Manas Neuropsychiatry Hospital
Neuropsychiatry · Deaddiction · Sexology · Neuromodulation · Since 1989
+91 94275 60101
Mon–Sat · 9 AM – 8 PM
manasneuropsychiatryhospital.in
Dr. Kamlesh A. Shah — MD (Neuropsychiatry), MBBS · Consultant Neuropsychiatrist · Dr. Dharmin K. Shah — MD (Psychiatry), TMS Physician (AIIMS New Delhi) · 2nd floor, Carlton Square, near Madhavdeep Complex, Kalanala, Bhavnagar 364001. Referrals accepted directly — no formality required. Written reply sent back to the referring doctor on request.
When to refer
- ›Depression or anxiety not responding to two adequate medication trials
- ›Any suicidal ideation, plan or recent attempt — same-day slot available
- ›First-episode psychosis, mania or catatonia
- ›Psychiatric symptoms in a patient with epilepsy, stroke, Parkinson's or head injury
- ›Behaviour or memory change in a patient over 60
- ›Delirium in a medically ill, post-operative or ICU patient
- ›Alcohol or opioid dependence needing supervised detoxification
- ›Unexplained somatic symptoms with repeatedly normal investigations
- ›Post-partum depression or psychosis
- ›Sexual dysfunction with no urological or endocrine cause found
Needs a brain work-up first
- ›First psychiatric episode after 45 with no prior history
- ›Onset over days in a previously well patient
- ›Fever, headache, neck stiffness or seizures with the behaviour change
- ›Visual (rather than auditory) hallucinations
- ›Fluctuating confusion, worse at night
- ›New focal neurological signs or rapid cognitive decline
Consider MRI/CT, EEG, thyroid, B12, electrolytes, LFT/RFT, copper studies or autoimmune antibodies as the picture dictates. Autoimmune encephalitis, Wilson's disease, tumours and thyroid disease are all treated as primary psychiatric illness at times.
What we can offer your patient
General psychiatry OPD: Mon–Sat, 9 AM – 8 PM. Depression, bipolar disorder, anxiety, OCD, psychosis, insomnia, child & adolescent, geriatric and women's mental health.
Neuropsychiatry: Epilepsy with psychiatric comorbidity, post-stroke and post-TBI syndromes, Parkinson's, dementia and memory clinic, delirium, autoimmune and metabolic causes, functional neurological disorder.
Neuromodulation suite: rTMS (TMS physician trained at AIIMS New Delhi), tDCS, modified brief pulse therapy under anaesthesia, and ketamine IV infusion with full monitoring.
Deaddiction: Supervised detoxification, relapse prevention, naltrexone implants, craving-reduction neuromodulation and family work.
Prescribing notes that come up most often
| Epilepsy | Sertraline / escitalopram preferred; avoid bupropion and high-dose TCAs. Account for enzyme induction with carbamazepine and phenytoin. If mood change began after levetiracetam or topiramate, consider switching the anti-seizure drug before adding an antidepressant. |
|---|---|
| Post-stroke | SSRIs are first line; start low, go slow. Note bleeding risk with concurrent anticoagulants/antiplatelets. Emotional incontinence often responds to a low SSRI dose within 1–2 weeks. Screen for apathy separately from depression. |
| Cardiac disease | Sertraline has the most reassuring post-MI data. Check QTc before and after citalopram, escitalopram and higher-dose antipsychotics. |
| Hepatic / renal impairment | Prefer agents with simpler metabolism and reduce the dose; avoid long-acting benzodiazepines in hepatic impairment. Lithium requires caution and monitoring in renal impairment. |
| Pregnancy & lactation | Avoid valproate in women of child-bearing age. Discuss before stopping any psychotropic abruptly — relapse risk is often the greater hazard. rTMS is a useful drug-sparing option. |
| Elderly | Start at half the adult dose, review anticholinergic load, and check B12, thyroid, sodium and vitamin D before attributing symptoms to dementia. |
Please send with the patient
- ›Referral note with your provisional impression and the clinical question
- ›Current prescription with doses and duration of each trial
- ›Past psychotropic trials, doses reached and the reason each was stopped
- ›Relevant investigations: MRI/CT films, EEG, thyroid, B12, LFT/RFT, electrolytes
- ›Discharge summaries from any previous admission
- ›Name and number of the family member who knows the history best
Contact & urgent referrals
- +91 94275 60101 — reception & same-day urgent slots
- OPD Monday to Saturday, 9 AM – 8 PM
- 2nd floor, Carlton Square, near Madhavdeep Complex, Kalanala, Bhavnagar 364001
- manasneuropsychiatryhospital@gmail.com
For an actively suicidal patient, catatonia, food refusal or acute behavioural emergency, telephone before sending so the slot and, if needed, admission are arranged.