely.
So, Azam, for the people watching, unaware what
to do when such things happen, how do
they know that they are being conned, that
someone is doing fraud with them or someone
is treating them.
What do we tell them?
Personally, first of all, I would say that
if there is such a thing in someone's
family, then prefer government institutes.
This is the reason that we talked about
that the environment and academic community is there,
there are less chances that such a thing
will happen.
In government institutes, the doctor has to send
you home in 2-3 weeks.
He does not have to work with you
Because he has no benefit of such money.
The second thing is that frankly, I cannot
recommend any private drug addiction center to you.
In my mind, at least in Lahore, there
is no such place where proper work is
being done.
Not yet.
Absolutely right.
Did you get any information about Islam?
Not yet.
Not yet.
Yes, many people asked me this question.
Many people were frustrated.
Obviously, when parents and family members get to
know, they are ready to do all kinds
of things.
And we need to be very clear on
this as well.
A drug rehab center will give you force.
And force is not the treatment for drug
dependence.
At best, for those 2-3 months, we
are talking about heroin in particular.
We are particularly talking about heroin dependence or
benzodiazepine dependence, which is not that common in
our country.
But it is still there.
That would require you to stay in a
rehab center.
For every drug, rehab is not the answer.
3 months is not the answer.
Drug cocktail is not the answer.
And most importantly, there is a prerequisite and
that is the patient's own motivation or commitment.
If that motivation or commitment is not there,
then certain very good psychotherapists can facilitate the
patients in developing that motivation.
Very good psychotherapists, very good psychiatrists may in
a series of sessions help develop that motivation.
And when it develops, then such steps can
be taken.
Like you said, a public hospital, a government
hospital is a much better option as compared
to any private rehab center.
And Dr. Yusuf, like you also talked about
psychologists, if any rehab center or even a
psychiatrist tells you that without a psychologist or
therapy, I will get rid of his addiction
forever, he will lie to you, no matter
how big a professor he is.
Exactly.
The one who tells you that he only
needs medicines and all the rest is fraud.
We will taper down his receptors with medicines,
then the addiction will end.
This is a lie.
No, he will tell you in a simpler
way that his brain juice has decreased.
This medicine will fill his juice.
He doesn't need anything else.
Exactly.
So whoever is saying that, no matter who
he is, is taking you for a ride.
Is taking you for a ride.
Azam, let's take one more question.
Yes.
Dasoji, what does the law say about regulating
these drug rehab centers?
So, as far as I know, who can
open these?
Anyone can open it, but your drug rehab,
means anyone can open it by investing, like
in a private hospital.
But on your panel, the law says that
24 hours should be covered by the medical
officer.
Emergency facilities should be covered.
Because a lot of our medicines have cardiac
block and arrhythmias.
Hmm.
And the psychiatrist should be at least on
the panel.
The government says that at least two visits
a week.
And psychiatrist means MCPS or FCPS.
At least MCPS.
Diploma won't work.
And the medical officer should be covered for
24 hours.
Right, right, right.
Because withdrawals can be so serious and some
prescription medications can also have such consequences, especially
in those cocktail doses.
It is necessary that you have that facility
available.
Then who's regulating all of this?
Punjab Punjab Health Care Commission was very active
until two years ago.
Now, I think it is not as active
as it used to be.
But at that time, at least in Lahore,
a lot of addiction centers were closed.
Then when addiction centers started hiring psychiatrists or
some other method which can be used very
easily by putting wheels under files.
So, then they reopened.
But two years ago, they were very active.
But again, psychiatrists are on payroll of drug
addiction centers.
So, no psychiatrist who is working there dares
to take a stand against those cocktail treatments.
Because he knows that if I do more
then they will fire me and hire someone
else.
Young psychiatrists their job situation their practice situation
So, doing any such work for someone career
-wise is very bad.
Because, obviously, he is a fresh graduate.
It will take at least two to three
years to develop a private practice.
It will take at least two to three
years to develop a private practice.
What you said that these rehab centers offer
10 to 15 consultations in the beginning.
To get 10 to 15 consultations per month
to reach that level, you have to invest
at least 2 to 3 years of consistent
private practice.
In the very least.
Then you will get 10 to 15 consultations.
You start developing a repute and you start
getting a patient population or a clientele.
So, until then we are talking about people
who have spent at least 30 years studying.
At least.
This is what they are offered and this
is what they have.
When we talk about the drug syndicate.
They have very established practices.
And they themselves send the patients to the
addiction center once and remove them from their
head.
They get their commission from the addiction center
and move ahead.
So, those who have established practices, we can't
exempt them from this crime.
Even those who are not established.
Temptation is stronger for them.
But what are the consequences?
We are not talking about 2-3 months.
To finance those 2-3 months, someone has
sold their rickshaw, someone has sold their house,
someone has sold all their jewelry, someone has
taken a loan from somewhere.
Literally people come on the streets to afford
the fraud of these rehab centers.
To afford the fraud of these rehab centers.
And that's not the extent of it.
If a teenager, even during your 20s and
30s, who tolerates emotional abuse?
Who doesn't care about physical abuse?
Is sexual abuse good for their mental health?
The level at which they are being treated,
a neem hakeem psychologist, and we need to
be very clear on this, those who have
not gone through that process, those who have
barely done a bachelor's degree, they are sitting
in front of a psychopathologist and telling him
stories from their perspective that you have this,
you have that.
That is nothing short of emotional abuse.
The damage that he has to do, now
that personality obviously came in with a significant
damage to it already, that the drugs had
done, that what led them to drugs had
done.
After that, this experience is going to exponentially
worsen the problem.
