Jesudas Soundhhraj Archives - Promises Healthcare


Psychosis can be a debilitating experience for individuals experiencing it. Hearing voices or thinking unusual or disturbing thoughts is common in psychosis. Having psychosis makes it difficult to figure out what is really happening and there is a break from reality. It results in individuals not being able to do the things they usually do—such as going to work or school and enjoying time with friends and family. Family members may also struggle as to how to help their loved ones through these experiences.

The truth is that psychosis is a treatable condition. Treatment for psychosis is provided by healthcare professionals and support groups. This involves a number of different approaches which include medication, therapy and peer networks. At Promises we provide support through doctors, Counsellors and Case managers. There are peer groups in which our clients attend to hear the shared experiences of individuals who have lived through periods of psychosis. So do know that help and options are always available.

At Promises Healthcare, we are committed to helping you through your journey to recovery. Please contact our clinic for inquiries and consultations.

Written by Jesudas Soundhraj, Therapist, Promises Healthcare Pte Ltd

Understanding Addiction Series – What is Addiction?

Understanding Addiction Series – What is Addiction?

All compulsions, whether to substances or behaviors are usually characterized and observed to have 3 distinct elements for it to be classified as an addiction.

  1. There is preoccupation or obsession: The individuals spend a large amount of time thinking and planning towards acting out their behavior or to obtain substances. There is also an increased amount of finances used to continue the addiction.
  1. There is a loss of control: This usually means that the behavior has become compulsive in its nature. The individual is unable to stop and would have tried unsuccessfully to stop many times. The individual’s life begins to deteriorate but he or she may not admit to themselves and to others that their life has become unmanageable.
  1. There is a continuation of the use of substance or the performance of a behavior that results in negative consequences: This is where individuals tend to incur many losses from their addiction. Finances dry up, relationships become broken. There may be loss of work and emotional or physical difficulties begin taking over the individual’s life as the addiction grips a tighten on them.

Once these are observed, a person may be suffering from an addictive disorder. In addition to the above 3, another feature called tolerance tends to be present as well in addictive disorders. Tolerance basically means needing more of a substance or performance of a behavior to achieve the effect of a “high” in the brain.

As with individuals with a drug addiction they would need an increased amount of the drug to achieve the effect of the high as they become tolerant of the drug. The same is with a gambling disorder where greater risk or bets need to be played and the amount of time spent is much more longer as compared to when they first started gambling. With pornographic addiction, more explicit and arousing images are needed to maintain the fantasy. While the tolerance sets in, the experience of withdrawal begins if the substance or behavior isn’t engaged in. For an alcoholic, tremors may begin when the drinking stops. Irritability and loss of sleep starts taking over as the drug is not present. Thus the need to use over and over again. The chasing of a “high” and the cravings becomes all-consuming and the individual becomes wrapped in a cycle of self-destruction.

The individual’s family and friends would start noticing problems and will often confront the addicted individual. The person may become outright angry and irritated, or defensive if the addiction has been kept a secret. Many family and friends become helpless as they see their loved ones deteriorate.

If you know of anyone or if you might be having difficulties with addiction, do know that help is available. Seek an addictions counsellor or psychiatrist who can help you through treatment for your addiction. You are not alone and don’t need to live in isolation but live the life that you want and be free from the bondage of addiction. Recovery is possible. Contact us for a confidential enquiry today. To understand what causes addiction look out for the next article.

Written by: Jesudas Soundhraj – Counsellor, Promise Healthcare

Feeling fearful or anxiety? – recovery is possible

Feeling fearful or anxiety? – recovery is possible

There are times when we feel fear and we may be anxious in different moments in our life. We may feel fear when we are in situations where we are threatened or perceive  a threat. Individuals may feel anxious when facing stresses at work and having to meet deadlines. In fact, having some form of anxiety may actually be productive in getting people into action in completing tasks or in making changes in their lives.

While anxiety and fear are common emotions, these emotions can become overwhelming if they are excessive and irrational. Individuals may develop difficulties in being able to work and to meet the demands of life or in relationships which results in a condition called an anxiety disorder.

Some of the symptoms of an anxiety disorder may include a sense of helplessness, worry and repeated negative thoughts. Physical symptoms such as muscle tension, rapid heartbeats and difficulty in breathing may be experienced. At Promises healthcare we offer a variety of treatment options for the treatment of anxiety.

Recovery is possible and the aims of undergoing anxiety treatment is to reduce and eventually eliminate the symptoms of anxiety disorders, and to restore a person’s functioning and emotional well-being. This will involve a holistic approach of using medications or using therapy that will be catered to an individual’s needs. If you or if anyone that you know suffers from an anxiety disorder do know that help is available. Please contact our clinic if you have any inquiries or if you wish to have a consultation.

Written by: Jesudas Soundhraj – Counsellor, Promise Healthcare

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