🔞Inside the Mind of a Dr*ug Addict | Podcast with Psychiatrist Dr Sandeep Kondepi | Sudheer Talks
Author Name:Sudheer Talks (Aadhan)
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Transcript:
(00:10) $20 million house. His own private island in the Caribbean >> has a nickname. The pedophile island. You took our freedom. Now we're going to take yours. >> Celebrities, politicians, rich people, billionaires. The first time the negative thing where money, power, crime, drug and sex all of this was starting point 70 years. He became the seventh richest man
(00:55) in the world. He told that police, I will build my own prison. I want my luxury. I will follow your guidelines. But he built his own prison. He is the king of cooking and tada. >> Okay. But he never tried cooking. Cobra. How can they enjoy this cobra? Cobra. They're well trained snakes. Trained. Yeah. Cobra. Yeah.
(01:41) We can say which is more fast. Exactly. add but major thing drugs and is a huge topic almost 828 people they sit in groups and
(02:30) they share their I saw a person with canabis IIT student IIT campus we tried counseling we gave him medications we referred to a infectious infection doctor specialist he was also treating him everything was going well but finally I don't know I heard that suicide There's a case report. Hi viewers, welcome to Sudi talks name
(03:28) society major pattern of the add an Senior Psychi Good morning sir. Namaste. I'm fine. Okay. So, first thing
(04:12) as a doctor, right? So, as a doctorally speaking, father he has forced me into medicine. But funny thing is I was fascinated about human brain, >> human brain, human mindset, people different. So people, relives, family, I took lot of information the same medicine was a huge space and it's like a live library 200 people.
(04:47) So each and every person mindset, personality I used to take inputs from them and that then I started reading human psychology, mana, evolution, psychiatric novels, psychiatric thrillers, famous movies, Anthony Hopkins, the silence of the lamps was my spark. So there is something different in psychiatry. Psychiatrist.
(05:15) So psychiatry I have done 2014 to 17 and okay >> then I did many certificate courses and >> many courses in addiction medicine. So, so from psychiatry and more inclined into addictions. >> Okay. >> So, now after all these things I have got very good teachers and now I'm I feel privileged to be a mental health specialist because mental health is more ignored most important >> and uh most painful. True.
(05:45) >> So on a daily life basis each and every client is my teacher. So and being a part of this mental health fraternity gives me lot of reward and happiness. Okay. So basically so first thing how do you react? Yeah. So Jeffrey Epstein is the most hot topic in the recent times. So Jeffrey Epstein story he was a math professor
(06:29) >> later he was a financial adviser a financial adviser. So we got connected to allied group biggest group the most celebrities politicians rich people billion >> and the first time the negative thing where Jeffrey 2005 there was a case filed by a young girl 14 years girl >> on sexual abuse in Florida.
(07:02) So racket Florida police so totally 36 girls who are underage below 15 years identify so they were called they selected people who are poor college who doesn't e economy less less And then they started doing sexual exploitation. This sexual abuse then led to sexual trafficking and he was in connect with
(07:47) many people and they say that uh he has recorded few things and blackmailed few people few VIPs even speculations we don't know the exact story but there's a clear evidence that he was involved in sexual abuse and sexual trafficking and 2008 serious 2019 He was arrested >> July >> and August low 2019 he died by suicide >> and that is also a controversy.
(08:20) He's a suicider, murderer. It's all epste celebrities who got in touch with him. That doesn't mean that in >> he was in touch with the allied group. He was a financial advisor for most of the politicians and >> prime celebrities. >> But we don't know what's happening with this because it's most controversy topic and inachala investigation.
(08:48) >> But we understand that >> he has involved into sexual abuse and sexual trafficking. When you talk about sexual abuse and if you see the statistics influence, okay, >> he as a person like he considered women as an object, >> extreme narcissist mainly money and power and later different altered sexual behaviors >> we can take it as pedophilia, pedophilia, a virtue and always >> money, power,
(09:32) crime, drug and sex. Okay, all these five are inter. So, sexual abuse is very common. Sexual abuse is your next house. Sexual abuse is not just assaulting a child or something. There is non-touching and touching sexual abuse. Even showing some porn video to underage girl or a boy is also included in sexual abuse.
(10:09) >> So parents they have to talk to the children. >> Sexual education. What is good touch? What is bad touch? Clear explain. So good touch which gives you some love, empathy and warm. Bad touch some touching, some genitalia, inappropriate points, lips of virtue. Anything which makes them uncomfortable and anxious immediate there three things. Okay.
(10:39) Say no, >> go away from that place >> and tell someone and take support. M >> so sexual abuse not only women and they say that five women law one women has sexual abuse >> okay >> in the childhood 13 men low one man has sexual abuse in the childhood and why this is very important because child is chala young brains this sexual abuse leads to PTSD depression anxiety suicide addictions >> criminality and also of prostitutes.
