DrSatish Rasaily

DrSatish Rasaily Mental health & drug addiction education and services

05/01/2026

Mr. Rawan was 43 years old, married once, a father of three beautiful children, and a man who had spent most of his life fighting a battle he never truly chose.

His story began early—far too early.
At just 12 years old, while studying in class 6, Mr. Rawan was introduced to cannabis. At that age, he did not understand addiction. He only knew that the substance made him feel different—calmer, braver, accepted. What began as curiosity slowly turned into habit, and the habit quietly took control of his life.

As he grew older, substances changed. Cannabis was no longer enough. He began using Spasmoproxyvan, swallowing nearly 30 tablets a day. Life appeared to move on—family, work, responsibilities—but dependency had already taken deep roots.
Eventually, Mr. Rawan shifted to adulterated he**in, commonly called “BS.”
His use escalated rapidly to 2–3 grams per day, and with it came the slow destruction of everything he valued.

His marriage could not withstand the turmoil. He divorced his wife and was separated from his three children, whom he loved deeply but could no longer care for in the way they deserved. The pain of separation only strengthened the grip of addiction.

His professional life also collapsed. Repeated absences, intoxication during working hours, and declining performance led to loss of his job. Shame, isolation, and hopelessness followed.

Over the last 10 years, Mr. Rawan spent much of his life moving in and out of rehabilitation centers. There were moments of success—weeks, sometimes months of abstinence—but relapses kept occurring. Each relapse felt heavier, more discouraging than the last.

Throughout these years, he was repeatedly told that medicines were unnecessary, that addiction could be overcome by sheer willpower alone. Influenced by significant others, he refused medical treatment, believing that relapse meant weakness and failure.

Eventually, exhausted in every sense, Mr. Rawan realized a painful truth:
Addiction was not a lack of willpower.
It was not a moral failure.
It was a chronic, relapsing medical illness.
For the first time, he stopped blaming himself.

With courage and clarity, Mr. Rawan asked his family to take him to a doctor—not just another rehab—but for proper medical detoxification and evidence-based psychosocial therapy.

That decision did not erase his past, but it marked the beginning of genuine recovery—one based on treatment, understanding, and support rather than guilt and force.
This time, Mr. Rawan was no longer fighting alone.

Dr. Satish Rasaily
Addiction Medicine Specialist & Psychiatrist
Sikkim State Branch of the Indian Psychiatric Society

05/01/2026

Disulfiram is a medicine used in the treatment of alcohol dependence. It helps people stay abstinent by creating an unpleasant reaction if alcohol is consumed.

How it works:

Disulfiram blocks the breakdown of alcohol in the body.

If a person drinks alcohol while taking disulfiram, toxic acetaldehyde builds up.

This causes very uncomfortable symptoms, which discourage drinking.

What happens if alcohol is taken with disulfiram?

Within 10–30 minutes:

Flushing of face
Severe nausea and vomiting
Headache
Palpitations
Sweating
Chest discomfort
Dizziness

In severe cases: low BP, arrhythmias, collapse (medical emergency)

⚠️ Even small amounts of alcohol can trigger this:
Mouthwash
Cough syrups
Aftershaves
Hand sanitizers
Alcohol-containing foods

Uses:

Alcohol dependence (as a deterrent, not a cure)

Best for motivated patients with good supervision/support

Important precautions
Do NOT use disulfiram if the patient has:
Severe heart disease
Psychosis
Severe liver disease
Pregnancy
Cognitive impairment without supervision

Alcohol reaction can occur up to 7–14 days after stopping disulfiram

04/01/2026

We applaud mental health awareness—until it becomes uncomfortable. We say “talk to someone”—but when someone talks, we call them “too emotional,” “dramatic,” or “crazy.”

04/01/2026

Mental health rarely collapses all at once. Most of the time, it fades quietly. It looks like waking up exhausted even after a full night’s sleep. Losing interest in things you used to enjoy. Feeling foggy, unmotivated, or disconnected for reasons you can’t quite explain. It can show up in your body before your mind catches up changes in appetite, sleep, energy, patience, or how close you feel to people. These aren’t failures or overreactions. They’re early signals that something inside you is struggling. And too often, they get ignored because everything still “looks fine” from the outside.

03/01/2026
03/01/2026

Please remember that the first sign that our mental health is suffering
isn’t a su***de attempt,
and it isn’t an emotional breakdown.

