*Snehlata Shrivastav

7 Jun 2011

NAGPUR* : Psychiatry has evolved in leaps and bounds in recent times. Until
about five years back, psychiatrists treated patients based on their
behavioural and emotional pattern. The treatment for mental illnesses,
unlike other branches of medicine, was quite subjective or circumstantial.
They did not target the actual physiological or biological changes
associated with a disease or illness.

Now, research in the past decade or so has made the diagnosis extremely
precise and scientific. It has now become possible to identify the exact
changes in the brain circuits of a person through modern diagnostic tools
like magnetic resonance imaging and use specific drug for specific symptoms.

"We have moved from an era of non-specific and symptomatic treatment to
specific medicines for specific symptoms. This has become possible due to
the recent research in psychiatry, which has now interlinked the subject
with neurology. You can now locate and relate the changes in the brain with
the symptoms even if they are behavioural changes, and treat the person with
specific medicines," said Dr Vihang N Vahia, professor emeritus in
psychiatry and former head of the department at GS Medical College and
Cooper Hospital, Mumbai.

Dr Vahia was in the city for a two-day continuing medical education
programme on 'recent updates in psychopharmacology' hosted by the Indian
Psychiatry Society for west zone. Till few years back, anyone with abnormal
behaviour was said to be functionally or psychologically ill. The person was
not said to have a disease but he/she was not considered normal either.

With developments in brain science, one can now pick up exact biological
change in the brain or the cause for the emotional behaviour. "Different
persons respond differently to same problem. For example, some people take
the same stress in stride while others cannot because their threshold levels
differ. Studying the changes in brain circuits and functioning of both types
of persons has opened up doors to better treatment," said Dr Vahia.

The reasons for different threshold levels in people could differ, depending
on their genetic vulnerability, their past life etc. But doctors can now
treat any mental illness using a biological-psychological-social-cultural
model. Dr Vahia said that different parts of the brain release different
chemicals due to different abnormalities, which can be picked up in MRI
through changes in the brain circuits and the results can be used for
targeted treatment.

Traditional belief had it that individuals with bigger foreheads are wiser
than others. Now, medical science has established it. The front portion
holds the frontal lobe, which is responsible for wisdom, emotions and
behaviour. Mental illnesses can now be related to different functions of the
brain and even designer drugs can be developed to suit these behaviours.
This can eliminate all the side effects of psychiatric drugs, said Dr Vahia.

http://articles.timesofindia.indiatimes.com/2011-06-07/nagpur/29628874_1_frontal-lobe-brain-abnormal-behaviour

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