(11:15) Prostitution if you see prostitution 80% of the prostitutions have a childhood sexual abuse history. >> Okay. So it is very important topic for all of us and we have as a society as a human being we have to take this address it very seriously especially parents should spend more time with the children and teach them sexual education as I said like good to prevent the sexual abuse but How can a person develop extreme in the
(12:06) toxic mindset? >> Yeah. So Jeffrey Epstein we are talking after his death. >> Exactly. >> Right. So whatever evidence says that we as I told some sort of psychological distin >> and as I said he was in extreme narcissistic >> and paraphilia altered sexual behavior normal sexual behavior altered sexual behavior like pedophile he recorded things he made some photos he blackmail people it is purely a sexual abuse a traumatic IC sexual trafficking and it is organized crime.
(12:46) >> As you said these five things, money, power, crime, drug, sex all are interlin. Okay. But like complex psychological disorder stability. See as Jeffrey Epsteim he was a successful math teacher and he was a good entrepreneur he was a very good adviser financial advisor he's very intelligent probably the other part of the story he has a different shade we don't know exactly what has happened but there is an evidence that he was
(13:30) involved in sexual abuse sexual trafficking >> okay and sexual trafficking but basically There is a start point. So how can a person build all these impacts? Yeah. So he's the king of cocaine. >> Exactly. >> The word first comes narcos >> and he's from Colombia. M >> and starting normal thefts, crimes, robberies, kidnaps and he also smuggling cannabis >> and as you know cocaine
(14:18) highest then he got an idea I have to smuggle cocaine. So this is starting point 19807 years he became the seventh richest man in the world >> by only smuggling cocaine and choose the stats 70 to 80 tons of cocaine. >> Oh >> so that then it started and m the police investigations case filings. So because it was increasing drug pandemic, cocaine pandemic in United States of America.
(14:58) >> So then slowly and he was also part of the liberal party in Colombian parliament. >> Next he the most important thing he he when he told that police I will build my own prison. I want my luxury. I will follow your guidelines. But he built his own prison. Then finally I think 1993 after his 44th birthday kimman police killed him right but on the other part of the story he's also called the Robin Hood for poor he has done multiple things with this but overall it's an organized crime organized crime involving money
(15:38) power drug and everything was involved and influence >> it increased four to fivefolds of use of cocaine in United states, Europe in other parts of the country from 1980s. >> This was the impact of >> Pablo Escobar >> and what he made it made it acceptable accessible accessible and he made it more popular and cheaper.
(16:11) He brought the price down. Though the stats of cocaine increased a lot during after during 1970s and ' 80s and even after 1980s it it impacted global consumption of cocaine not only in United States >> and basic stats but now if you see there are alarming facts about drugs and stats worldwide the world drug report every year Peru 2,400 million people are using alcohol >> 1300 million people are using tobacco 350 million people are using drugs throughout the world millions and in
(16:57) millions I'm not talking members it's billions and the highest consumption is canabis throughout the world it's almost 220 million people are using cannabis and the worst things to say 3 million people are dying due through alcohol 8 million people are doing dying due to smoking and chewing tobacco.
(17:20) So tobacco is a silent killer >> right? So and e 350 million people who are using drugs 20% have drugreated problems. So the drug use is increasing every decade. See we are trying the government is trying we are doing multiple things >> but this access inca is there and awareness in so the drug statistics every year they are increasing and what was the unique thing you find he is the king of cooking okay but he never tried cooking oh >> his son Cocaine
(18:06) is poison. Never use it. So that's what I'm telling that he's the most intelligent man. He was into crime. You see if you take Jeffrey, if you take Pablo, if you take any other any India worldwide student things happens with very easy more immediate fast things. drug, crime, sex, money, power we can say. So
(18:54) what is the major difference of pleasure and pain in these activities? So if you take addiction, money, porn, sex, alcohol, smoking, cocaine, crystal meth, MDM, it acts in the central lobe of the brain. It will increase surge of dopamine very high dopamine. Okay. Within 10 seconds a rush of dopamine brain dopamine because dopamine is a chemical for pleasure,
(19:38) >> reward, motivation, movement, survival and reduces pain and stress. That's why it helps in high and also helps to reduce pain. Simple example. Oh no. lonely stress that's why it is there both in stress and also in happiness. Okay. So
(20:23) pleasure the chemical which is playing the role is dopamine. >> Exactly. different. So dopamine see dose is a group. So D for dopamine rewards. O is for oxytocin. Oxytocin bond forming. S is for serotonin. Mood. Serotonin is for mood. E is endorphins.
(21:13) Pain relief. Endorphins. Dose is doc. Dopamine oxytocin. Serotonin endorphins. Okay. So king of the chemical is the king of the chemical. Okay. and so as okay exercise family best
(21:57) when you feel happy when you achieve that is all dopamine. Okay. So natural food for Example coffee dop >> right coffee is good I have a coffee I get dopamine I get the rush 50 units >> okay cannabis 300 >> so that is how many times more children six times more dopamine which is more fast coffee so that is the surge of dopamine the fast of dopamine makes the substance addictive and example >> sexism Oh no.
