Dr. Rameez shaikh

“He Slowly Disappeared While Still Being Physically Present” — A Story About Severe Emotional Withdrawal

When Aarav (name changed) first came to the clinic, his family was not complaining about aggression, shouting, or bizarre behavior. Their complaint was something quieter. “He has stopped being himself.” At first, everyone thought he was simply stressed. He had become unusually silent over the past 2–3 years. Slowly, he stopped talking during family conversations. …

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I Suddenly Feel Fine… Should I Stop My Treatment ?” — Understanding Sudden Remission in Depression, Anxiety, and OCD

There are moments in clinical practice that surprise both patients and doctors. A patient who has been struggling with severe depression, anxiety, or obsessive–compulsive disorder (OCD) for months suddenly walks into the clinic and says: “Doctor, I feel completely normal now. The anxiety is gone. The thoughts are gone. I feel like my old self …

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Why patients with mania or hypomania cannot realize they are ill

Why Patients in Hypomania Say ‘I’m Fine’—Even When They’re Not

What Is Impaired Judgment in Mania and Hypomania? One of the most confusing and painful things for families is this question: “If they are educated and intelligent, why can’t they see they are unwell?” The answer is impaired judgment. This is not stubbornness, ego, or denial on purpose. It is a core medical symptom of …

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Winter triggers of mania in bipolar disorder and family support

Does Winter Trigger Mania or Hypomania in Bipolar Disorder?

A Psychiatrist’s Message to Patients and Families from Nagpur As a psychiatrist, one sentence I hear very often—especially during winter—is: “Doctor, they are not sleeping, fighting with everyone, but they say nothing is wrong.” Winter is usually associated with depression. But what many families don’t realize is that mania and hypomania can also flare up …

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