Royal College of Psychiatrists

j¡epL ü¡ØbÉ pð®å S¡eh¡l hou

HC f¤Ù¹L¡Vl ho®u:

Ýk ÝLE hoZÀ Ýh¡d Ll®m HC f¤Ù¹L¡ hÉ¡hq¡l Ll®a f¡®lez Bjl¡ Bn¡ Ll Ýk a¡Ýcl
hå¤ h¡ BaÈ£ul¡J Hl Ýb®L EfL¡l f¡®hez

H®a ÝmM¡ B®R ho¡c®l¡NNËÙ¹ hÉ¡š²l Ae¤i§al LÚb¡,ae L L®l e®S®L p¤Øb
l¡M®he,AeÉ ÝLE ho¡c®l¡NNËÙ¹ qÝm ÝLje L®l a¡®L p¡q¡kÉ Ll®he, h¡ fË®gne¡m®cl
L¡R Ýb®L Bfe L£ p¡q¡kÉ Ýf®a f¡®lez H®a qu®a¡ Hje LR¤ abÉ B®R ho¡c®l¡N
pð®å k¡ Bfe¡l AS¡e¡zf¤Ù¹L¡Vl Ýn®o HLV a¡mL¡ ÝcJu¡ B®R ÝkM¡®e Bfe B®l¡
hnc S¡e®a f¡l®hez

p¤Qe¡:
LM®e¡ e¡ LM®e¡ Bjl¡ ph¡C c¤xM f¡C,hlš² qC Abh¡ hoZÀ Ýh¡d Llz p¡d¡lZax HC
Ae¤i§a pç¡q c¤®uL b¡®L Hhw Bj¡®cl ßce¾ce S£hek¡œ¡u ÝL¡®e¡ hÉ¡O¡a L®l e¡z
LM®e¡ c¤xÝMl L¡lZ b¡®L, LM®e¡ h¡ b¡®L e¡z Bjl¡ p¡d¡lZax e®Sl¡C Hl Ýj¡L¡hm¡
Ll®a f¡lz LM®e¡ qu®a¡ L¡®l¡ pwÝN Lb¡ hm®m jeV¡ HLV¤ q¡ó¡ quz Bl ÝL¡®e¡
p¡q¡kÉ clL¡l qu e¡z

L¿º ho¡c®l¡N q®m

• HC Ae¤i¤a¬m pq®S L¡V®a Q¡u e¡
• HV ßce¾ce S£h®e hOÀ OV¡u
• B®l¡ LR¤ LR¤ Ap¤hd¡ ÝcM¡ Ýcu {fR®el f¡a¡u ÝcM¤e}

ho¡c®l¡N q®m ÝLje Ae¤i§a qu:

ÝR¡ÝV¡M¡®V¡ je M¡l¡®fl a¤me¡u ho¡c®l¡®Nl Ae¤i§a A®eL Ýhn a£hË Bl LøLlzHV
A®eLce Ýhn b¡®Lzp¡d¡lZ je M¡l¡f b¡®L L®uL ce h¡ L®uL pç¡q, ÝpM¡®e
ho¡c®l¡N q®m je M¡l¡f b¡®L L®uL j¡pze£®Q hZÑa mrZ¬m ph¬m e¡
b¡L®mJ,Ýhnl i¡N Ýr®œ ho¡c®l¡NNËÙ¹ q®m A¿¹a f¡yQV L RuV mrZ b¡®Lz
mrZ¬m q®m¡:
• phpju je M¡l¡f m¡ÝN (påÉ¡l cLV¡ HLV¤ i¡®m¡ m¡N®a f¡®l)
• LR¤ Ll®a CµR¡ L®l e¡ Bl LR¤ Ll®a i¡®m¡ m¡®N e¡
 • ÝL¡®e¡ hÉ¡f¡®l jeØbl Ll®a pju m¡®N
• Ýk L¡S Bfe pq®SC Ll®a f¡l®ae,a¡ L®l FWÝa e¡ f¡l¡
• M¤h LÓ¡¿¹ m¡N¡
• M¤h AØbl m¡N¡
• r¤d¡ e¡ f¡Ju¡ Bl JSe Lj¡ (LR¤ Ýr®œ WL EÝÒV¡V¡ qu, M¡Ju¡ ÝhÝs k¡u Bl
JSe Ýh®s k¡u)
• HLO¾V¡ h¡ c¤O¾V¡ m¡®N O¤j Bp®a, a¡lf®lJ pL¡Ým a¡s¡a¡s O¤j Ýi®P k¡Ju¡
• pqh¡®p AeµR¡
• BaÈhnÄ¡®pl Ai¡h Hhw BØb¡ q¡l¡®e¡
• e®S®L Afc¡bÑ h¡ ALjÑZÉ j®e Ll¡
• AeÉ®cl p hSÑe Ll¡
• hlš² m¡N¡
• c®el ÝL¡Ýe¡ HL pju Ýhn hoZÀ b¡L¡ (p¡d¡lZax pL¡®m)
• BaÈqaÉ¡l Lb¡ i¡h¡