(22:42) >> Natural sex dope. >> Okay. >> Okay. Molecule of crystal meth MDM or crystal meth >> injection. It gives thousand units of dopamine in 10 seconds. >> Thousand units. So that is equal to 10 or 50%. See the chemical body it will take 24 to 48 hours time effect because this is not natural. This is a
(23:28) chemical brain confus. So high of dopamine natural rewards addiction of dopamine activities. So this is hijacking this dopamine. People family work career relation people don't do sex natural things I'm getting the thousand units from the
(24:16) chemical basis addiction. So addiction life spoil story see addiction I have seen any number of cases good bad cases okay good addiction bad >> I mean to say successful some bad cases good >> so I'll tell you one shattering story young boy 25 years male who came to my clinic who was born in orthodox family elder son only thing
(25:01) He identified that he was getting attracted to the same sex homosexual. So he was a gay. Okay. So overwhelm stress. Finally he told to told to his parents and parents didn't accept it. Okay. Were completely against about his thought process >> and then he started staying alone influential started drinking.
(25:27) He was he was so stressed the discrimination. He got overwhelmed. So then he started alcohol for relaxation. Then smoking then came to cannabis. And from cannabis he started meeting people, LGBT groups, lesbian, gay, bisexual, transgender groups, >> right? So LGBT groups join join because he has to join some other group. So LGBT group join then he started using IV drug use.
(26:09) >> So IV drug use to break his inhibitions in the trauma uh the person the the partner he was using IV drug use. So he also use IV drug use participated in sex unprotected says some on final day he came with the report it was HIV positive HIV >> yeah I was shattered and he was also shattered completely into tears depression >> we tried counseling we gave him medications we referred to a infeious infection doctor specialist he was also treating him everything was going Well, but finally I don't know. I heard that
(26:50) he committed suicide. >> Suicide. >> Yes. >> Yes, sir. >> Hanging. He was 25. 25 years. >> So if you go back to the story, if you want to take away message, he has a vulnerability. Orthodox family, family support, stigma, discrimination. Even Indian penal code has declared that homosexuality is not a crime.
(27:24) It is a human fundamental right to sec to select your sexual orientation. Mhm. >> So still we are boing stigma discrimination substance HIV HIV life and life. So discrimination I think addpab So adduge
(28:21) it's a chronic relapsing treatable brain disease chronic definitely treat it's a brain disease genetics psychological factors social factors life experiences interact complex brain disease. The main thing there is a compulsive use of a substance or behavior >> irrespective of harmful addiction
(29:12) even right so habit is in your control add Exactly. One is tolerance. Tolerance starting. Okay. Second thing, withdrawal symptoms.
(29:59) Withdrawal symptoms so severe. Severe withdrawal symptoms but severe withdrawal symptoms handating heart dryness of mouth headache body pain restlessness anxiety insomnia hallucinations confusion delirium withdrawal symptoms. So tolerance. Next is withdrawal. Third is craving intense urge and crave to do something.
(30:48) I have that crave shopping. I have a urge to seek. There's an urge. So that is craving. Fourth is salience. Salience. As a doctor, as a miru, you have your importance like family, respect, society, health, job, career, saving wife or children, you have some importance. Salience addiction that becomes your salient factor important.
(31:28) So addiction so you'll ignore your entire life. Okay. So reverse reverse irrespective of harmful. Why we do it? Because that is a brain change. Last loss of control. Okay. And lose the control. So tolerance, withdrawal, craving, salience, irrespective harm, loss of control, all the six factors will cause your self dysfunction, occupation dysfunction, social dysfunction, spoiling your
(32:13) relationship, then it is called addiction. So addiction is always related to crime, suicide, mental health issues. Add explain but major thing drugs and maj cannabis. Cannabis is a huge topic,000 years. It's a very good plant.
(33:02) >> Okay. >> Which has very good properties. M for industrial useab. So most important two components THC tetrahydroabinol CBD canabidol. So THC most important which acts on the brain mostly CBD has other uses. So
(33:54) 19th century lot of debate illegal. So 1961 single convention on narotic drug okay we have put a complete stop on recreational cannabis. So NDPS act, narcotic drug psychotropic act 1985 all cannabis products are illegal >> except leaf and seeds. Okay, leaves and seeds least cannabis if you take cannabis plant.
(34:43) So different different parts cannabis THC cannabis THC component highest. So leaf and seeds least from bank is there in and out in Indian culture. Bank is legal in India but parliament your state put your own rules. For example, states which have bank completely legal shops. So if you take Rajasthan, Gujarat, West Bengal, Uttar Pradesh, bank is legal
(35:27) >> right but THC value should be less than.3%. NDPS seeds and leaves legal THC the dopamine level THC concentration THC cannabis THC concentration legally accepted is.3%.
