DrSatish Rasaily, Singtam (2025)

13/09/2025

👉 लतसँग संघर्ष गरिरहेकालाई सन्देश: मौन बस्नुपर्दैन। चाँडै सहयोग खोज्नुहोस्—डाक्टर, पुनर्वास केन्द्र र सहयोग समूहले तपाईंलाई नयाँ जीवनतर्फ डोर्याउन सक्छन्। नयाँ जीवन सुरु गर्न कहिल्यै ढिलो हुँदैन।

13/09/2025

👉 युवाहरुलाई चेतावनी: साथीहरूको दबाब वा जिज्ञासाले कहिल्यै लागूपदार्थ प्रयोग नगर्नुहोस्। एउटा गलत निर्णयले तपाईंको पढाइ, करियर, स्वास्थ्य र परिवार बर्बाद गर्न सक्छ।

13/09/2025

लत रोग हो, कमजोरी होइन। धेरै मानिसले यसरी संघर्ष गर्छन्, कहिलेकाहीँ चिप्लिन्छन्, तर फेरि उठ्छन् पनि। उपचार, परामर्श, परिवारको साथ र आफैंको दृढ संकल्पले निको हुनु सम्भव छ। हरेक sober दिन एउटा ठूलो जित हो।

12/09/2025

केस विवरण

२७ वर्षको एक जना युवक आमासँगै हाम्रो केन्द्रमा आए, ब्राउन सुगर (हेरोइन) छोड्न सहयोग खोज्दै।

उहाँले पहिलो पटक गाँजा १४ वर्षको उमेरमा कक्षा ८ मा पढ्दा साथीहरूको दबाबका कारण प्रयोग गर्न थाले। समयसँगै प्रयोग बढ्दै गयो। उहाँले गाँजालाई हानिकारक होइन भन्ने विश्वास गर्थे।

कक्षा १२ पास गरेपछि, उहाँले सिलिगुढीमा कलेज भर्ना भएर साथीहरूसँग कोठा भाडामा लिएर बस्न थाले। सुरुमा गाँजा सेवनमा मात्र संलग्न भए तर एक दिन साथीहरूले नयाँ पदार्थ (ब्राउन सुगर/हेरोइन) ल्याए। सुरुमा हिच्किचाए पनि जिज्ञासाले एक पटक प्रयत्न गर्नुभयो। पहिलो अनुभव असजिलो, वाकवाकी र टाउको भारी भए पनि, दोस्रो पटक सेवन गर्दा निकै रमाइलो अनुभव भयो।

साथीहरूले सुरुमा एक हप्ता निःशुल्क उपलब्ध गराए। पछि जब नपाए, उहाँमा निकासीका लक्षणहरू देखिन थाले—शरीर दुख्ने, निद्रा नलाग्ने, चिडचिडापन, र तीव्र चाहना। यी कम गर्न उहाँ आफैंले पदार्थ किनेर प्रयोग गर्न थाले र बानी गहिरो हुँदै गयो।

पैसा जुटाउन, उहाँले परिवारसँग झूट बोल्ने, बहाना बनाएर पैसा माग्ने, घडी, ल्यापटप, मोबाइलजस्ता सामान बेच्नेसम्म गर्न थाले। पढाइमा असफल हुँदै कलेज ड्रप-आउट भए। यसले भविष्य र आत्मसम्मान दुबैमा गम्भीर असर गर्‍यो।

यस लतले निम्त्याएका अन्य समस्या:

आर्थिक बोझ परिवारमा बढ्यो।

परिवारसँग विश्वास टुट्यो, झूट र चोरीका कारण सम्बन्ध कमजोर भयो।

सामाजिक अलगाव, साथी र नजिकका आफन्तसँग दूरी।

शारीरिक स्वास्थ्यमा गिरावट — तौल घट्नु, थकान, र व्यक्तिगत सरसफाइ बिग्रनु।

मानसिक समस्या — अपराधबोध, निराशा, आशाहीनता।

करिब ३ वर्षसम्म निरन्तर प्रयोग गरे। जब पैसाको अभावले समस्या चुलियो, तब परिवारलाई खुलस्त भन्नुभयो। त्यसपछि उहाँलाई पुनर्वास केन्द्रमा ४ महिना राखियो। छुटेपछि २ महिना राम्ररी बस्नुभयो तर गाउँ फर्किएपछि पुराना साथी र सजिलै उपलब्धताका कारण फेरि लतमा फस्यो। अहिले पुनः उपचार र दीर्घकालीन समाधानका लागि परिवार उहाँलाई लिएर आएका छन्।
_________________

