Avinash Desousa

Avinash Desousa
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College | LTMGH · Department of Psychiatry

MD DPM MS MBA MPhil PsyD

About

387
Publications
274,075
Reads
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1,717
Citations
Introduction
Dr. Avinash De Sousa is a consultant psychiatrist and psychotherapist with a private practice in Mumbai. He has over 300 publications in national and international journals. He is one of the few psychiatrists who in addition to a psychiatry degree has an MBA in Human Resource Development, a Masters in Psychotherapy and Counseling and an MPhil in Psychology. He is also the editor of a journal called Indian Journal of Mental Health www.indianmentalhealth.com www.desousafoundation.com
Additional affiliations
April 2010 - present
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
Position
  • Research Associate
Description
  • I work as a research associate in a tertiary general hospital psychiatry department where we research on various aspects of clinical and basic psychiatry
April 2007 - present
Shreemati Nathibai Damodar Thackersey Women's University
Position
  • VISITING FACULTY
Description
  • I teach clinical psychology and psychopathology and cognitive neuroscience at a masters level in psychology
Education
June 1995 - January 2001

Publications

Publications (387)
Article
Perinatal depression yields long-term adverse effects on maternal mental health, maternal-child interactions, and child development. Research conducted in India suggests that the risk of perinatal depression may be associated with socio-cultural factors. This warrants an assessment of cultural attitudes towards perinatal depression. Our study exami...
Chapter
Dementia is a common disorder involving memory loss, behavioral changes, and changes in personality that occurs after the age of 60 years. More women have dementia than men and often outlive men as well. This chapter looks at the interface of women and the dementia conundrum. We shall first look at women and some of the risk and protective factors...
Chapter
There is an increasing number of ageing members in the LGBTQ+ community. The present chapter aims to provide a broad overview of various mental health problems that may be noted in the ageing LGBTQ+ community. Depression, anxiety and loneliness are the commonest mental health problems that may be seen in this group. This is coupled with lack of acc...
Chapter
As the world population ages, there is a large number of people with dementia that shall dwell in our nations with the years to come. The growing number of individuals suffering from dementia shall escalate the ethical issues related to dementia that are relevant for clinical practice and research. Some of these issues and overview of them shall be...
Chapter
The medical management and pharmacotherapy of dementia are at interesting crossroads. There have been many recent developments with newer drugs being developed that would probably halt the progression of dementia. The following review looks at the various options we currently have in the pharmacotherapy of dementia and provides an overview of these...
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There is a huge emphasis on how technology may be useful to persons suffering from dementia. The role of technology in dementia has been supported by governments, policymakers, caregivers and patients. The following chapter provides an overview of the role of technology in dementia care, and in the treatment and management of patients with dementia...
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Full-text available
The COVID-19 pandemic has brought on a lot of challenges. Among these challenges, the most pressing causes for concern are mental health issues. Anxiety is one such mental health concern that statistics has shown as increasing since the beginning of the pandemic. Numerous causes have contributed to these rising levels of anxiety. Health related con...
Article
Background: The dopamine active transporter (DAT) gene has been implicated in various psychiatric disorders such as attention-deficit hyperactivity disorder and externalizing behaviors. Studies on the methylation loci of DAT and Internet addiction (IA) are sparse. The study aimed to look at the association between various methylation loci of the DA...
Article
Eating disorders (EDs) are disabling, deadly, and costly mental disorders that considerably impair physical health and disrupt psychosocial functioning. Disturbed attitudes toward weight, body shape, and eating play a key role in the origin and maintenance of EDs. As EDs are under-researched, there is a great deal of uncertainty as to their pathoph...
Article
Background: Cerebroprotein hydrolysate (cerebrolysin) is a nootropic and neurotrophic drug used widely in the management of various forms of dementia, stroke and head injury. A number of case series and anecdotal case reports on its efficacy exist. This study is a retrospective chart review of 34 patients with dementia treated at a tertiary general...
Article
Background: Electroconvulsive therapy (ECT) has shown to have efficacy and safety in treating psychiatric disorders. Studies have shown psychiatrists harboring negative attitudes about its use. The aim of the study was to assess the attitudes of psychiatrists toward practice and use of ECT and stigma associated with it. Methodology: A self-designed...
Chapter
Dementia care in India is under-recognized, and there is a lack of specialized rehabilitation centres focusing solely on dementia rehabilitation. The present chapter unfolds the various challenges in dementia rehabilitation within the Indian cultural context and the need for geriatric mental health experts to take cognizance of the same. Dementia r...
Chapter