(36:12) The next revolution of cannabis started in India. So 20134 M >> Bombay Hemp Company and starter. >> Okay. >> So they got permissions from drug and cosmetic act India and regulations. They started preparing >> cosmetics, skin creams, >> night creams, hair oils cannabis related and then they prepared textiles, t-shirts, bags, ropes, wallets, industrial purpose.
(36:46) Then they started creating ayurveic medicines. So now multiple ayurvedic medicines are available in market THC value should be less than.3% to be legalized. So youth and people are getting confused. Cannabis India recreational purpose 100% illegal. >> Okay. Right. It is only legal for medicinal industrial and scientific purpose value.
(37:29) 3%ized products 2014 great legalization moment started started a great movement for only medical canabis. Then 2018 cultivation acceptance. Okay. Cultivation of cannabis, Uttar Pradesh, Madhya Pradesh, Himachal Pradesh. Cultivation of cannabis 2020 medical cannabis ayurveic products clinic Bangor >> it's a specific clinic
(38:17) 2024 recent the same Bombay hemp company has opened a clinic where all products related to cannabis are available cannabis THC is more harmful CBT is safe. So CBT most of the products CBD THC value so products medical prescription from practitioners conditions sleep anxiety relaxation chronic pain
(39:03) But disadvantage advantage we'll know further but for now current status is this substances are legal. Euphoria THC 0.3%. So these medicines are safe. So FDA FDA has approved some medical cannabis medical cannabis. So there's a lot of confusion. FDA's
(39:51) approved canabis canabilone epidolics nebiximol conditions chronic seizures HIV patients appetite chemotherapy Cancerosis conditions FDA has approved medical cannabis which is regulated which comes under tablet. Okay. >> So this work this is the current status of cannabis and on a bottom line
(40:36) recreational cannabis is completely legal. medical cannabis FA has approved for few conditions >> andic preparations are available safe as alopathic doctor clearly I don't know but the THC value as it is low it can be used after consulting aish doctorates some different states all over the country there are two types okay naturally form So
(41:20) thousands of years back canabis THC value was 1 to 3% okay It's around 30 to 50%. toxic. See this is all hybrid mango, hybrid jam, hybrid vegetable. These things natural cannabis can synthetic cannabis which are similar to THC
(42:06) cannabis but which are highly toxic and even can lead to death and know as you ask me about different types of cannabis types of cannabis. If you takeawati and border gold and if you go to northwati valleyes If you see world
(42:52) highest selling cannabis drug is called OG OG. >> Yes. Original gangster or ocean grown California coast. >> Okay. >> Canabis canabis value THC value is 50%. 50 highly addictive, highly toxic, highly intoxicated cases and 50% landed in emergencies. Red eyes, restless, confusion, immediate emergencies like see like canab it has both goods and
(43:46) bads. Okay. So canab is low 100 people canab 20 to 30% people problems okay >> 70 people they can naturally they're using and they might not have problems probably they are regularizing use they can run their regular life regular life they're not using adulterated cannabis or somewhere we don't know >> right >> but as law of land cannabis is completely legal out of the picture I'm telling you exactly top >> right Uh so canabisthetic canaby but
(44:32) 70% cannabis is synthetic and hybrid dangerous cannabis. What are the immediate impacts sir? Canabis intoxication low, vomitings, restlessness, redness, heart rate, anxiety, no sleep, euphoria, complete disorientation, blackouts, complete stoned. I saw a person with cannabis, IIT student, cannabis IIT. Right.
(45:11) So seriously seriously so cannabis can cause multiple side effects in intoxication and withdrawals. And before cannabis and addiction can now is definitely addiction. It has intoxication. It has serious side effects and also it has a severe withdrawal. So normal dopamine, normal chemicals few people might like it, few people
(45:58) might go to a bad trip. Okay. So complete euphoria and suddenly disorientation hallucinations and stoned stoned. He will sit like a stone for hours. Look stone. And sometimes canabis intoxication report says that they can get blackout next
(46:45) complete loss of memory. Blackouts are very common in multiple drugs and multiple drugs. and stoned word I remember as sguru always says that I'm always stoned like if you see me I'm always stoned atguru told the very important truth >> canabis body already >> seriously >> yes >> human soul >> human body brain already cannabis.
(47:27) >> Hello sir, >> natural cannabis is called anandmide. >> Anandmide molecule. Okay. >> There is another molecule called 2 ag chemicals. If you see alcohol, gaba, >> cannabis, end, opioids, endorphins, cannabis, anandmide already. Okay. Natural chemicals, diet, meditation, awareness of yourself, higher spirituality.
