Dr. Satish Ramaiah

Dr. Satish Ramaiah
Psychiatrist, Bangalore

MBBS, MRCPsych (UK), DHE-Addiction (UK), CCT (UK), Cert. in Sleep Medicine (UK)

Dr Satish is currently the Chief of Mind Care department, Consultant Neuropsychiatrist and Sleep Disorder Specialist at People Tree Hospitals, Yeshwanthpur, Bangalore.

Dr Satish has been the Lead Consultant for Neuropsychiatry services for the Cambian Group (largest private mental health services provider in the UK) and has Consultant experience in NHS Sheffield, UK. He completed his specialist training in various subspecialties of psychiatry in the UK with advanced training /expertise in Neuropsychiatry and Sleep Disorders. He has specialist endorsement in Liaison Psychiatry by Royal College of Psychiatrists, UK. He has special interests in psychiatric disorders in physical illness and integrated psychotherapies.

Dr Satish with his additional training in psychological treatments, takes a holistic view of disorders of the mind. He provides a comprehensive assessment and treatment care packages to enhance your wellbeing. He delivers highest standards of care to the minds requiring help in managing range of difficulties, taking a holistic view of your thoughts, feelings and behavior within the context of your cultural, religious, spiritual beliefs and individual circumstances. He works towards maximizing your potential by working closely with you and your loved ones, helping you to enhance your coping and improve functioning. He takes innovative approaches within evidence based practice frameworks to meet your individual needs and tailor the care package to your circumstances

Experience

Chief - People Tree Mind Care, Consultant Neuropsychiatrist and Sleep Disorders Specialist, People Tree Hospitals, Bangalore June, 2014 -  Present

Consultant Neuropsychiatrist, Cambian Healthcare, Nottingham, UK

Specialities

  • Psychiatry

  • Addiction Psychiatry

  • Adolescent Psychiatry

  • Adult Psychiatry

  • Child Psychiatry

  • Counselling

  • Neuro Psychiatry

  • Psychology

  • Sexology

Procedures

  • Addiction Treatment

  • ADHD Testing

  • Adolescent Counseling

  • Alcohol Testing

  • Behavior Modification

Conditions

  • Addiction

  • Adjustment Disorders

  • Adolescent Depression

  • Adult Attention Deficit Disorder (ADD)

  • Adult Attention Deficit Hyperactivity Disorder (ADHD)

Expertise

  • Neuopsychiatry
  • Child Psychiatry
  • Sleep Medicine
  • Addiction Psychiatry
  • Adolescent Psychiatry
  • Pain Medicine
  • Old Age Psychiatry
  • Psychiatry
  • Schizophrenia
  • Mood Disorders
  • Personality Disorders
  • Sleep Disorders
  • Behavioral Problems
  • ADHD
  • Autism
  • Traumatic Brain Injury
  • Anxiety Disorders
  • OCD
  • PTSD
  • Eating Disorders
  • Sexual Disorders
  • Marital Problems
  • Depression
  • Bipolar Affective Disorders
  • Learning Disabilities
  • Dementia

Education

  • MBBS from Bangalore Medical College and Research Institute
  • MRCPsych from Royal College of Psychiatrists
  • ESRS endorsed Certificate in Sleep Medicine (Edinburgh University, UK)
  • CCT (UK) from GMC
  • DHE (Addictions) from University of Leeds

Practice Information

People Tree Hospitals, Bangalore

People Tree Hospitals, Bangalore

2, Tumkur Road, Opp. Taj Vivanta, Yeshwanthpur, Goraguntepalya, Bangalore, Karnataka - 560022

MON & WED - SAT

09:00 AM - 07:00 PM

TUE

09:00 AM - 12:30 PM

Patient Experience

Your participation in the survey will help other patients make informed decisions. You will also be helping Dr. Satish Ramaiah and his staff know how they are doing and how they can improve their services.