आशाको सन्देश 🌟

लत रोग हो, कमजोरी होइन। धेरै मानिसले यसरी संघर्ष गर्छन्, कहिलेकाहीँ चिप्लिन्छन्, तर फेरि उठ्छन् पनि। उपचार, परामर्श, परिवारको साथ र आफैंको दृढ संकल्पले निको हुनु सम्भव छ। हरेक sober दिन एउटा ठूलो जित हो।

👉 युवाहरुलाई चेतावनी: साथीहरूको दबाब वा जिज्ञासाले कहिल्यै लागूपदार्थ प्रयोग नगर्नुहोस्। एउटा गलत निर्णयले तपाईंको पढाइ, करियर, स्वास्थ्य र परिवार बर्बाद गर्न सक्छ।

👉 लतसँग संघर्ष गरिरहेकालाई सन्देश: मौन बस्नुपर्दैन। चाँडै सहयोग खोज्नुहोस्—डाक्टर, पुनर्वास केन्द्र र सहयोग समूहले तपाईंलाई नयाँ जीवनतर्फ डोर्याउन सक्छन्। नयाँ जीवन सुरु गर्न कहिल्यै ढिलो हुँदैन।

12/09/2025

Case Narrative

A 27-year-old male visited our center along with his mother, seeking help to quit brown sugar (he**in).

He first experimented with cannabis (“weed”) at the age of 14 while studying in Class VIII, mainly due to peer pressure. Over time, his use escalated and became regular. He strongly believed cannabis to be harmless and without major health consequences.

After passing Class XII, he enrolled in college at Siliguri and rented a room with friends. Initially, the group used cannabis together. One day, a friend introduced him to a new substance (brown sugar/he**in). Despite initial hesitation, curiosity led him to try. The first experience was unpleasant, with nausea and dizziness. However, on subsequent use he experienced euphoria, which reinforced continued use.

For about a week, friends offered him the drug free of cost. Later, when access was stopped, he developed withdrawal symptoms such as body aches, insomnia, irritability, and intense cravings. To relieve these, he began sourcing and buying brown sugar independently. His use quickly became compulsive and daily.

To fund his drug use, he started lying to family members for money, selling personal valuables (watch, laptop, phone), and borrowing from friends. His academic performance declined sharply, leading to college drop-out, which further damaged his career prospects and self-esteem.

His addiction also caused:

Severe financial burden on family.

Broken trust and strained family relationships due to repeated lying and stealing.

Social withdrawal from non-using peers and relatives.

Poor health with weight loss, frequent fatigue, and poor personal hygiene.

Psychological distress including guilt, hopelessness, and demoralization.

He continued he**in use for nearly 3 years. When finances became unmanageable, he finally disclosed his struggle to his family. He was admitted to a rehabilitation center for 4 months, maintained abstinence for 2 months after discharge, but later relapsed upon returning to his village, where drug availability and old contacts triggered cravings.

Currently, the family has again brought him for consultation, seeking long-term solutions for sustained recovery.
---

Message of Hope 🌟

Addiction is a disease, not a moral weakness. Just like this young man, many people struggle, relapse, and rise again. With timely treatment, counseling, family support, and inner determination, recovery is possible. Each day of sobriety is a victory.

👉 To young people: Never experiment with drugs out of curiosity or peer pressure. One wrong choice can derail your education, career, health, and family life.

👉 To those already struggling: Do not suffer in silence. Seek help early—rehabilitation centers, doctors, and support groups can guide you to recovery. Remember, it is never too late to rebuild your life.

For Addiction Medicine Chuwatar

12/09/2025

A Continuous Nursing Education (CNE) programme on Psychiatric Emergencies was organized at CAM On 12/9/25 with the active participation of doctors, ANS, DNS, and nursing staff from CAM and Singtam Hospital.

The session commenced with a warm greeting and welcome address by Mr. Suren. As a mark of respect and honor, our guest was felicitated With khada.
This was followed by Dr. Rajiv, who delivered an insightful talk on mental health and common mental disorders encountered in hospital practice.

Dr. Sanjiba dutta, HOD psychiatric dept CRH ,the resource person for the programme, delivered a comprehensive discussion on psychiatric emergencies, emphasizing their importance in hospital and community settings. He explained the different types of psychiatric emergencies. He highlighted how these conditions, if not managed promptly, can endanger both the patient and those around them. He also elaborated on the role of nursing staff, stressing the need for early identification of warning signs, ensuring patient safety, providing immediate first-line care, and following proper admission procedures. He also discussed treatment protocols, including emergency medication use, de-escalation techniques, and supportive communication skills. The session was practical and interactive, equipping the nursing staff with essential knowledge and confidence to handle psychiatric crises effectively.