(48:08) As we are very intelligent, single shot, more easy and different. So recent flowers normal flour 3 to 5% or 10% % of
(49:04) 3 to 5 to 10% 30%. So hash oil is easy to carry. Perfume bottle they'll dip in just smoke. Okay. And they're getting the highest dopamine. That's what I'm saying. cakes, edibles, gummies, all this should be regulated. See recreational cannabis countries like for example Thailand few states in USA, Australia, Georgia, Luxembourg, Germany, Canada recreational cannabis they started the shops of coffee shop canabis coffee shop
(49:55) recent 26 January eighth class student purchased a packet. Okay. Each gum has 100 millig of THC. 10 gums of THC. There's a big case now. So market% of the students emergency.
(50:48) So in what way it is coming to your family coming inside your house shouldn't and honest answeral do you really think longtermistal illegal. So talking about legality and illegality it's a big debate and as I
(51:33) said every substance has it goods and bads and it cannabis it was used for medicine for pain anxiety relaxation toxic cannabis is completely harmful. If you see the disadvantages of any cannabis use, >> it completely damages your brain >> completely. >> Completely damages your brain sometimes. >> Okay. >> Second thing, IQ eight points if you take cannabis for more than 2 to 3 years.
(52:09) >> Oh, >> cannabis can cause severe mental health disorders like depression, anxiety, psychosis, mania. Cannabis can cause perceptional dist disturbances like hallucinations, delusions. Cannabis can increase heart rate to an extent where it can cause arithmia. >> Cannabis can cause as you're smoking can cause lung disorders and cannabis can cause infertility.
(52:38) >> You know, the sperm count, sperm viability, sperm motility, everything is reduced by THC. M so THC is so dangerous. At the same time the most important thing canis behavior personality cannabis decision making sense of most important is perception of harm. perception of Example,
(53:27) perception of perception of highrisisk behavior, unemployment, school dropouts, accidents, violence, domestic violence, crime, rapes, and start 40% of the road traffic accidents were alcohol. Now cannabis has started into that list. It is more than 20% of the road traffic accidents are because of cannabis intoxication and canabis legalized countries countries.
(54:10) If you take any country you take any survey they >> are seeing the disadvantages of cannabis right now. >> Exactly. Highest emergency admissions in US recently were because of cannabis intoxication one. Second cannabis crime and crime rate criminality unemployment at the same time violence and so they're also seeing they're also confused whether to do this or do this but medically definitely has good uses.
(54:44) recreationally it's a question mark but apart from canabis market cocaine LHD MD pills and how do you decode this right take as legal and illegal drugs for exampb prescription drugs the Sleeping pills, painkillers, some stimulants which are used for steroids, anesthetic legal category, illegal category, cannabis, cocaine, stimulants,
(55:29) methamphetamine, crystal meth, LSD, opioids, even now people are enjoying newer psychoactive substances. Now they went advanced. Okay. DMT, MMT, AOT, ET, it
(56:27) unknown drugs, unknown drugs, 1500 unknown drugs which are very very dangerous. 90 people are using inhale. It's a very good topic. So recent legal inhalent are called are made like volatile solvents. Okay.
(57:24) So inhalent history inhalent history mostly children are vulnerable as 90 lakh Indian children are using inhalents. >> 90 lakh children addictional glue, sketch pens, markers, whiteners, thinners, nail polish, shoe polish, paint it can come into that inhalance. So most important message in the parents and teachers, children are involved into this things.
(58:07) awareness especially inhalent because it is more common in children but yeah see there are some warning signs in children first addiction startmic performance School drop roomm secretive behavior irritation
(59:03) anxious So different demanding behavior threatening aggressive mood fluctuations. So with all these things but all these things children there is something wrong going on. So first thing as a parent >> you should sit and talk. >> You should sit and talk with your child there is something wrong. There's a change transient change in his behavior and right now is this possible concentration.
(1:00:04) Okay. condition early morning drowsiness. Second thing ADHD and autism concentration deficit research stimulants and which increases concentration as students 10th class intermediate and even medical students night out first. Oh no. either either either smoking as a stimulant and drugs like modafanil
(1:00:47) >> and second thingate which is prescribed for ADHD for concentration drugs overuse and I will tell one case medical student but he was overeni third days or two. He overuse modafan stimulant. It will stimulate your brain. It makes you more active. You just become active.
(1:01:37) 10 to 20 tablets 2 days complete. He got admitted to the hospital in a complete disturbed state and a conscious restless altered conscious restless anxiety irritation complete different behavior and he missed his exams ends teachers and the students and everyone you, me, everyone should bring this awareness about all this substance use.
