A Vision, The Passion, My Mission.
Your journey begins anew.....
The first interview session is usually 50 minutes long. Information is gathered regarding current mental health symptoms, psychosocial functioning, and developmental trajectory since birth to elucidate ‘why is this person seeking psychiatric care now’. It essentially allows a trusting therapeutic alliance to develop, allowing the person to identify their needs and wants. It allows understanding how pursuing their psychiatric recovery will help them in their personal and professional lives by becoming being authentic versions of who they actually want to become in their future selves. Sometimes it is thought that questions asked may not be relevant to the psychiatric problems presented with. Nevertheless, a th0rough comprehensive psychiatric assessment seeks to understand an individual as ‘a whole unique person’ in the five pertinent areas of functioning-biological, psychological, social, cultural, and spiritual. It is essential, for psychiatric recovery to occur, that all possible interventions and likely causes are addressed. The overall management plan is devised in collaboration with the person to achieve practical treatment outcomes led by the individual. Symptom improvement is supported by psychotropic medications, psychodynamic psychotherapy, and motivational interviewing to embrace healthy lifestyle choices as applicable for the individual circumstances.
It is important to be aware that psychiatric diagnosis alone is insufficient in understanding the psychopathology in any individual. Diagnosis is imperfect, impersonal, and important. The two commonly used diagnostic systems are DSM-V and ICD-10, mainly classify the phenomenology and symptoms to assist their scientific evidence-based treatment and management. Hence, individually tailored management plans are essential for psychiatric recovery. Therapeutic nihilism, arising from labelling with stigma and depending upon statistical data that may not be applicable to an individual and their circumstances is frequently accepted as reasons for continuing mental health symptoms.
Follow-up sessions are fortnightly to monthly at the beginning of treatment. Once stable, this maybe at three monthly intervals. Intensive treatment for building insight to address entrenched personality disorder or traits is recommended to be weekly or bi=weekly as appropriate for an individual. This is chosen by the person as the overall management plan is collaborative and hugely depends upon an individual’s capacity to be consistent towards recognizing their current patterns of previous behaviours. Treatment is effective. It takes time to have any improvement that will last life-long. Due attention is paid to support self-soothing and distress tolerance skills. Personal responsibility to embrace healthy lifestyle choices with nutritious diet, adequate sleep, appropriate exercise, drinking adequate water, daily mindfulness, and self-reflection by journaling is encouraged.
From the perspective of the individual with mental illness, psychiatric recovery means gaining and retaining hope or faith, understanding of one’s abilities and disabilities, engagement in an active conscious living, personal autonomy, social identity, meaning or purpose in life, and a positive sense of true self. I support the development of being authentic true self by understanding the current dysfunctional false self and maladaptive coping mechanisms including addressing the physical health with psychotropic medication support.
Biological Recovery - The genetic code carries the blueprint for who we actually are. Our body has a circadian rhythm also known as the sleep-wake cycle which is regulated by the hypothalamus and release of melatonin. Our alertness and energy levels are hugely dependent upon this. Growth hormone release and cortisol production during stress is associated with the internal biological clock that resets during sleep. In addition, the brain and the physical body maintains homeostasis and balance automatically in complex ways, with feedback mechanisms in place. Psychotropic medications and cognitive processes influence psychiatric recovery. Timely treatment with appropriate medications by a qualified psychiatrist is essential to influence the neurotransmitters in the brain. Indeed, an optimally functioning hypothalamus-pituitary axis and autonomic nervous system is essential to self-regulate fear and stress.
Dr Devina Singh, Parramatta NSW. Psychoneurologically skilled Mental Health Coach. In disability services for NDIS, I am a Psychosocial Recovery Coach to align physical health and well-being with chosen goals.
Psychological Recovery - How securely we attach to our family of origin paves the path we choose. A newly born infant is totally dependent upon the primary care giver for all their physical and emotional needs and wants despite being feisty to become self-reliant. With development, the individual separates into an autonomous independent adult who is responsible and interdependent with others. A teenager who does not negotiate the stage of being co-dependent upon others for their functioning develops maladaptive coping and defence mechanisms. All adults are response-abled for their desires and responses to life circumstances. Re=parenting and reflecting upon their false self allows psychiatric recovery.
Dr Devina Singh, Psychosocial Recovery Coach Parramatta NSW, is skilled in psychodynamic psychotherapy and has varied lived experiences to guide and support your journey into being authentic and pursuing executive functioning.
Cultural Recovery - Culture is our heritage and its applicability in our daily lives is important. We know that belief systems and ways of problem solving are usually driven by circumstances prevalent at the time. Adulthood requires the need to obliterate their defensive false selves and endeavour to become their empowered being authentic true self as they negotiate current life circumstances. This includes processing unresolved emotional memories from the past to understand the gifts for developing a theory of the mind when in the present moment-NOW. Both empathy for another with compassion and courage to be intimate and honest are key for having healthy meaningful relationships. Hence, the journey towards being a functional adult occurs during psychiatric recovery. Psychodynamic psychotherapy, cognitive behavioural therapy, and other psychological interventions are used to influence psychiatric recovery.
Dr Devina Singh, Psychiatrist Parramatta NSW, has personally negotiated multiple cultural barriers and is aware of indigenous cultural issues to support deeper insight about patterns of behaviors which cause difficulties.
Social Recovery - We live interdependently in all our personal and professional relationships. The goal of psychiatric recovery from mental impairments is to achieve personal autonomy and meaningful living with infinite choices available to an individual. An understanding of their personal realities is encouraged. It is about being authentic and responsible for their lives, despite external circumstances, to be productive members of the society. Problem solving and distress tolerance skills along with assertive communication support psychiatric recovery.
Dr Devina Singh, Sydney. Mental Health Services NSW to help support optimal Social & Community participation and healthy interpersonal relationships for individuals who choose to understand themselves and pursue psychiatric recovery.
Spiritual Recovery - Honouring oneself as alive and capable of co-creating personal realities is an everyday scientific definition of spirituality that is different from religion which is a belief in God as external. It is to live as healthy functioning individuals who are exactly the same as another fallible human being, yet with diverse choices available and varied life experiences. Religious beliefs are personal which is respected during treatment and exploring conflicts arising from such hidden values is explored respectfully. Indeed, Einstein stated that a human being is part of the whole universe called us; our task is to free ourselves by widening our circle of compassion. Understanding developmental trauma and acceptance commitment therapy support psychiatric recovery. A psychodynamic psychotherapy session with a suitably qualified psychiatrist helps an individual understand their subconscious limiting beliefs which cause distress, complacency, and self-sabotage behaviours.
Dr Devina Singh, Psychiatrist Parramatta NSW, is dedicated towards supporting the development of an individual's true self by being authentic and response-Abled. Teaches learning to fulfill personal needs and wants with empathy & compassion.