Achievements & Contributions

  • Research in the areas of Personality Disorders and Addiction
  • Jnanasaraswathi Award - 2006
  • Best Psychiatrist Award - Cambian Healthcare, UK 2013
  • Member of Royal College of Psychiatrists, UK
  • Indian Psychiatric Society

Blog

Our Mind Care experts have teamed up to provide comprehensive assessment and treatment care packages to enhance your well being. We deliver highest standards of care to the minds requiring help in managing range of difficulties. We take a holistic view of your thoughts, feelings and behavior within the context of your cultural, religious, spiritual beliefs and individual circumstances. We strive to maximize your potential by working closely with you and your loved ones, helping you to enhance your coping and improve functioning. We take innovative approaches within evidence based practice frameworks to meet your individual needs and tailor the care package to your circumstances.

Mind Care Well Being Services

·         Stress / Anxiety / Anger Management

·         Social skills training

·         Assertiveness training

·         Problem solving

·         Counseling services – (CBT, Supportive, Family, Marital)

·         Mindfulness

·         Preventative psychiatry

·         Tobacco and Alcohol free life

 Assessment Services

·         Children developmental / Behavioral Issues

·         Cognitive/ Psychometric /Personality Assessments

·         Intelligence testing

·         Neuro psychiatric profiling

·         Medico – legal reports regarding mental capacity / Fitness

·         Neuro imaging, EEG

Mind Care Specialist Sleep Disorders Clinic

·         Insomnias (including circadian rhythm disorders)

·         Hypersomnias (including narcolepsy)

·         Parasomnias (night terrors, nightmares, sleep walking, bruxism and movement disorders)

·         Secondary sleep disorders

·         Sleep studies like Polysomnography, Multiple Sleep Latency Test, Actigraphy and EEG

·         Sleep apnoeas, epilepsies and other physical conditions

·         Treat co-morbid psychiatric conditions

·         Treatment focus on sleep hygiene, CBT and medication

 

Specialist Psychiatric Services

·         24/7 crisis management services with admission facility

·         Neuro psychiatry

·         Acquired and traumatic brain injury

·         Mood and Neurotic disorders

·         Psychotic illnesses and Schizophrenia

·         Bipolar Affective Disorders

·         Substance misuse

·         Eating Disorders

·         Trauma related disorders

·         Personality Disorder

·         Dementias

·         Learning Disabilities

·         Childhood psychiatric disorders

·         Liaison / Pregnancy related disorders

·         Psychosomatic illnesses / Adjustment Disorders

 

Mind Care Premium Services

 

·         First of its kind

·         Stress management services for Corporates and institutions

·         Out- reach services and Home consultations

·         Telephone and video consultations

·         Tailored counseling services in confidential settings

·         Objective assessments in real situations

·         Aim to improve coping / functioning in person’s own environment

 

Mind Care Initiative

WELL BEING

For MIND,  BODY & SOUL

Mind Care has a proud association with PEOPLE TREE FOUNDATION, a charitable initiative of People Tree Hospitals to educate, enhance and empower minds to stay well and help the equilibrium of life, body, mind and soul. We also aim to create awareness of disorders of the mind and reduce associated stigma and discrimination.

What are sleep problems?

 Sleep problems are much more commoner medical problems than usually thought of and are of various types. It can be entirely normal to have sleep problems for short term and is almost seen in everyone. 30 to 40% of people suffer from sleep problems for several days in a month. Person suffering from sleep problems usually complain of one or more of the following

.Inability to sleep or lack of sleep usually referred to as Insomnia

 Difficulties and delays in falling asleep, frequent awakening (with or without difficulties in getting back to sleep), early morning wakening and feeling non-refreshed in the mornings are usual symptoms of Insomnia.

 ·Excessive sleepiness, particularly during day time or Hypersomnia

 This can range from just feeling groggy and drowsy to falling asleep almost all the time. This sometimes is associated with other complex symptoms like sudden weakness following an emotional outburst, abnormal perceptions / sensations when falling asleep, automatic abnormal behavior, inability to physically wake up from sleep etc.

 ·Abnormal activity, behavior or experience during sleep

 Snoring, breathing difficulties, sleep talking, sleep walking, dreams amounting to nightmares or night terrors, feelings of restless legs and grinding of teeth are some of the common problems that can occur during sleep. Several other complex behavioral phenomenons have also been described and reported occurring during sleep, sometimes resulting in harm to the individual or others.

 How does poor sleep affect you?

 Sleep problems can result in mild discomfort feelings to dangerous consequences. Some of the negative impact of sleep related problems are listed below.