Bjl¡ Bj¡®cl HC ho¡®cl q¡a Ýb®L flœ¡Z f¡h¡l SeÉ A®eL pju L¡®S hÉÙ¹ b¡L¡l
ÝQø¡ Llz Hl g®m Bjl¡ B®l¡ Ýhn LÓ¡¿¹ q®u fsz aMe Bj¡®cl nl£®l e¡e¡ S¡uN¡u
hÉb¡ qu, j¡b¡ phpj®u d®l b¡®L Hhw O¤j qu e¡zA®eL pj®u n¡l£lL HC EfpNѬm
ho¡c®l¡®Nl fËbj mrZ quz

ÝLe Hje qu :

j¡®T j¡ÝT kMe je M¡l¡f qu, aMe LMÝe¡ LMÝe¡ je M¡l¡®fl L¡lZ b¡®L, LM®e¡
LM®Ýe¡ b¡®L e¡z ho¡c®l¡®Nl Ýr®œJ WL a¡CzA®eL pju HL¡dL L¡lZ b¡®L, Hhw
Bm¡c¡ Bm¡c¡ j¡e¤®ol Ýr®œ Bmc¡ Bm¡c¡ L¡lZ b¡®Lz

LR¤ LR¤ Ýr®œ M¤h pq®SC Ýh¡T¡ k¡u L¡lZzqu®a¡ ÝL¡®e¡ L¡l®Z qa¡n¡ H®p®R
S£h®e,qu®a¡ q®u®R fËuh®µRc h¡ fËu LR¤ q¡l®u ÝN®Rz A®eL Ýr®œ Bh¡l ÝL¡®e¡
L¡lZ ÝQ¡®M f®s e¡z Bjl¡ hm je ÝLje Ll®R,h¡ h¤®Ll ialV¡ ý ý LlÝR h¡ ph
ÝLje g¡yL¡ g¡yL¡ m¡N®R h¡ ÝL¡®e¡ L¡®S je m¡N®R e¡z

Bj¡®cl S£h®e k¡ O®V

LøLl OVe¡l f®l je M¡l¡f m¡N¡ ü¡i¡hLz fËuS®el jªaɤ,hh¡qh®µRc h¡ Q¡Ll
q¡l¡®e¡ exp®¾c®q je M¡l¡Ýfl L¡lZz HlLj LR¤ OV®m a¡l fl L®uL pç¡q Bjl¡
phpj®u M¡m ÝpC Lb¡C i¡h Bl ÝpC Lb¡C hmza¡lfl d£®l d£®l Bjl¡ j¡e®u
ezL¿º ÝL¡®e¡ ÝL¡®e¡ Ýr®œ Hl Ýb®L Bl Ýh®l¡®e¡ k¡u e¡, je M¡l¡f Bl LR¤®aC
L¡V®a Q¡u e¡z

flØba
kc Bjl¡ HL¡ b¡L, L¡R¡L¡R kc hå¤h¡åh e¡ b¡®L,kc Bjl¡ Q¿¹¡u Q¿¹¡u SSÑla
qC Abh¡ n¡l£lL i¡®h Ap¤Øb qC a®h Bj®cl ho¡c®l¡N qh¡l pñ¡he¡ Ýhn b¡®Lz

n¡l£lL Ap¤Øba¡ :
nl£l M¡l¡f q®m ho¡c®l¡®Nl pñ¡he¡ h¡®sz Ýk Ýl¡®N jªaɤ q®a f¡®l (kb¡ LÉ¡¾p¡l h¡
q¡®VÑl Ap¤M) Ýp Ýl¡®N ho¡c®l¡®Nl q¡l Ýhnz Ýk Ap¤M c£OÑ®ju¡c£ Hhw LøLl, Ýkje
BbËÑ¡CVp h¡ hËwL¡CVp, a¡ÝaJ ho¡c®l¡®Nl q¡l Ýhnz k¡l¡ A®fr¡Lªa Ljhup£,a¡®cl
i¡Cl¡m SÄl (kb¡ gÓ¤ h¡ NÔÉ¡¾X¤m¡l gi¡l) qh¡l f®l ho¡c®l¡N ÝcM¡ c®a f¡®lz