The present chapter reviews various aspects of geriatric sexual health and the challenges posed while attending to the same in the Indian context. In India, it is often believed that sexuality has no role in old age and geriatric sexual health clinics are conspicuous by their absence. The present chapter first looks at various facets of facts and m...
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Burns are a global public health problem with a large number of psychosocial and psychological problems that may ensue after burn injuries. One of the commonest psychological problems seen after burn injuries is depression, anxiety and post-traumatic stress disorder (PTSD). The following paper reviews the existing literature on PTSD following burn...
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Full-text available
Purpose of Review The main purpose of this review is to elucidate the interplay of various factors in the relationship between suicide and schizophrenia. Suicide and schizophrenia have been interlinked as a symptom, factor in recovery and prognosis, outcome measure and response to psychotic symptoms in patients with schizophrenia. Many biomarkers h...
Article
Background: The COVID-19 pandemic has been followed by the shutting down of bars and liquor shops. This condition has led to the acute unavailability of alcohol, and subsequently increasing the number of cases of alcohol withdrawal. Objectives: This paper reports the clinical profile of cases of alcohol withdrawal presented to the psychiatry depart...
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Telepsychiatry and telepsychotherapy are new treatment modalities that have been used more than ever during the COVID-19 pandemic. There are many challenges that are faced with the use of this modality for both patients and psychiatrists alike. There are critical issues faced with regard to the development of rapport, managing the entire teleconsul...
Article
The aim of the present study was to compare different features of Non-Suicidal Self-Injury (NSSI) in India and Belgium. We also explored whether the strength of the association between NSSI and disturbances in identity formation—a risk factor that can increase vulnerability to NSSI—was similar in young adults from India and Belgium. Data regarding...
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Embitterment is a construct that is vast and complex and may be seen in a variety of conditions and circumstances. The following paper reviews the construct of embitterment and tries to explain the concept from a psychological perspective. It also looks at the role of embitterment in the genesis of psychiatric disorders like depression, anxiety, an...
Article
Objectives Little is known about the outcome of major depressive disorder in India, especially in primary care contexts not usually associated with research. This large, prospective, naturalistic observational study examined the feasibility of studying first-episode major depressive disorder outcomes in such contexts, and examined outcomes after an...
Article
Background Nonsuicidal self-injury (NSSI) is being increasingly identified as an important emerging mental health issue in the West. Yet, NSSI has not been adequately studied in clinical and nonclinical contexts in countries like India. Aim The aim of this study was to compare different features of NSSI between clinical and nonclinical samples in...
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Full-text available
A case of Pseudobulbar palsy treated with a combination of Escitalopram and Mirtazapine.
Book
This manual is a resource guide for anyone who may want to understand panic attacks. The sole purpose of this manual is to create awareness for its readers. This manual has been co-created with the efforts of The MINDS Foundation and DeSousa Foundation. This manual will help you identify and manage panic attacks in order to help those experiencin...
Article
Aim The study was aimed at studying binge eating behavior in urban adolescents. This was in keeping with the increasing prevalence of obesity and lifestyle disorders amongst Indian population especially in adolescent groups. Methods 2000 adolescents English speaking schools in Mumbai were administered the Binge Eating Scale and the Eating Behavior...
Chapter
This chapter is a clinical overview of resilience as a measure of outcome and recovery in schizophrenia. The chapter starts with an elucidation of the concept of resilience as applied in psychiatry. The basic neurobiology of resilience and resilience as a psychobiological construct for the pathogenesis of psychiatric disorders is discussed. This is...
Chapter
Cognitive behavioural therapy, better recognised as CBT, was developed as one of the psychotherapeutic techniques by Aaron Beck in the 1960s. CBT has been appreciated for effective treatment of various disorders that include substance use disorder, schizophrenia and other psychotic disorders, depression and dysthymia, bipolar disorder, anxiety diso...
Chapter
Schizophrenia is a complex disorder and there are many intricate facets to its management. And the present chapter discusses how. While schizophrenia remains a complex disorder, it may serve as a learning curve for personal therapeutic and professional growth of a psychiatrist. The nature of the disorder, variances in its presentations, the varied...
Chapter
Suicide is a common occurrence in patients with schizophrenia, with 10% of patients committing suicide, while 30–40% attempt it. Suicide has huge biological, psychological, and social ramifications for patients who suffer from schizophrenia. These affect the recovery and outcome of the disorder once suicide has been attempted. The following chapter...