     Disturbances in mood, energy levels
    Irritability, reduced attention / concentration / memory
    Impaired higher mental functions like planning, sequencing and executing
    Increased risks for heart disease, hypertension, diabetes etc
    Dangerous consequences related to driving and people working with heavy machinery / dangerous substances
    Impaired day time academic, occupational and social functioning
    Inability to carry out day-to-day activities
    Relationship issues
    Weaker immune system
    Worsening of pre-existing medical and psychiatric conditions

 What causes sleep problems?

 There are several reasons why someone experiences sleep problems. Some of the causes are listed below.

 ·Not having good sleep routine like going to bed too early or too late

 ·Uncomfortable bed, noisy surroundings, too cold or too warm room temperature and too much light

 ·Night shifts, jet lags, frequent change of work patterns and change of sleeping place etc.

 ·Physical pain, snoring or breathing difficulties during sleep and other medical problems related to thyroid, diabetes, hypertension, parkinson’s disease etc

 ·Suffering from psychological problems like depression, anxiety, phobias etc
 
 ·Developing abnormal psychological feelings in relation to sleep like anticipatory anxiety about inability to sleep, fear of dreams etc

 ·Excessive use of coffee, tea, cigarettes, alcohol, stimulant drugs

 ·Unhealthy eating habits like having late dinners and excessive use of fatty food

 ·Some of the medication can give rise to sleep problems

 ·Occasionally sleep problems can run in families

How to help yourself with a good night’s sleep?

 It is important to identify the cause of your sleep problems. Most of the short term sleep problems are relieved by just practicing good sleep hygiene tips (as below). However, it may be necessary to get your sleep problems assessed by specialists to rule out any complex causes and to receive appropriate treatment. This is particularly important if the sleep problems become prolonged or worsen over time or you notice that it is affecting your mental state, physical health, work life, relationships etc.

 ·For short term and uncomplicated sleep problems, it is important to try different things and find what works best for you

 ·Practice good routine of going to bed and waking up at the same time everyday

 ·Undertake regular exercises, but not just before sleep

 ·Relaxation or meditation before going to bed

 ·Avoid large portion meals too close to bed time

 ·Avoid stimulating activities like watching TV, playing with smart phones and tablets in the bed

 ·Avoid use of excessive caffeine, alcohol  nicotine use

 ·Avoid day time naps

 ·Get your medical conditions / medication regularly reviewed by your Doctors

 ·Seek help for your stress and ruminating unhelpful thoughts

 ·Make sure your environment is comfortable with a firm bed without any disturbing noise or light and maintain comfortable temperature with proper clothing and use of equipments

 ·Don’t try too hard. If you are struggling to sleep, sit on a chair and try to read until you feel a bit tired

 What are the treatment approaches for sleep disorders?

 Depending on the nature, extent, severity and duration of the problem, several treatment approaches are used by the specialists. It may be necessary to carry out some tests to determine the exact cause before treatment is decided. Some of the tests include completion of simple questionnaires and / or maintaining sleep diary. In some instances sleep studies are performed which may involve overnight assessment of sleep using numerous parameters and monitors. Some of the treatments are listed below.

 ·Treating the cause like breathing problems, chronic pain, depression etc

 ·Treatment of alcohol / nicotine dependence

 ·Specific treatment with medication

 ·Psychological approaches like Cognitive Behavioral Therapy (CBT)

 ·Life style modification including weight loss

 ·Specialist treatments like chronotherapy and phototherapy
 
 ·Oxygen, use of splints and surgical procedures if related to obstruction of airway and breathing problems

 ·Encouraging sleep hygiene including addressing environmental issues

 
Dr Satish Ramaiah
MBBS, MRCPsych, CCT, DHE (UK), Cert. in Sleep Medicine (UK)
Consultant Neuropsychiatrist and Sleep Disorders Specialist
Chief – PEOPLE TREE Mind Care
PEOPLE TREE HOSPITALS
Ph: 9448003478, 080249599999
Email: drsatish@peopletreehospitals.com
www.mindcarebangalore.com

DEAR PARENTS, PLEASE LISTEN.

CHILDHOOD SEXUAL ABUSE IS REAL.