j¡epL NWe :
Ýk ÝL¡®e¡ Ým¡®Ll ho¡c®l¡N q®a f¡®l,L¿º L¡®l¡ L¡®l¡ Ýr®œ a¡ qh¡l pñ¡he¡
fËhmzHl L¡lZ, qu®a¡ Bj®cl S£eNa fËhZa¡ Abh¡ Bj¡®cl fËbj S£h®el Ai‘a¡
Abh¡ c¤ÝV¡Cz

jc ;
k¡yl¡ AaÉdL jcÉf¡e L®le a¡yl¡ A®e®LC ho¡c®l¡NNËÙ¹ qez hm¡ j¤úm ÝL¡eV¡ B®N
öl¦ q®u®R ho¡c®l¡N e¡ jcÉf¡ezk¡yl¡ Ýhn jc M¡e, a¡y®cl j®dÉ BaÈqaÉ¡l pñ¡he¡
Ýhn b¡®Lz

jqm¡ e¡ f¤l¦o :
jqm¡®cl Ýr®œ ho¡c®l¡®Nl q¡l ÝhnzHjeJ q®a f¡®l, Ýk ÝR®ml¡ Ýj®e e®a Q¡e e¡ Ýk
a¡l¡ ho¡c®l¡NNËÙ¹z a¡l¡ j®el Lø j®e f¤®o Ýl®M Ýcez Hl LM®e¡ AihÉ¡š² qu
AaÉdL jcÉf¡®e, LM®e¡ h¡ AeÉ®L n¡l£lL BO¡a L®lzjqm¡®cl Ýr®œ j¡epL Q¡f
Ýhn,L¡lZ a¡®cl à¬Z L¡S Ll®a qu, O®l Hhw h¡C®lz

S£e:
ho¡c®l¡®N A®eLpju flh¡®l HL¡dL pcpÉ Bœ²¡¿¹ qezBfe¡l h¡h¡ h¡ j¡, HC
c¤S®el j®dÉ HLS®el ho¡c®l¡N b¡L®m Bfe¡l ho¡c®l¡®N Bœ²¡¿¹ qh¡l pñ¡he¡ Ýh®s
k¡u BV¬Zz

ho¡c®l¡N L j¡epL c¤hÑma¡ :

AeÉ Ým¡®L j®e L®l Ýk ho¡c®l¡N j¡epL c¤hÑma¡z Ýke Ým¡®L CµR¡ L®l ho¡c®l¡N pªø
L®lz Bp®m a¡ H®Lh¡®lC euzAeÉ ph Ap¤®Ml j®a¡ HV¡J HLV¡ Ap¤Mz AaÉ¿¹
cªt®Qa¡ j¡e¤®olJ ho¡c®l¡N q®a f¡®lz q®m a¡l QLvp¡ fË®u¡Se,pj¡®m¡Qe¡ euz
ho¡c®l¡N Ýj¡®VC j¡epL c¤hÑma¡ euzj¡epL NWe cªt q®mJ HC Ýl¡N q®a f¡®lz
ECepÚVÚe Q¡QÑm H®L Je¡l L¡®m¡ L¤L¤l hm®aez

LMe p¡q¡kÉ Q¡Ch :

• kMe M¤h Ýhn je M¡l¡f m¡N®R Bl LR¤®aC hoZÀa¡ Lj®R e¡z

• kMe je M¡l®fl g®m Bfe L¡S Ll®a f¡l®Re e¡ Hhw Bfe¡l hå¤ h¡
BaÈ£uüS®el pw®N ü¡i¡hL pÇfLÑ b¡L®R e¡z
• kMe BaÈqaÉ¡l fËhZa¡ Bp®R h¡ j®e q®µR Ýk Bfe e¡ b¡L®m Ým¡®L p¤M£ quz
fËb®j Bfe Bfe¡l ÝL¡®e¡ hå¤ h¡ BaÈ£u®L Bfe¡l j®el LøV¡ M¤®m hm¤ezkc a¡®a
p¤l¡q¡ e¡ qu, a¡q®m Bfe¡l X¡š²¡®ll pw®N Lb¡ hm¤ezBfe qu®a¡ ÝMu¡m L®l®Re Ýk
Bfe¡l BaÈ£uhå¤l¡ Bfe¡l j®dÉ flhaÑe mrÉ L®l®RÚe Hhw Bfe¡®L e®u Q¿¹a
B®Rez