(1:02:25) But is there any chance this is very common date word? Come again sir. >> It is date rape drug. It ishypnolypnol. It came from a word without their concern something that is called. So flu nitra zeppam. It is normal benzoipin surgeons colorless odorless. Tasteless. 30 minutes you become completely
(1:03:23) unconscious. You don't know what is happening body and your memory is not registered complete blackout. I can drugs multiple or chandi that's why people young youth should be very careful about this mixing of drinks in parties pub and taking this pills for example you take it ketamine now it came as a pill they're mixing in drinks >> KP drug >> yeah GHB gamma hydroxybutic acid it makes you drowsy very fast and sens black
(1:04:12) that gives a chance for crime and rapes or someone to do anything on you but I want to selfexerience but how can they enjoy this cobra right so cobra years mostly in India. >> So it's aient thing king of snakes and holy medicine is helpful for few things. So it is good for health. So there are
(1:05:00) many medical properties from different animals. From this medical properties they started getting that high properties. Okay. Man is an ultimate seeker experiment highly intelligent. So cobra they're well trained snakes. >> Trained. Yeah. Cobra trained. >> Yeah. Well trained snakes. Okay. And normal snake trained snakes.
(1:05:41) Tongue has multiple blood circulation. Yeah. Taste. Okay. Snake venom. Snake venom. Snake venom but diluted not to a level that they will die >> to a level that they will get a high especially cobra. Rattlesnakes rattlesnakes. Rattlesnake is most poisonous. Rattlesnake is mixed in vodka
(1:06:26) in some countries. >> Okay. >> Rattlesnake plays like nicotine. It's like a stimulant at the same relieves painake neurotoxic stroke right paralysis to level of paralysis will they relax >> that's why snake bite became famous I want to tell many other things like for example
(1:07:09) space right. So there is a term called psychonauts. >> Psychonauts psychonauts and they will research on topics on which are psychedelic which will give you high and they termed a term called psychoactive fauna animals. Scorpion, lizard, red ants, turtles, clown fish, rabbit fish. >> And reason they make sudan they make a liquid from giraffe bone marrow and liver which
(1:07:57) gives that high. How can he investigate and each snake just out of curio what will be the price sir? See price ranges see normal normal snake bites in some parties and everything will be very less. Okay. But there is some trading and trafficking on snakes because Thailand the different different countries Europe different countries
(1:08:48) all these things are very very costly. Okay. >> Some snakes goes to laks. Oh, like highest price. >> See in Thailand they were like few snakes were costing around four to five lakhs only. China snake to four to five lakhs. See I think this is there from very first human being long. long time. I'm an ultimate. I want something
(1:09:50) lizard. Lizard. There's a case report daily. But uh he says that how can you deal addiction can be from A to Z from coffee to anything on this earth and add See, IV drug use is the most dangerous
(1:10:49) drug use. >> Okay? >> Because sexually transmitted diseases. >> Second thing, you're harming directly your vein and directly the toxin is going to cart. It can infect heart, increase heart rate, arythmias, death. And block once So this is the straight vein which is going into the heart. So central people on drug adding
(1:11:56) HIV almost 828 people in the same college getting HIV. Yes, I understand. See, East of India always the prevalence of HIV was high. Huh. unprotected sex after introduction of condom HIV. >> Okay. >> Golden triang is very high. Okay. So they sit in groups and they share their
(1:12:43) needles. That is the way it got transmitted. So highest HIV transmission throughout the world is due to injection drug use only. >> Exactly. So injection drug use HIV as I told there are multiple things heart infections endocarditis and injection drug use they take opioids opioids or second thing is crystal methrystal seconds because of cardiac arrest.
(1:13:29) >> 10 seconds. >> 10 seconds. So mostly it is one of these takeaway points is IV drug is very harmful >> and IV drug use HIV transmission once HIV transmission you're deteriorating your life and everything and there's lot of trauma they're all students but basically recent But recent times celebrities, politicians, wheels, parties are there since many years.
(1:14:12) They're normal music parties. So usually illegal drugs. Canabis is everywhere, alcohol everywhere, smoking common. So recent parties throughout world MDM it is also part type of metampetamine. So increase serotonin. Okay. Serotonin connection
(1:14:57) interactions euphoria bonding. At the same time it breaks the inhibitions and helps in doing sex. So it doesn't mean that it increases sexual performance. >> Finally any drug will reduce sexual performance. It is only increasing the desire and breaking that stigma with mutual consent. So highly used drug but add but apart from drugs what is the real addiction we are facing today in society? So the first addiction ever
(1:15:41) >> phone I accept it I'm also addicted to phone right >> because phone has become a part and parcel of our life and recent statistics they average sleep time as a human being is 6 to 7 hours minimum >> at least bound 7 to 8 hours. Now the average screen time throughout the world is 8 hours. >> Okay. >> It is almost more than sleep.
(1:16:05) >> Exactly. More than work. More than work. More than sleep. So at the same time throughout the world, how many times you'll see your phone in a day? >> In a birthday 30 40 time. It is 80 minimum 150 maximum. 80 to 150 times. In fact, family members we are seeing phone more than statistics and if you see last 20 years floor space
(1:16:57) exactly and we are spending more time with phone than the family. The average time spent with the family now is 30 minutes. >> 30 minutes. 30 minutes. >> 30 to 45 minutes. An average time spent with the family. We got busy. We not spending time with family and also with friends Facebook. I have lovely true friends.