It begins quietly.
Soft changes that we often ignore.

It starts with waking up exhausted
—even after sleeping for hours.

It shows up in struggling to get out of bed,
losing interest in things we once enjoyed,
and feeling a heavy lack of motivation.

Sometimes it looks like not having an appetite,
or battling constant gut issues,
skin breakouts,
and a sudden drop in energy.

For others, it comes as a decreased libido,
feeling lost or stuck,
or slowly disconnecting from the world around us.

There may be brain fog that makes simple tasks feel overwhelming,
fatigue that follows you everywhere,
irritability you can’t explain,
or self-sabotaging behaviours that leave you wondering why you did what you did.

It can even appear in disturbed sleep,
sleeping too much,
sleeping too little,
or sleeping without rest.

These are the subtle warning signs.
The quiet whispers.
The little alarms we push aside because “we’re fine.”

But your body always speaks.
It warns you gently at first.
It asks for attention, rest, healing, and care.

Listen to it before it has to scream.
Your wellbeing matters long before the breakdown.
You deserve peace before the pain gets loud.



03/01/2026

There are people lying awake right now, not because they want to be, but because their mind won’t slow down. Replaying conversations. Worrying about things they can’t fix tonight. Carrying responsibilities no one sees during the day. They show up, they function, they keep things moving and then night comes and everything they’ve been holding back catches up with them. If that’s someone you know, or someone you love, this is a reminder that not all strength looks loud. Some of it looks like making it through another long night quietly.

02/01/2026

Mental illness is not a weakness.
It’s not attention-seeking.
It’s not a character flaw.
It’s a real, painful, exhausting experience that affects thoughts, emotions, sleep, appetite, energy, relationships, and self-worth.

02/01/2026

Alcohol Withdrawal Delirium (DT) – Public Awareness.

🚨 Medical Emergency – Needs Hospital Care 🚨

What is it?
A dangerous condition that can happen when a heavy alcohol user suddenly stops drinking.

When does it start?
Usually 2–4 days after stopping alcohol.
Danger signs:
Severe shaking
Confusion or not knowing where they are
Seeing or hearing things that are not real
Very restless or aggressive
Fever, heavy sweating
Fast heartbeat
Fits / seizures

Why is it dangerous?
Can cause heart failure, coma, or death
Not a mental illness or weakness

What to do?

Take the person immediately to a hospital
Do NOT treat at home

Do NOT stop alcohol suddenly without medical advice

Good news ✅ Early treatment saves lives
✅ Alcohol withdrawal is treatable

Alcohol addiction is a disease.
Treatment works.
Lives can be saved.

02/01/2026

Withdrawal Delirium (Delirium Tremens) – General Public Information.

Alcohol withdrawal delirium is a serious and life-threatening condition that can happen when a person who has been drinking large amounts of alcohol regularly suddenly stops or reduces drinking.

🚨 This is a medical emergency.

When does it happen?
Usually 2–4 days after stopping alcohol, but it can occur up to one week later.

Warning signs to watch for:

If a person who recently stopped drinking shows any of the following, seek urgent medical help:

Severe shaking of hands or body

Confusion, not recognizing people or place
Seeing or hearing things that are not real

Extreme restlessness or agitation
High fever, heavy sweating

Fast heartbeat, high blood pressure
Seizures or fits

Why is it dangerous?
It can lead to heart problems, seizures, coma, or death.

Many people mistake it for mental illness or weakness.

Without treatment, it can be fatal
With timely hospital treatment, most people recover safely.

Important facts everyone should know:
❌ Do NOT stop heavy drinking suddenly at home
❌ Home remedies, prayers, or willpower alone are not enough.

✅ Alcohol withdrawal needs medical supervision

✅ Treatment saves lives

What should families do?

Take the person immediately to the nearest hospital

Inform doctors about last alcohol intake

Do not give alcohol to “calm” the person

Do not restrain or argue with the person.

Can it be prevented?
Yes.
Plan alcohol stopping under medical guidance.

Start treatment early.

Continue long-term treatment to prevent relapse.

Remember
Alcohol withdrawal delirium is a medical illness, not a moral failure.

Early treatment saves lives.

31/12/2025

2026
Happy New Year to all my Facebook friends! Wishing you health, happiness, and success in the year ahead.

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