Many people wait years before consulting, often until a crisis.
Early consultation usually means shorter, simpler treatment.
Key concepts
- Duration (two weeks or more) and impact on daily life are key
- You don't need to be 'very ill' to consult
- Physical symptoms with no medical cause may be psychological
Symptoms and signs
- Sadness, loss of interest or hopelessness for two weeks
- Constant worry, panic attacks or repeated checking
- Sleep loss, hearing voices, extreme suspicion or unusual excitement
- Alcohol, tobacco or drug use that is hard to control
Causes
- Life stress, loss or trauma
- Biological vulnerability
- Physical illness and medicines
Risk factors
- Family history of mental illness
- Substance use
- Chronic illness or pain
Evidence-based management
- Note symptoms, duration and what helps or worsens them
- Bring previous prescriptions and reports
- A family member can join with your consent
When to seek professional help
- You can book an online consultation for a confidential assessment
- Any of these signs lasting two weeks or more
- Thoughts of suicide or self-harm — call Tele-MANAS 14416 or 112 now
Frequently asked questions
Will the first consultation include medicines?
Only if needed. Many people are advised therapy and lifestyle changes first.
How long is a consultation?
The first consultation is longer to understand your history; follow-ups are shorter.
Medical references
Guidelines and official sources used for this article.
- mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings, version 2.0. World Health Organization, 2016.
- Mental disorders — fact sheet. World Health Organization.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
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