DrSatish Rasaily

23/01/2026

Thank u so much sir for your help.

I have been taking medicine for almost 2 years and I have been completely sober since the day I took medicine and counseling.

Thank you so much sir for your help 🤗

Anonymous

22/01/2026

People who are guilty of mistreating you are usually offended by everything you say.

22/01/2026

5 practical relapse prevention tips, especially useful in addiction management settings like the work you do:

1️⃣ Identify Triggers Early
Help the person clearly list:
Emotional triggers (stress, anger, loneliness)
Social triggers (old friends who use substances)
Environmental triggers (specific places, events)
Awareness reduces impulsive relapse.

2️⃣ Develop a Coping Plan
Each trigger should have a response plan:
Craving → delay technique (wait 20 minutes)
Stress → breathing exercises / walk
Urge → call a support person
A written plan works better than verbal advice.

3️⃣ Build a Strong Support System
Encourage:
Family involvement
Support groups (AA/NA)
Regular counseling follow-ups

Isolation increases relapse risk.
4️⃣ Structure the Day
Idle time is high-risk time.
Promote:
Fixed wake-up and sleep schedule
Physical activity
Work or skill-based engagement

5️⃣ Recognize Early Warning Signs
Teach patients that relapse starts before substance use:
Mood changes
Skipping meetings
Romanticizing past use
Secrecy
Early intervention prevents full relapse.

22/01/2026

Press Release from Centre for Addiction Medicine (Chuwatar)

Outreach counseling Programs at Divine Rehabilitation center, Namthang

Nasha Mukt Bharat Abhiyan program was successfully conducted at Divine Rehabilitation Center, Namthang South Sikkim organized by the Centre for Addiction Medicine (Chuwatar), Dept. Of Health & Family Welfare in collaboration with the Social Welfare Department, Government of Sikkim on 22nd January 2026.

The initiative aimed to provide holistic care and support for individuals struggling with substance use disorders through medical, psychological, and counseling interventions.
The program was led by experienced professionals:

Dr. Rajiv Gurung (Resource Person) conducted thorough medical examinations and provided necessary medical interventions to patients. His clinical assessment helped identify health needs and guided appropriate medical care throughout the rehabilitation process.

Miss Ranju Chettri, a Psychologist, conducted detailed psychological evaluations and delivered relapse prevention therapy, guided meditation & Sleep therapy. Her sessions focused on understanding the first challenges of addiction and equipping patients with coping strategies to prevent future relapse.

Miss Bebila Gurung Nurse, carried out medical assessments and substance history of patients.

21/01/2026

17/01/2026

Explanation (important for clinical interpretation)

1️⃣ Routine urine op**te screen
Standard op**te immunoassays are designed to detect:
Morphine
Codeine
Sometimes he**in (via morphine metabolite)

👉 Buprenorphine does NOT cross-react with these tests.
So:
BPN → op**te screen: NEGATIVE
Morphine → op**te screen: POSITIVE

2️⃣ Buprenorphine requires a separate test
Buprenorphine is detected only if:
A specific buprenorphine assay is ordered
OR
Confirmatory testing like GC-MS / LC-MS is done

14/01/2026

Nasha Mukt Bharat Abhiyan Program at Jagriti Rehabilitation Centre, Gangtok on 14th Jan 2026.

The Nasha Mukt Bharat Abhiyan program was successfully conducted at Jagriti Rehabilitation Centre, Gangtok, organized by the Centre for Addiction Medicine, Chuwatar, with the support of the Social Welfare Department, Government of Sikkim. The initiative aimed to strengthen comprehensive care and support for individuals affected by substance use disorders through a multidisciplinary approach involving medical, psychological, and counseling interventions.

The program was led by a team of experienced professionals who provided holistic services to the residents of the rehabilitation centre.

Dr. Rajiv Gurung, Resource Person, conducted detailed medical examinations and provided necessary medical interventions. His clinical assessments helped identify underlying health issues associated with substance use and guided appropriate treatment and medical management throughout the rehabilitation process.

Ms. Ranju Chettri, Psychologist, carried out in-depth psychological evaluations and delivered structured relapse prevention therapy. Her sessions focused on helping patients understand the psychological aspects of addiction, identify triggers, manage cravings, and develop effective coping strategies to reduce the risk of relapse.

Ms. Pinky Bhutia, Mental Health Counsellor, conducted comprehensive psychosocial assessments and provided individualized counseling sessions. Her interventions addressed emotional and behavioral concerns, enhanced mental well-being, and strengthened patients’ motivation and confidence toward sustained recovery.

The program played a significant role in promoting awareness, reducing stigma related to substance use disorders, and reinforcing the importance of continued treatment and psychosocial support. The interactive sessions were well received by the participants and contributed positively to their recovery journey, aligning with the objectives of the Nasha Mukt Bharat Abhiyan to build a healthier, substance-free society.

13/01/2026

One of the most meaningful things you can do for someone isn’t fixing them or saying the right thing. It’s letting them know they don’t have to go through what they’re carrying on their own. A message. A check-in. Staying present when things are uncomfortable. When people feel less alone, they cope better. And sometimes, that quiet reassurance is what keeps someone going.

13/01/2026

Talking about mental health isn’t attention seeking. For a lot of people, it’s the only way they know how to ask for help before things get worse. Too many stay silent because they’re afraid of being judged, dismissed, or told they’re overreacting. And then, when someone is gone, the words change to “I wish they had said something.” We live in a world that struggles to listen while people are still here, but mourns loudly once they’re not. If someone is speaking about their pain, it matters. Silence has never kept anyone safe.

11/01/2026

Watch for Triggers for Relapse:

Recovery is a journey. Relapse does not mean failure.

Being aware of triggers helps you stay strong and prepared.

🔹 Common Triggers
Stress (family, work, financial pressure)
Strong emotions – anger, sadness, loneliness, guilt.

Old friends or places linked to substance use.

Boredom or overconfidence
Fatigue or lack of sleep

Celebrations or social pressure
Negative thoughts like “I can control it now”

🔹 Warning Signs
Frequent thoughts about substance use
Skipping counseling or follow-up.

Withdrawing from family or staff
Justifying “one time use”

Feeling restless, irritable, or hopeless

🔹 What You Can Do
✔ Recognize the trigger early
✔ Talk to your doctor, counselor, or trusted person
✔ Practice coping skills – breathing exercises, walking, prayer, music
✔ Stay connected and ask for help
✔ Remember your reason for choosing recovery

💬 Important Message
Relapse is not a moral failure.
You will not be judged or blamed.
Support is always available — reach out early.

– Dr. Satish Rasaily
Addiction Medicine Specialist & Psychiatrist
Sikkim State Branch, Indian Psychiatric Society

11/01/2026

You don’t always walk away from things because you didn’t try hard enough. Sometimes you leave because you finally gave it an honest chance and saw it clearly for what it was. You showed up. You stayed longer than was comfortable. You cared fully. And when it still didn’t fit, you let yourself stop forcing it. That’s not failure. That’s knowing you didn’t abandon something halfway you listened to what it was telling you. And that matters more than pretending you’re fine with “what ifs.”

10/01/2026

Su***de isn’t about weakness or selfishness. It’s what can happen when someone has been carrying pain quietly for too long, with nowhere safe to put it. When the weight keeps building and the world keeps asking them to cope without ever really seeing how much they’re holding. If you’ve never been that close to the edge, it’s easy to misunderstand what that kind of exhaustion feels like. But so many people are fighting battles you’ll never see, smiling through things that are breaking them inside. What they need isn’t judgement or fixing it’s to be met with humanity