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This chapter presents the objectives of recovery and certain factors that may promote recovery and enhance the outcome of schizophrenia. The role of multiple biological, psychological, and psychosocial factors in the outcome of schizophrenia is discussed, and the various objectives of recovery are outlined. There is a need for clinicians to underst...
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Mental illness is fraught with stigma worldwide. The current chapter looks at stigma as a factor in recovery from mental illness, especially schizophrenia. The chapter outlines the concept of stigma and the types of stigma that may plague patients with schizophrenia and mental illness. The various aspects of stigma in India and the West and factors...
Book
This book analyzes schizophrenia management in the context of recent clinical therapeutic advances that have transformed the measurements and outcomes landscape. Unlike any other resource, this volume carefully develops the social and clinical guidelines that affect the life of the patient and defines its role in schizophrenia treatment outcomes. T...
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Full-text available
The 2019 coronavirus pandemic started in December and has now spread worldwide. This pandemic has huge mental health implications with immense psychological morbidity among the common man, patients with preexisting psychiatric diagnoses causing many relapses and exacerbations after it has ensued. Many guidelines have been put forward by various age...
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Full-text available
Dementia is one of the most common neuropsychiatric disorders seen in old age with accompanying memory loss, aggressive behaviour, sleep problems and wandering behaviour with confusion. Many patients with dementia may be all alone at home with a domestic help and no family caregiver for most of the day and may sometimes wander off from their homes....
Chapter
Understanding of the psychopathology of various psychiatric disorders is evolving, with newer avenues of research enlightening us from genetics, epigenetics, functional neurobiology, neural circuits, hormones and social/environmental determinants. We are now aware that neurobiological factors are contributing to the development of psychiatric illne...
Article
Background: Gender identity disorder (GID) is a distressing disorder characterized by a persistent unhappiness with one's own gender and a desire to be of the opposite gender as well as seeking sex reassignment surgery for the same. The aim of the study was to assess the Minnesota Multiphasic Personality Inventory (MMPI) profiles in patients with...
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Introduction: Hoarding behaviour is a common symptom seen in patients with Obsessive Compulsive Disorder (OCD). The phenomenology and prevalence of hoarding in OCD have been under studied in India and the phenomenon is less explored on routine clinical examination. Aim: To study the prevalence and phenomenology of hoarding as a symptom in patients...
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Ofloxacin is a commonly used fluoroquinolone antibiotic in adults as well as children. It is generally safe and well tolerated though rare neurological and psychiatric adverse reactions have been reported with Ofloxacin. We report a case of a 6 years old child who developed hallucinations after being started on Ofloxacin and which resolved on dis...
Chapter
Resilience is defined as the ability to bounce back from trauma and stressful situations. Resilience has many psychosocial and biological variables that play a role in its genesis and development. The present chapter looks at the psychoneuroendocrinological basis of resilience and looks at various hormones that play a role in the genesis, developme...
Chapter
This chapter looks at the interrelationship between economic recession and mental health. The world has been fraught with many economic recessions, and this chapter provides an overview of various effects that economic recession may have on mental health at an individual, family, and epidemiological level. Various economic recessions that have affe...
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Pediatric organ transplantation (POT) has shown enormous development in the past few decades, and the number of POT has increased exponentially. While the various medical issues in pediatric transplantation have been discussed, there is a dearth of literature on the psychological issues surrounding POT. The present review aims at providing an overv...
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Reminiscence therapy (RT) has been used over the past two decades extensively in the management of patients with dementia and geriatric depression. The following review study looks at the current role of RT in geriatric patients from a clinical perspective. The review elucidates the concept of reminiscence and looks at the historical aspects of RT....
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Full-text available
Pregabalin is a drug that has been used in the management of partial epilepsy, generalized anxiety disorder, neuropathic pain, and fibromyalgia. Recently, it has found usefulness in the management of alcohol withdrawal. The use of pregabalin in the elderly is scarce, and data on the same are not easily available. We report herewith the case of preg...
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Introduction: Medical undergraduate courses and medical students have less emphasis on animal research and the various ethical issues surrounding animal research. Animal research plays a vital role in basic medical research and yet undergraduate students know very little about the same. Aim: To assess the attitude and knowledge of medical undergrad...