e®S L£ Llh:

e®Sl ia®l ÝQ®f l¡M®he e¡

kc ÝL¡®e¡ M¡l¡f Mhl Ýf®u b¡®Le,h¡ ÝL¡®e¡ j¡epL BO¡a Ýf®u b¡®Le, a®h ÝL¡®e¡
eLVSe®L Bfe¡l j®el Lb¡ M¤®m hm¤ezA®eL pj®u c¤xÝMl Lb¡ hm®m, ÝpC e®u
L¡æ¡L¡V Ll®m, jeV¡ q¡ó¡ quzHV¡ jeLø m¡Oh Llh¡l ü¡i¡hL fËœ²u¡z

e®S LR¤ Ll¦e :

h¡C®l Ýhl q®u HLV¤ q¡yV¡Qm¡ Ll¦ezBfe n¡l£lL i¡®h p¤Øb b¡L®he Hhw O¤jV¡
qu®a¡ i¡®m¡ q®hzqu®a¡ Bfe L¡S LR¤ Ll®a f¡l®he e¡, L¿º n¡l£lL p¤Øba¡J
fË®u¡Sez V¤LV¡L LR¤ L¡S Ll¦e, qu®a¡ OÝll L¡S Ll®me, m¡CV h¡ÒhV¡ hcm¡®me h¡
ßce¾ce S£h®el p¡j¡eÉ LR¤ Ll®mez Ýk LøLl Q¿¹¡ Bfe¡l je®L i¡l¡œ²¡¿¹ L®l
Ýa¡®m, a¡l Ýb®L LR¤r®Zl SeÉ q®mJ hl¡j f¡®hez

WLja M¡Ju¡ c¡Ju¡ Ll¦e :

ho¡c®l¡N q®m Bfe¡l JSe Lj®a f¡®l, Hhw iV¡j®el Ai¡h ÝcM¡ Ýk®a f¡®lz H®a
B®l¡ h¡®sÚ hoZÀa¡z qu®a¡ ÝM®a CµR¡ Ll®R e¡, ah¤J kaM¡e pñh p¤oj M¡cÉ M¡Ju¡l
ÝQø¡ Ll¦ez V¡VL¡ gm h¡ alalL¡l h®noi¡®h EfL¡l£z

jc Ýb®L p¡hd¡e :
Lø Lj¡®e¡l SeÉ e®S®L jÝcl j®dÉ X¤h®u Ýc®he e¡z jc Bp®m hoZÀa¡ h¡s¡uz L®uL
O¾V¡l SeÉ i¡®m¡ m¡N®h, L¿º f®l B®l¡ Ýhn hoZÀa¡ Bp®hz AaÉdL jcÉf¡e nl£®ll
f®r raLlz j®c Bfe Bfe¡l pjpÉ¡V¡ Hs®u k¡h¡l ÝQø¡ Ll®Rez L¿º Bp®m
Bfe¡l EQv, fË®u¡S®e p¡q¡kÉ e®u Bfe¡l pjpÉ¡V¡l pj¡d¡e Ll¡z

O¤j :
O¤j Bp®h L Bp®h e¡, ÝpC e®u c¤ÕQ¿¹¡ Ll®he e¡z ÝlXJ öe®a f¡®le Abh¡ ö®u
ö®u lmÉ¡„ L®l Vi ÝcM®a f¡®lezAeÉc®L je b¡L®m Bfe pq®S lmÉ¡„ Ll®a
f¡l®he Hhw Bfe¡l O¤j a¡s¡a¡s Bp®hz

L¡l®Zl fËaL¡l :
kc Bfe S¡Ýee Ýk ÝLe Bfe hoZÀ Ýh¡d Ll®Re, a¡q®m ÝpV¡ m®M Ýgm¤ez a¡lf®l
i¡h¤e Ýk Bfe L£ L£ i¡®h Hl fËaL¡l Ll®a f¡®lez Ýk¬m Ll¡ pñh Ýp¬m L®l
ÝcM®a f¡®lez

