“middleY graduate students received free treatment. The 25 -year -old N Dhar said he suffered from anti -treatment depression. And she is not exaggerated. She felt that it was impossible to wipe her teeth for a few days, and instead he swore the oral cleaner. Meals have been replaced by bananas. The shower simply changed to clean clothes and withdrawal. Your brain claims that it is over.
In India, mental health problems are often dismissed as “stress” or “bad days”, and structural support is maintained in a lack or inexpensive state. In the case of DHAR, which was diagnosed with depression in 2019 after a few years of quiet release, treatment resistance was a cruel reality. “I was always depressed before I knew what depression was,” she said. But I was only seven years old. Can you know another world? “
Dhar is part of The population is increasing in India Therapeutic resistance mental disorder (TRMD) -Sounds clinically, but it costs a lot of human costs. For these individuals, healing is not a straight line. It is a maze filled with trial and error, high financial stake, misunderstanding, and medical system.
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What does treatment resistance actually mean?
According to Vikram Kirtikar, a senior psychologist at Mumbai MPOWER The MPOWER, “Therapeutic resistance disorders are defined in mental health that does not respond to existing types of treatment, including drugs and psychotherapy. It is struck. ”
This resistance can occur in depression, anxiety, bipolar disorders, schizophrenia and obsessive compulsive disorders (OCD). Patients may experience a variety of treatment methods, such as multi -pharmacological treatment and cognitive behavioral therapy (CBT) or interpersonal therapy, but there is little or little improvement.
Vishnu Priya J, a consulting psychologist and CEO of Aathma The Healing in Trivandrum, said: “It’s not about treatment failure.It is about psychological damage that you feel as if you are fighting the uphill. I have a patient who is experiencing drugs, Chithra.
Living experience: stigma, isolation and confusion
DHAR says, “Life with therapeutic resistance depression is just attractive.” Sometimes there is no imagination that dreams. “Diagnosis provides a strange form of verification, but verification is not the same as support.
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Accessibility still remains a big obstacle. The cost of treatment is high, the availability of the drug is inconsistent, and the stigma is continued at the chemist’s counter. “In places like Chennai and Guwahati, I couldn’t access the general selective serotonin reinstallation inhibitor (SSRI), a general antidepressant.
Often patients may experience multi -pharmacological and treatment methods such as CBT or IPT, but indicate that improvement is minimal or no. (Source: FreePik)
For people like Dhar, disability interferes with all aspects of life. “The worst was not a symptom.” She said. “I heard that I should be getting better. Otherwise, people thought I didn’t work enough.” The basic tasks are monumental struggle, social relationships suffer, and education or career paths are discontinued. The result is often profound separation.
Clinical psychologist Priyamvada tendulkar emphasized the hidden weight of such conditions. “In patients with therapeutic resistance, it is not better, but it loses faith in the system to help them.
Kirtikar said, “Chronic mental health problems can be alienated from the community and family.
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Resistance is more than diagnostic challenges and drugs
Treatment resistance is not entirely in effective drugs. Sometimes TRMD remains in a state that has not been diagnosed for several years due to misdiagnosis or basic medical problems such as thyroid disorders or vitamin deficiency. Kirtikar said, “It is important to re -visit the diagnosis. The appropriate evaluation must include thorough review of the treatment history, excluding accompanying diseases, and sometimes rethinking diagnosis.
Therapeutic resistance disorders are defined as mental health that does not respond to existing treatment forms, including drugs and psychotherapy (Source: FreePik)
Vishnu Priya said, “If the patient does not improve after multiple treatment, everything should be reevaluated from diagnosis to treatment.”
The concept of “resistance” itself is hierarched. It can occur in environmental factors such as biological differences, trauma history, genetic vulnerability, or ongoing stress factors or lack of support system. But this clinical frame is useful, but it can give you a soul. “We ask: What is resistance to? Protocol? Tendulkar said. For many people, resistance is not about biological non -response. It is the result of a few years of misdiagnosis, unsuccessful trauma and truly merciful treatment.
For example, accept the case of Dhar. Since the diagnosis in 2019, she has been circulating without continuous relief of all-class antidepressants (SSRIS, Serotonin-Serotonin-Norrefinethrene reinstallation inhibitor (SNRI) and bupropion. I hope you can ask for a refund.
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Tendulkar explained that after many years of misunderstandings or support, some customers lost their faith in treatment, but also lost the possibility of healing. She recalls the customer who has stopped treatment after seven inconsistent diagnosis for five years. “She was marked as ‘resistance’, but in reality she suffered from complicated trauma stress disorder (PTSD).
This separation between clinical labels and living experiences can cause deeper wounds than disability itself. In India, where trauma literacy is still emerging, the risk of damage is more important among experts.
Psychologists urge their families and friends to provide prescriptions, not prescriptions (source: freeepik)
Support beyond ‘treatment’
Therapeutic resistance depression is often uniform relationships. If the recovery is stopped, loved ones can feel helpless. Tendulkar said, “Breaking the loop is not magic, but a radical acceptance.
In the case of DHAR, it seems like a understanding of grace and her irritability during the ghost. But she is also trying to meet her loved ones by improving her communication and setting realistic expectations. She talks about the “non -sincere truth” of self -management. “Yes. Depressed is not my choice, but it remains my problem.
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Despite the cruel prognosis, there is hope. Tendulkar said, “It does not mean that you have a life -free life just because you are suffering from therapeutic resistance disorders, which means finding new languages for survival through community, creativity or alternative practices, such as mindfulness, natural treatment or body -based intervention.
The goal of therapeutic resistance disorders is not to remove symptoms. Tendulkar said, “You are financing with ‘no pain’ but ‘pain and still loving life’.
Vishnu Priya reversed this emotion. “We can’t always achieve complete mitigation, but we can aim for management, elasticity and meaning. The goal is to cope with dignity.”
Road in the future
Tendulkar said, “The only way to serve someone in that dark place is to sit with them.
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Therapeutic resistance disorders are not the end. They are bypass -abusive, confused and lonely. They challenge us to reconsider the appearance of healing. They require deeper devotion in family, clinical and systems, so that people can see more than diagnosis.
As India’s mental health movements develop, we are eager to voices like Dhar, which holds space for complexity. Healing is not always without symptoms. Sometimes you are looking for a willingness to try again tomorrow. Even in the shadow.