(1:17:32) So somewhere but now I have to change even now you me everyone has to change that social interactions are very important. Choose average person minimum two or three true friends we had our 20 years of MBBS meet Kalawali friends Kalawali there should be some interaction it's not phone call messages and we all met more than 75 people of our batch attended and we felt very happy. So phone addiction
(1:18:19) basic amount of dopamine detox dopamine detox at least two days a week or one day a week at least few hours a week Okay. So brain will get time for to think and the disregulated dopamine. At
(1:19:07) least two things add what I'm telling anything which you are using phone watch everything are designed to increase your dopamine the biggest neuroscientists in the world will be working under Big big companies, fashion, textile, watch. They designed that.
(1:19:56) That is how the world is running behind dopamine. Like iPhone 17 Pro Max comes to second edyber people are getting getting attracted to negative contents encourages It's all like a serious reaction. But you think about the victim. How many celebrities, politicians, normal people.
(1:20:46) So we definitely should go against cyber bullying. This will go to hide. Exactly. They're helpless because one more addiction. Third addiction cosmetic addictions. Cosmetic addictions. People have set standards. And we discriminating people with color.
(1:21:30) We discriminating people. We are body shaming them. That itself is creating their own stigma and they are taking that self stigma and their perceptions. We have changed the entire concept of beauty and but dermatologist plastic surgeons are doing great work. See people who require definitely they need they need help they're taking help plastic surgeon dermatologist are doing good but recent check referral dermatologist plastic we have a disorder called body dysmorphic disordery Try
(1:22:19) we are giving a referral to you and choose the perception of that beauty perception that itself is wrong but appreciate dermatologists and plastic surgeons referring such cases because they require counseling and psychological management one case referred by famous plastic surgeon. >> Okay.
(1:22:49) She underwent 16 nasal jaw cosmetic surgeries from 16 different doctors. Wow. >> And she was morphing and so finally I got that case and it was a clearcut body dysmorphic. She was 16 times she actually seeing she was very beautiful but she still says I'm not beautiful. long. It's a wonderful ad everybody should see. They brought a foreign artist.
(1:23:41) Okay. like okay 50 groups they did the data analysis Okay. So you observed my positives but I
(1:24:42) observed only my negatives. You see you are more beautiful than what you think or what you feel. Don't fall in the trap. But add Take addiction as a term. Virat Kohli is addicted to cricket. >> Okay. >> Uh El Raj is addicted to music. Is addicted to music and um >> Michael Jackson is addicted to dance and music.
(1:25:19) The highest amount of dopamine finally. So all these things comes under habits. >> Okay. >> Right. Habits is as I said which is in your control which is helpful >> which is giving advantages can addiction when it comes loss of control it controls you you cannot control it and basic hormonal feelings So like porn
(1:26:10) porn it's not a pawn website. >> Okay. any text, audio, image, any novel, video, anything which gives you a sexual sexual arousal comes under pornography. Right? If you see Twilight vampire, it's very romantic novel. So you can take it as socially acceptable porn, >> right? So some sexual content, sexual jokes.
(1:26:48) Sexual comedy is also related to porn. So anything which gives you a sexual arousal from text anything audio video intro it's not just a website it's pornography. So if you consider that as pornography 90% somewhere we are exposed to pornography. And if you take porn addiction per se, 10 to 20% of the world population is addicted into porn.
(1:27:16) >> Okay. >> And if you take porn usage, it's humongous. And if you see 40% of the internet trafficking is because of downloads from pawn websites which is highest than next prime, Google and your YouTube. >> Oh 40% >> 40% of the internet trafficking. Exactly. 10 years. So see it's all access and development and engineering.
(1:28:15) So It became advanced. Because of this dating apps and video chat apps, virtual sex, >> you can do sex with anyone on this earth sitting here and recent you can create your own image. satisfy >> see I'm not talking AI is bad >> AI is wonderful >> okay >> it's future >> how we are using >> it's future it is advancement it is needed and medical AI advance so as I
(1:29:02) always say technology AI part and parcel and very important to our life it's only the regulations and how we balance and how we use it comes into consideration Yeah. Yeah. Yes. So it's he was a 14 years boy very intelligent boy while mother attempted suicide and committed suicide and he died in he was little bit depressed.
(1:29:44) I'm not talking we don't know the exact things but continuous relationship which was supporting him at the same time loving him got affection and emotion they were situations where break issues they were talking about sexual activity and everything so in depth of relation with that and what we don't know exactly what happened >> but he committed suicide and immediately she filed a case and now it is running and probably the companies are getting
(1:30:29) ready to give compensation because there should be a regulation fifth class same class same 18 years old same 30 50 years there should be age limit what content should be displayed. What is I think they're regulating because this is a newer advancement as the time goes on >> definitely change and some permissions regulations age permission that was the code and she claimed that how 18 below 18 years minor boy can use a AI blot where a sexual content and pawn content or something which is revealed and also some hints of suicide were also given
(1:31:07) and suggested by the AI. Oh itself suggested. Yes sir. Basic addiction but he want to stop alcohol. How can Yeah. See first of all he it is more intense love >> that affection that bonding that attitude of the hero that adrenaline
(1:31:51) rush that everything was because of the trauma that leaded him to addictions over drinking and everything. See always I said trauma is very closely related to addictions and addictions addiction. I said withdrawal symptoms, brain changes, loneliness, trauma, depression and withdrawal symptoms are so painful in see Right.