Bn¡ l¡M¤e :
j®e l¡M®he
• Bfe HL¡ ee, B®l¡ A®eL Ým¡®Ll HC HL Ae¤i§a quz
• HMe hnÄ¡p Ll¡ LWe, L¿º HC Ae¤i§a HLce ÝL®V k¡®hz
• kMe hoZÀa¡ ÝL®V k¡®h, aMe Bfe B®l¡ j¡epL cªtÚa¡ m¡i Ll®hez pq®S
pjpÉ¡l Ýj¡Lhm¡ Ll®a f¡l®he Hhw cªøi£ B®l¡ üµR q®hz
• qu®a¡ Bfe S£h®e LR¤ fË®u¡Se£u flhaÑe Be®a f¡l®he,k¡ Bfe B®N
Hs®u ÝN®Rez

L£ p¡q¡kÉ f¡Ju¡ k¡u :

Ýhnli¡N Ýr®œ Bfe¡l f¡lh¡lL X¡š²¡l Bfe¡l ho¡c®l¡®Nl QLvp¡ Ll®hez

Bfe¡l mrZ Ýc®M, mr®Zl a£hËa¡ Ýc®M ae Øbl Ll®he Bfe¡l L£ fË®u¡Se,
ho¡c fËa®l¡dL VÉ¡h®mV, Lb¡-hm¡ QLvp¡ e¡ c¤ÝV¡Cz
L¡E®¾pmw h¡ p¡C®L¡®bl¡f :
Bfe kaC hoZÀ Ýq¡e e¡ ÝLe, Bfe¡l Ae¤i§al Lb¡ hm®a f¡l®m EfL¡l
f¡®hez Bfe¡l Sfl p¡SÑ¡l®a L¡E®¾pml b¡L®a f¡®le, k¡yl p®Â Bfe Lb¡
hm®a f¡®lez
kc Bfe¡l hoZÀa¡l j§®m b¡®L Bfe¡l p£ h¡ pÂe£l pÝ Bfe¡l pÇfLÑ,
a¡q®m a¡l SeÉ Bm¡c¡ fËaù¡e B®Rz a¡l¡ f¡lØflL pÇfLÑ Hhw hoZÀa¡®h¡d
Ýj¡Lhm¡ Ll®a Bfe¡®L p¡q¡kÉ Ll®a f¡®lz
kc Bfe¡l hoZÀa¡l j§®m b¡®L Bfe¡l fËahåLa¡ h¡ Ap¤Øb ÝL¡®e¡ eLVS®el
Ýph¡l i¡l kc Bfe¡®L e®a qu a¡q®m a¡®l¡ Ef¡u B®Rz Bfe¡l j®a¡ HLC
flØba®a B®l¡ k¡yl¡ B®Re a¡yl¡ j®m Nˤf ßal L®lÝRez HC Nˤ®fl E®ŸnÉ
üeiÑla¡z HM¡Ýe pjhÉb£®cl L¡®R e®Sl Ai‘a¡ Bl Ae¤i§a hZÑe¡ Ll®m j®el
i¡l m¡Oh quz
kc Bfe¡l hoZÀa¡l j§®m b¡®L ÝL¡®e¡ fËuS®el jªaɤ, a¡q®m L¡®l¡ pÝ HC fËpÝÂ
Lb¡ hm®m h®no EfL¡l f¡Ju¡ k¡uz
A®eL pju L¡E®L e®Sl j®el Lb¡ M¤®m hm¡ k¡u e¡, HjeL e®Sl fËu ÝL¡®e¡
h央LJ e¡zÝp Ýr®œ ÝL¡®e¡ fËnrZfË¡ç L¡E®¾pml h¡ Ýbl¡fÙÝVl pÝ Lb¡ hm®a
p¤hd¡ q®a f¡®lz Lb¡ h®m h¤®Ll Ýh¡T¡ q¡ó¡ q®m¡ j®e q®a f¡®lz LR¤r®Zl SeÉ
L¡®l¡ AM™ j®e¡®k¡N Ýf®m e®S HLV¤ i¡®m¡ Ýh¡d Ll¡ ü¡i¡hLz e¡e¡e dlÝel
p¡C®L¡®bl¡f B®R, a¡l j®dÉ LR¤ LR¤ h®no Ef®k¡N£ AÒf h¡ j¡T¡l j¡®fl
hoZÀa¡ Ýl¡®Nl SeÉz
A®eL pju LR¤ Ýeah¡QL Q¿¹¡ b¡®L ho¡c®l¡®Nl j§®mz LNÀVi h®qiu¡l Ýbl¡f
Ll®m Hl fËaL¡l pñhz
Lb¡l j¡dÉ®j Ýk QLvp¡ qu, a¡ L¡kÑLl£ q®a pju Ýeuz H®LL h¡l O¾V¡ M¡®eL
pju m¡®N Bl p¡d¡lZax f¡yQh¡l Ýb®L alnh¡l (h¡ Hl j¡T¡j¡T ÝL¡®e¡ HLV¡
pwMÉ¡) Ýbl¡fÙÝVl L¡®R Ýk®a quz ÝL¡®e¡ ÝL¡®e¡ Ýbl¡fØV fËa pç¡®q Ýc®Me,
Bh¡l fË®u¡Se Ýh¡®d ÝL¡®e¡ ÝL¡®e¡ Ýbl¡fØV c¤ae pç¡q A¿¹l A¿¹l Ýc®Mez