The session was further enriched by DMS Dr. Raju singh, who shared his professional experiences with psychiatric cases and provided a meaningful summary of the discussions.

The programme concluded with a vote of thanks by Ms. Santoshi khanal and an interactive Q&A session.

The event ended with a lunch arranged for all the participants.

12/09/2025

Home Department conducts seminar on Nasha Mukt Bharat Abhiyan

Gangtok, September 12 (IPR): A Seminar on Nasha Mukt Bharat Abhiyan for Officers & Staff along with Orientation Programme on Etiquette, Professional Conduct and Duty Standard for drivers was organised by Home Department at Chintan Bhawan, today

The programme had the presence of Secretary (Protocol) Home Department, Ms Benu Gurung, Special Secretary Home Department, Mr PD Rai, along with all the officers and staff of the Home Department.

The resource persons for the session were Senior Consultant of Centre for Addiction Medicine Chuwatar Singtam Dr Satish Rasaily, Additional Director Social Welfare Department Mr Mahesh Sharma, Police Inspector Sadar Thana Mr Naresh Chettri and Motor Vehicle Inspector Transport Department, Mr Sonam Bhutia.

Ms Benu Gurung, in her address, expressed gratitude to Social Welfare Department for conducting the Nasha Mukt Abhiyan session. She emphasised the importance of collective teamwork and societal cooperation in addressing the challenges posed by substance abuse. Expressing her optimism, she noted that the lessons and insights gained from the seminar would not only be fruitful but also be practically implemented in one’s professional and personal lives; thereby, contributing to the vision of a drug-free and healthier Sikkim.

In his address, Mr PD Rai commended the initiative and objective of organising the seminar. He stressed that substance abuse not only affect individuals, but also weakens society at large. He highlighted the need for awareness, preventive education, and strict enforcement of laws, while also emphasising compassion and support for those struggling with addiction. He further expressed confidence that the seminar would inspire positive behavioural change.

In his presentation on ‘Sayogi Karmachari’, Mr Mahesh Sharma spoke in detail about the state’s efforts towards drug demand reduction. He highlighted the National Action Plan for Drug Demand Reduction (NAPDDR) and shared findings from the national survey on substance abuse. He further discussed Sikkim’s comprehensive initiative – Nasha Mukt Sikkim, explaining its focus on supply reduction, demand reduction, and harm reduction. He also emphasised the importance of community mobilisation and grassroot initiatives, outlined key legal measures against drug trafficking, and urged collective efforts to achieve a drug-free Sikkim.

Dr Satish Rasaily delivered insights on the ill effects of substance abuse and its prevention. He elaborated on the distinction between drugs as medicines and illegal substances, highlighting how misuse can transform something meant for healing into a source of harm. Dr Rasaily highlighted various categories of drugs, emphasising their addictive nature and dangers associated with their consumption.

He discussed the physical, psychological, and social consequences of drug overuse, drawing from real-life experiences and cases he has encountered during his professional practice. He highlighted the use of cannabis, where he detailed its impact on mental health, including psychological disorders and dependency issues. He stressed that early education, timely intervention, and collective responsibility are crucial in preventing substance abuse and ensuring a healthier society.

Subsequently, the participants engaged in an interactive session.

Mr Naresh Chettri delivered a comprehensive talk on the legal implications of drug use, possession, and trafficking. Drawing from his field experience, he shed light on the provisions of the Sikkim Anti-Drugs Act (SADA), explaining the legal consequences faced by offenders.

He also outlined the steps undertaken by the police authorities, including regular enforcement drives, awareness campaigns, and community-level interventions to address drug-related challenges. He underlined the role of law enforcement not only in controlling supply, but also in safeguarding youth and society from substance abuse.

In his session, Mr Sonam Bhutia conducted an orientation on etiquette, professional conduct, and duty standards for drivers. He emphasised the importance of discipline, punctuality, and adherence to traffic rules. He further outlined the duty standards expected from professional drivers. Stressing on accountability, he urged drivers to uphold the values of responsibility and integrity in their day-to-day duties to ensure a safe, efficient, and respectful transport system.

In her welcome address, Joint Secretary (ADM) Home Department, Ms Suprina Chettri outlined the objectives of the seminar, stressing the importance of raising awareness on substance abuse and its prevention. She noted that the programme was organised with the purpose of educating, inspiring, and motivating participants towards positive action.

The Vote of Thanks was proposed by Under Secretary (Protocol) Home Department, Ms Awkwanama S***a.

Report from DIO-GANGTOK

DrSatish Rasaily

13/09/2025

13/09/2025

13/09/2025

12/09/2025

12/09/2025

12/09/2025

12/09/2025

Address

Telephone

Website

Alerts

Contact The Practice

Shortcuts

Share