Distraught, disgusted, distressed and disturbed we are, with recent revelations of sexual atrocities against young children. It is creating lots of uneasy feelings within us and an atmosphere of trust deficit in the society. Emotions are running high and why wouldn’t it? However, It’s time we crack open our shells of denials and accept that it is a social menace which needs a thorough clean up. Awareness is a step forward in dealing with this and probably a crucial first step too.

KEY AREAS OF FOCUS

There are five important areas parents need to draw their focus on.

·         Become aware of the issue and raise awareness around you

·         Do all it takes to prevent any occurrence and to safeguard our children

·         Timely and proper identification of any such incident

·         Respond immediately and appropriately to such acts and ensure law takes its course

·         Provide right support to the victim

HOW TO IDENTIFY?

Sexual abuse on children is not at all easy to identify.  Parents should have the suspicion when children complain or present with some symptoms in their genital regions. Usual problems to note or be aware of are pain, itching, burning sensation, bruise, bleeding, difficulties in walking or sitting and repeated urinary tract infections.

When physical symptoms are not so obvious, it can be trickier to identify. Being aware of psychological, behavioral and social consequences of sexual abuse could help in early detection. Many a times, children themselves will make efforts to communicate the incident to their parents, but may not have the cognitive ability to relay it an appropriate way to press the panic buttons. Most often the communication happens through their behavior or rather sudden changes in their behavior. Children may become withdrawn, start isolating themselves, become hypersensitive to external stimuli and feel low in their mood with diminished self-esteem and confidence levels. If they have siblings, particularly younger ones, they may become overprotective of them. This is a psychological hypersensitive reaction to anticipatory anxiety about similar thing happening to their siblings.

WHAT ARE THE CONSEQUENCES?

Childhood sexual abuse often results in varying degrees of physical, psychological, emotional, cognitive, social and behavioral consequences. Many times children develop sleep disturbances with or without nightmares. Bed wetting, changes in appetite or weight, unusual and inappropriate use of sexual language or behavior could also be noticed in some children who have been through the ordeal. Post traumatic stress symptoms like becoming hyper vigilant, experiencing disturbing and intrusive thoughts or images and avoidance behavior is possible too. Many children develop periods of abnormal behavior consisting of altered perception, identity, memory etc including self injurious or self mutilation behavior. They are likely to develop dysfunctional coping mechanisms and depressive episodes in the future.

Children can start to show diminishing interpersonal and social skills. Some kids will start idealizing the aggressor or somehow feel that they themselves were responsible in some ways. They are likely to develop feelings of guilt, shame, fear, anger, anxiety and aggression. These children may also develop tolerance or helplessness or remain ignorant about the incidents, which may reinforce the culprits to take further advantage of the kid.

Long lasting and severe psychological damage can occur if timely and appropriate support is not provided to these children.  Children may develop unhelpful emotional coping techniques, show poor interpersonal skills resulting in trust deficits and difficulties in forming or maintaining relationships. They would be vulnerable to suffer from depression, anxiety disorders, become addicted to alcohol or drugs and can even result in self destructive behavior such as deliberate self harm, suicidal tendencies and eating disorders.

WHAT ARE THE PROBLEMS ASSOCIATED WITH IDENTIFICATION?

Revelation of sexual abuse is not easy and comes with lots of inherent problems, particularly when we are dealing with young children. Recognition and difficulties in investigations are some of the obvious problems associated with this due to the very nature of the issue and age and cognitive ability of young people. Ability to recognize by parents and school authorities needs special knowledge and skills. Often, despite of suspicion or even evidence, denial tends be a huge psychological reaction. It is understandable that childhood sexual abuse is not something which could be come to terms with easily.

There have been several unfortunate incidents of reluctance to take things forward by even authorities like Police, Doctors, and School. Culprits tend to often threaten and offer bribes which leads to nondisclosure or delays in disclosure. Another potential problem could be possibility of false allegations due to various reasons. Whilst we need to aware of this, safety of the child should remain paramount. Social stigma could be another factor preventing some people to seek timely and appropriate help.

WHAT CAN BE DONE TO PREVENT CHILDHOOD SEXUAL ABUSE?

Build the trust

Our primary focus should be on educating and empowering our children. Given the nature of the issue and the magnitude of sensitivity, building an environment of entrusting relationship with your child is the key to ensure an effective education and awareness. Parents have to maintain a very friendly relationship with their children and talk as openly as possible. Remember, not having a trusting relationship with your child in circumstances of abuse will lead to much severe psychological damage than abuse alone.