Lb¡ hm¡l j¡dÉÝj Ýk QLvp¡ qu, a¡ ÝLjei¡®h L¡S L®l;

HV¡ eiÑl Ll®R Bfe¡l L£ dl®Zl Ýbl¡f q®µR a¡l Ef®lz öd¤j¡œ e®Sl c¤ÕQ¿¹¡l
Lb¡ L¡E®L hm®mJ EfL¡l q®a f¡®lz j®e qu Bfe HL¡ ee, HLSe pjhÉb
B®RÚez
• LNÀVi h®qiu¡l Ýbl¡f Bfe¡®L ÝcM®u Ýcu Bfe¡l Q¿¹¡ ÝLje i¡®h
ho¡c®l¡N pªø L®l®Rz HV Bfe¡l HC dl®el Q¿¹¡ flhaÑe Ll®a p¡q¡kÉ
L®lz
 • L¡E®¾pmw Bfe¡l cªøi£ f¡ÒV¡®a p¡q¡kÉ L®l; Bfe¡l e®Sl S£he pð®å
Hhw AeÉ¡eÉ Ým¡L®cl pð®å e®Sl Ae¤i¤a h®nÔoZ Ll®a p¡q¡kÉ L®lz
• X¡Ce¡jL Ýbl¡f Bfe¡®L ÝcM®u Ýcu ÝLjei¡®h Bfe¡l Aa£a S£he
Bfe¡l haÑj¡e S£he®L fËi¡ha Ll®Rz
• Bfe A®eÉl p®Â ÝLje hÉhq¡l Ll®Re, a¡ Bfe NˤÝfl j®dÉ Lb¡ h®m
h¤T®a f¡l®hez HM¡®e HLV¡ flQa fl®h®n Bfe Ýc®M e®a f¡l®he
Ým¡®Ll ÝQ¡®M Bfe¡®L ÝLje j®e q®µRz HM¡®e Bfe e®Sl hÉhq¡®l Hhw
Lb¡u flhaÑe Be®a f¡l®hez

Lb¡l j¡dÉ®j Ýk QLvp¡ qu, a¡®a L£ dl®el Ap¤hd¡ q®a f¡®l:

p¡d¡lZax HÝa ÝL¡®e¡ Ap¤hd¡ qu e¡z L¿º LR¤ LR¤ Ýr®œ Ap¤hd¡ q®a f¡®lzLb¡
hm®m f¤®l¡®e¡ c®el Ýhce¡c¡uL Øjªa j®e SN®a f¡®lz Hl g®m je q®u EW®a f¡®l
i¡l¡œ²¡¿¹zÝLE ÝLE h®me Ýk a¡®cl S£he pÇf®LÑ cªøi£ f¡®ÒV k¡Ju¡®a a¡yl
fËuS®el p®Â pÇf®LÑ Qs d®lÝRz h®no i¡®h ÝMu¡m l¡M®he Ýk Bfe Ýke Bfe¡l
Ýbl¡fÙV®L ilp¡ Ll®a f¡®le Hhw Bfe¡l Ýbl¡fÝØVl Ýke Efk¤š² fËnrZ b¡®Lz
kc Ýbl¡fl hÉf¡®l ÝL¡®e¡ pݾcq S¡®N, a¡q®m H hÉ¡f®l Bfe¡l Sf Lwh¡
Ýbl¡f®ØVl p®Â Lb¡ hm¤ez c¤xÝMl hou, Ýbl¡f®ØVl M¤h Ai¡hz ÝL¡®e¡ ÝL¡®e¡
S¡uÚN¡u, Bfe¡®L p¡C®L¡®blfl SeÉ j¡®pl fl j¡p A®fr¡ Ll®a q®a f¡®lz