You first gather four people around a person
whose hands are ready to grasp you and
then if they try to defend themselves, you
say that it is getting aggressive.
It is getting aggressive.
As you said, neem hakeem, khatra jaan came
to my mind that in Lahore, at least
I know there are some rehabs which such
people are running who are not doctors.
And they are running single-handedly.
And one of them once contacted me on
the phone that we have to show you
a patient.
I asked him what happened to the patient.
He said he was an addict.
Now he has a little depression, a little
schizophrenia, and he is getting a little more
bipolar.
So a little schizophrenia and a little more
he was getting bipolar.
So this is what the patient wanted to
show me.
Oh my God.
Let's see.
What can we say?
It is a blessing that he has asked
you to contact at this level.
That now you help us.
When all this has started happening.
It has started happening.
See, what we are dealing with, the drug
syndicate we have, the mafia in it, it
is not just the drug dealers.
It is not just the drug dealers.
It is definitely not just the people who
have developed dependence.
It does not say that I will become
an addict when I grow up.
But if they have developed that habit, there
are significant social factors that our education system
is not paying attention to.
That our politicians have no concern for.
That in any political manifesto you will not
find this to be anywhere near their priority
list.
Mental health has been like 73 years and
nobody has ever even considered.
By the way, what you said, three years
ago, a resolution was approved by the Senate.
And that is that every college and university
should have a psychiatrist and a psychologist on
board.
At least in colleges and universities.
But that has only been done by the
Senate.
It has never been tabled in our National
Assembly.
Because the schools themselves will have to divert
their financial chunk somewhere else.
Schools have so-called counsellors who have no
background in counselling.
Who have no background in everything except counselling.
I have a friend who is an engineer
and he did a Masters in Sociology and
he was on the counselling seat.
And you see, we are talking about the
top elitist schools of the country.
Lahore is an elitist school.
Lahore is an elitist school.
Everyone...
So, what are their agendas?
What is counselling?
You have to convince students to get admission
in Ivy League, Harvard, Yale, or any American
university.
You just have to convince the students.
You don't have to see their situation at
home.
They are not counsellors.
They are convincers.
Why?
So that the school gets ratings.
That we have so many international admissions.
And that's it.
And they are playing with people's lives.
So, to expect them to be concerned with
the mental health of their students, it is
farcical.
It is an absolute absurdity.
And yet, we are expecting them to...
These are the people who have set the
bar in their education system of what it
means to be a good student.
There is absolutely no holds bar with respect
to bullying, parenting, what it is, what it
should be.
No idea.
We have a collectivist culture.
Individualism is on the rise.
How do we negotiate it?
We have no idea.
We have a traditionally religious culture.
How do we deal with modernity?
We have no idea.
There are financial challenges.
We have no idea.
Anti-narcotics force people say no to drugs.
I mean, what the...
I know, through my patients, who gives drugs,
where does it come from, where do they
get it from.
Anti-narcotics force people don't know.
They get roadside potteries to catch drugs.
And you have all of this syndicate.
And the target is our poor roadside potteries.
This thing will remain in our mind that
this syndicate is being financed by those people
or they are being forced to finance it
by selling their rickshaw, selling something else to
get their children treated.
Absolute nonsense.
Absolute nonsense.
And where did the judgment come from?
Anti-narcotics force people say no to drugs.
Even we will hear people of our mental
health profession that they are anti-social.
These people are anti-social.
Nothing can happen to them.
We will find these statements being passed in
academic rounds that why are we spending government
resources on druggies.
Even one of my acquaintances used to say
that there are 5 patients in the ward
and 2 addicts.
We have dehumanized them by Now you have
made addicts lower than patients.
So that's just doesn't get any better than
that.
It just does not get any worse than
that.
That's the deal with the deceit of drug
rehab centers.
This is at best what we could present
before our audience.
And we would hope that you carry this
message as far and wide as you possibly
can.
We are people of the field.
We have seen what goes around, what is
happening and what should not be happening.
And we want to use this platform to
get the message as far and wide as
possible that no rickshaw driver should have to
sell his rickshaw.
No one should have to come on the
road for an utterly useless rather more than
useless damaging greatly damaging intervention.
Okay, we don't deny there must have been
a difference between the two.
But exception only proves the rule.
Right?
So you can't use that to justify the
syndicate.
You cannot be atoned for all the lives
that have been ruined.
Every level of abuse is happening in drug
rehab centers.
This is like a new record.
You have not left any kind of abuse.
What is financial, what is emotional, what is
physical, what is sexual.
And yet, nobody cares.
So, whoever is watching, we would request for
you to spread this as far and wide
as possible.
And if anyone has any doubts about what
we're saying, we will be happy to justify
every single thing that we've said.
Okay.
Okay.
The biological paradigm of psychiatry is fetishization.
And explaining away everything with the juices of
the brain.
Right.
Okay.
You must have discussed this in one of
your dreams.
I don't remember that I had this discussion,
but okay, if this is what it is,
you must have discussed it with Ali.
But this is fair enough.
That's the topic for next week.
We have to come up with a title
for that.
We will talk about that in our field
of psychiatry, not just in Pakistan, but all
over the world, and psychiatry has developed a
fetish for biological causes and biological cures of
all mental health illnesses.
And the result of this is how psychology
has sold itself to psychiatry.
Absolutely.
We will send in their questions and we
would look to answer them as best as
possible.
And covering other mental health illnesses, we will
try to provide additional information on those as
well.
Thank you all for following, for watching.
Thank you.
Azam.
Thank you, Yusuf bhai.
You were so nice.
Okay, Allah Hafiz.
Okay, Allah Hafiz.
Assalamu Alaikum.