(1:32:39) Okay. Dehydrate everything we are losing everything. Dehydration, thirsty and almost near death four days completely confus station. Water bottle. Water bottle. different different first.
(1:33:39) So dopamine is a chemical for pleasure, reward, motivation, movement, decreasing pain at the same time survival. So dopamine add situation. So it is very painful for them. It is so painful for the client explain treatment process. Yeah. So first thing treatment they come with lot of stigma
(1:34:23) discrimination right. So more time at the same time a detailed assessment and evaluation from the family from the client history medical issues blood investigations ECG urine test detail works because addiction depression anxiety depression anxiety add both are vice versa. So first important most painful withdrawal symptoms withdrawal symptoms
(1:35:10) withdrawal symptoms first three days 2 days they will cooperate for you for the treatment. So after that comes our other medical management, supportive management, nutrition, multivitamins which are important to the counseling, the family counseling, the community based management after discharge plan.
(1:35:42) So the multiple aspects holistic treatment definitely add Human evolution. Human first. Food, water, sex, sleep shelter. So, water, sex, sleep basic things. So dope.
(1:36:33) Okay. Then pleasure. >> Exactly. >> Our brain is made for that. >> Everything which gives you pain first then pleasure is very good. >> That is the real dopamine. We are living in a world of dopamine. First pleasure pain. That's why addictions are called it starts with pleasure ends with pain. Add add addition add so
(1:37:21) okay just out of boundary Right. First there is pain. >> Exactly. >> Then definitely he's getting pleasure addiction will come down. They want fast, more easy, immediate exercise. First pain pleasure achievements result first pain pleasure sex emotions
(1:38:09) including energy first pain. If you see porn it's always first pleasure but like almost different opinions. So as a doctor as a senior psychotist yeah see last 10 years government is doing wonderfully India like throughout the world. say August 15, 2020. So it's a super program drug-free India program.
(1:38:53) So it plays role in supply reduction, >> prevention, early detection of addictions, treatment of addictions, starting new de addiction centers and also harm reductions. Harm reductions and already harm like OST programs, needle syringe programs. So this is doing a very good thing. At the same time task force anti-narcotics bureau has done wonderful things to stop the supply of cannabis in Talanga and now elite action group for drug law and enforcement.
(1:39:38) So these the these like task force anti-narcotics eagle team they're doing wonderful things the best thing decriminalization >> punishment support system consumers not pedumers they're diverting them to support system that's the best part of it they're taking counseling they're taking treatment and They're getting better. So decriminalizing always says that support is always better than punishment.
(1:40:11) Interesting thing government when I'm inclined towards addiction I was reading lot of books books books Portugal Portugal has introduced a very good policy decriminaliz >> all drugs are decriminalized right that doesn't mean it is legal they decriminalize drug use. substance treatment. They diverted that money to this and also they did one beautiful thing. See
(1:40:56) addiction is always a disconnect. addiction you're getting disconnected to self family society and everything your job. So while they started this connectivity program >> after discharge from a de addiction center they created jobs for people who substance use >> okay >> free jobs >> and they gave microl loans microloans to do their business >> so this almost 40 to 50% of the drug related burden okay >> so if at all India want to be better if it this I feel this is a very good idea policies
(1:41:41) in government little bit change all we have we have been doing wonderful alcohol sorry tobacco right 20% of the revenueal addiction 20% of the revenue substance use disorders treatment wheel jobs it would be wonderful and correct >> and one more thing and breaking stigma and discrimination and government is government stigma discrimination >> at the same time why I'm telling this because you know there is no incidence policy throughout the world for
(1:42:26) addictions >> okay >> why heart disease it is also a disease >> true So I feel in future if everything goes well addictions insuranceances say it would be very good >> but and one final question so in the pattern of what kind of human emotions I'm dealing with audience what kind of suggestion you want to suggest yeah so we are spending time and energy on only wealth We are spending more on wealth.
(1:43:09) Now the trend should change. We have to spend time and energy on health, >> mental and physical health. Oh >> most important person first is self next is family next is social interactions community work some amount of spirituality and the last vital thing ignore sleep. I feel the richest man on this earth is a person who sleeps for 7 hours happily.
(1:43:51) >> So substance use >> there's lot of stigma and discrimination I understand but there is evidence support treatment for addictions and you are not alone. We love you. >> Thank you sir. Thank you so much add And please do subscribe our channel Sudi Talks for more updates.
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