When your child wants to say something to you or you think is making efforts to convey something to you in whatever way, listen to them and pay full attention.

Educate

Educating children about sexual abuse can be quite challenging. There is a fine line between how much information your child needs to know to ensure their safety and the amount of information that can potentially make them fearful or curious. Education style, use of appropriate terms and extent of content should depend on child’s age and cognitive ability.

It is worth starting to educate children by teaching them about ‘good touch’ and ‘bad touch’. Use simple sentences like ‘any touch that you don’t like or which makes you uncomfortable is a bad touch’ and advise them to discuss with you about any ‘touch’ they are not sure about. Also, make it very clear to them that no one can touch their ‘private parts’.  It may be useful to teach them basic knowledge of body parts with use of age appropriate terms like ‘private parts’ or anatomical names. Similar techniques can be used to teach about ‘good secrets’ and ‘bad secrets’. Tell your children that they should not keep any secrets from mummy or daddy.

Empower

Awareness and education alone may not be sufficient to encourage your children to report problems. One of the key areas of education should be on improving your child’s soft skills like assertiveness and resilience. The principles of these skills should be around teaching them to say ‘’NO’’, then ‘’GO’’ and ‘’TELL’’ parents or teachers. Even training, sensitizing and encouraging your children to practice use the words like ‘’NO’’, ‘’TAKE OFF YOUR HAND’’, ‘’DON’T TOUCH ME’’, ‘HELP’’ etc., would be very useful. Clearly advise your children not to go with anyone at anytime, unless you have asked them to. Instruct them to refuse any money, gifts, goodies or food from strangers. It is important to keep repeating some of these teaching to your children and also seek their response by creating theoretical scenarios by using phrases like ‘What if….?”

Take Practical Measures

Parents are often faced with periods of anxiety when their children are away or are running late etc. All the awareness, education and empowerment may not be sufficient to deter your anxiety during those times.  Parents need to take other simple practical measures to ensure child’s safety and for their own peace of mind. However, care should be taken to ensure the steps are realistic and not overdone to cause unnecessary panic or interference in your child’s daily routines.

Parents need to stay vigilant at all times and be aware of their child’s whereabouts and how-abouts. Develop a safety network around your children like mode of contact with school authorities, having contact numbers of school bus driver, Plan B to pick your child from school etc. Ensure safety of your children at home if they are going to be alone for a period. Apply internet safety protocols at home and on internet gadgets as there are increasing reports of children being groomed over the internet.

HOW TO RESPOND FOR A SUSPICION OF ABUSE

Firstly, ensure the child is safe.  If you notice that your child wants to talk about something, encourage them. If there is an element of hesitation or reluctance, reassure them and tell them that you love them and fully believe them. No matter what emotions the disclosure will invoke in you, try and stay calm without becoming anxious or angry. Seek appropriate medical and legal help at the earliest.

Be aware that abusers are usually known to the family and are opportunistic. They can present as normal, friendly and charming people. They are likely to carefully plan and select kids who are emotionally needy and submissive. Many times they groom the children to win their confidence, affection and to create a relationship of acceptance. They sometimes use bribes, threats or emotional blackmail to prevent reporting.

Once the incident is disclosed, it is very important to be sensitive and careful with the child, as they will be emotionally fragile. Ensure confidentiality, arrange appropriate counseling and make sure further interviewing or investigation is handled by an experienced professional. In the long term, it is crucial to continue ongoing psychological support to enhance and maintain child’s confidence, self esteem and guide them get back to their normal life.

With increasing awareness drive about this issue, at times it feels like we are going about being a bit too skeptical and suspicious about our society. But are we?

 It is time we accept that this menace is real and act to protect our children.

 

Dr Satish Ramaiah

MBBS, MRCPsych, CCT, DHE (UK), Cert. in Sleep Medicine (UK)

Consultant Neuropsychiatrist and Sleep Disorders Specialist

Chief – PEOPLE TREE Mind Care

PEOPLE TREE HOSPITALS

Ph: 9448003478, 080249599999

Email: drsatish@peopletreehospitals.com

 www.mindcarebangalore.com