AeÉ¡eÉ QLvp¡;
ÝLj®ØVl Ýc¡L¡®e Ýp¾V Sep Ju¡VÑ e¡®j HLV q¡hÑ¡m Kod Le®a f¡Ju¡ k¡uz
S¡jÑ¡e®a HVl hým hÉhq¡l quz HV AÒf h¡ j¡T¡l j¡®fl ho¡c®l¡®N L¡kÑLl£z HMe
Hje hs f¡Ju¡ k¡u k¡ c®e HLV Ýphe Ll®mC k®bøz HV ho¡c®l¡N fËa®odL hsl
jaC L¡S L®l, a®h ÝLE ÝLE h®me Ýk H®a f¡nÄÑfËaœ²u¡ Ljz HLV¡ Ap¤hd¡ HC Ýk,
Bfe AeÉ ÝL¡®e¡ KoÝdl p®Â Ýp¾V Sep Ju¡VÑ ÝM®m f¡nÄÑfËaœ²u¡ q®a f¡®lz Bfe
AeÉ ÝL¡®e¡ Kod ÝM®m Bfe¡l Sfl p®Â Lb¡ hm¤ez

ho¡cfËa®l¡dL hs;
kc Bfe¡l hoZÀa¡ a£hË h¡ c£OÑ®ju¡c£ qu, a¡q®m Bfe¡l X¡š²¡l Bfe¡®L
ho¡cfËa®l¡dL hs Ýphe Ll®a hmÝa f¡®lez H¬m O¤®jl Kod eu, kcJ H®a
Bfe¡l AØbla¡ Hhw c¤ÕQ¿¹¡ Lj®hzBfe Bh¡l S£h®e Be¾c g®l f¡®he Hhw
Bfe¡l f®r Bfe¡l pjpÉ¡l Ýj¡Lhm¡ Ll¡ pqS q®hz
j®e l¡M®he Ýk AeÉ¡eÉ A®eL Ko®dl a¤me¡u ho¡c®l¡®Nl Ko®dl L¡S Llh¡l fÜa
Bm¡c¡z H®a a¡vrZL ÝL¡®e¡ gm f¡Ju¡ k¡u e¡zL®uLc®el jÝdÉ a¡l¡ qu®a¡ ÝcM®he
Ýk a¡®cl O¤jV¡ i®m¡ q®µR Hhw c¤ÕQ¿¹¡ L®j®R,L¿º hoZÀa¡ LjÝa Lj®a c¤ae pç¡q
Ým®N k¡uz

ho¡cfËa®l¡dL hs L£i¡®h L¡S L®l;

Bj¡®cl jÙ¹®×L ÝL¡V ÝL¡V ÝL¡o B®Rz M¤h AÒf flj¡Z LR¤ l¡p¡u¡eL fc¡®bÑl
j¡dÉ®j HC ÝL¡o®cl j®dÉ pw®k¡N Øb¡fa quzHC fc¡bÑ®L h®m eE®l¡VÌ¡¾pjV¡lz
jÙ¹®×Ll e¡e¡e Aw®n nM¡®e®LlJ Ýhn HClLj l¡p¡ueL fc¡bÑ B®RzHl j®dÉ
c¤V,Ýp®l¡®V¡ee Hhw el-HXÌe¡me ho¡c®l¡®N raNËÙ¹ quz ho¡cfËa®l¡dL hs
Øe¡u¤®L¡®o HC l¡p¡ueL fc¡bÑ h¡s®u Ýcuz g®m jÙ¹®×Ll HC Aw®nl LjÑrja¡ h¡®sz
a¡ q®mJ H®Lh¡®l eÕQa L®l hm¡ k¡u e¡, ÝLjei¡®h hoZÀa¡ L¡ÝVz

ho¡cfËa®l¡dL hsl Ap¤hd¡:

Ýk ÝL¡®e¡ Ko®dl j®a¡ HC hsl LR¤ f¡nÄÑfËaœ²u¡ b¡®Lz H¬m p¡d¡lZax q¡ó¡ qu
Hhw AÒf LR¤ce h¡®c ÝL®V k¡uz ea¤e ho¡cfËa®l¡dL hs (HpHpBlBC) hÉhq¡l
Ll®m fËbj fËbj HLV¤ hj hj i¡h qu Bl c¤ÕQ¿¹¡ h¡®sz f¤l®e¡ ho¡cfËa®l¡dL hs
ÝM®m j¤M öL®u k¡u Bl ÝL¡ùL¡WeÉ ÝcM¡ Ýcuz f¡nÄÑfËaœ²u¡ M¤h LøLl e¡ q®m
Bfe¡l X¡š²¡l Bfe¡®L Kod Q¡m®u Ýk®a hm®hez
AeÉ Ýk ÝL¡®e¡ Ko®dl j®a¡ Bm¡c¡ Bm¡c¡ ho¡cfËa®l¡dL hs Bm¡c¡ Bm¡c¡ i¡®h
L¡S L®lz H hÉf¡®l Bfe¡l X¡š²¡®ll p®Â Lb¡ hm¤ezÝMu¡m l¡M®he Ýke Bfe¡l
g¡jÑ¡pØV Bfe¡®L hsl p®Â Hl pÇfLÑa f¤Ù¹LVJ Ýcez A®e®L i¡®he HC Ko®d
a¡y®cl O¤j f¡®hz p¡d¡lZax Ýk hs®a O¤j O¤j i¡h B®p, Ýp¬m l¡®a Ýphe Ll®a quz
c®el Ýhm¡ O¤j O¤j i¡h b¡L®m, N¡s£ Q¡m¡®e¡ h¡ Ýjne Q¡m¡®e¡ EQv eu kace e¡ HC
O¤j O¤j i¡h L¡V®Rz
Ýhnl i¡N Ýr®œ ho¡cfËa®l¡dL hs M¡h¡l pju Bfe Bfe¡l ü¡i¡hL M¡h¡l ÝM®a
f¡l®hez(e¡q®m Bfe¡l X¡š²¡l Bfe¡®L hÝm Ýc®he)z hÉb¡l Kod,AÉ¡¾Vh¡®u¡V„, h¡
NiÑe®l¡dL hsl pÝ Hl ÝL¡®e¡ f¡nÄÑfËaœ²u¡ ÝeCz a®h jc M¡Ju¡ EQv euz jc Hhw
ho¡cfËa®l¡dL hs HLp®Â ÝM®m Tj¤e i¡h Bp®hz
p¡d¡lZax Bfe¡l Sf (p¡L¡u¡VÌÙV ee) Bfe¡®L ho¡cfËa®l¡dL hs ÝM®a hm®hez
fËbjc®L Ee Oe Oe Bfe¡®L ÝcM®he Kod pqÉ q®µR Le¡ eZÑu Ll®azkc L¡S qu,
a¡q®m pÇf§ZÑ p¤Øb qh¡l f®lJ Ljf®r 4 j¡p HC Kod M¡Ju¡ EQvz kc fËbjh¡l HC
Kod M¡®µRe qu, a¡q®m B®l¡ Ýhnce hÉhq¡l Ll®a q®hz hå Llh¡l pju q®m d£®l
d£®l hå Ll®he Bfe¡l Sfl e®cÑ®nz
A®e®L j®e L®le Ýk ho¡cfËa®l¡dL hsÝa j¡e¤o Ýen¡pš² q®u f®lz HV¡ paÉ Ýk qW¡v
Kod hå Ll®m LR¤ LR¤ AüÙ¹Ll Ai‘a¡ quz qua c¤ÕQ¿¹¡ h¡s®h,Oe Oe f¡uM¡e¡
q®h,Ýhn Ýhn üfÀ ÝcM®he (HjeL c¤xüfÀJ ÝcM®a f¡®le)z fË¡u ph Ýr®œ H¬m
Hs¡®e¡ k¡u kc Kod d£®l d£®l hå Ll¡ quz k¡®a Ýen¡ qu (Ýkje iÉ¡mu¡j,e®L¡Ve h¡
jc) a¡®a ÝpC Ýen¡l Se®ol j¡œ¡ h¡s¡®a qu , e¡q®m Ýen¡ qu e¡z HV¡
ho¡cfËa®l¡dL hsl Ýr®œ qu e¡z Bl Bfe LMÝe¡C ho¡cfËa®l¡dL hs e¡ Ýf®m
AØbl q®u RVÚgV Ll®he e¡z
AÒfhup£®cl Ýr®œ (Ýa®l¡ Ýb®L Een hRl hup) hÉhq¡l Ll®a ÝN®m LR¤ LR¤
naÑ¡hm£ fË®k¡SÉz HpHpBlBC (ho¡cfËa®l¡dL hs) hÉhq¡l Ll®m BaÈqaÉ¡l
fËhZa¡ h¡®sz
AÒfhup£®cl SeÉ CEe¡C®VX LwX®j euj :
• gÓ¤J®„Ve (HpHpBlBC ho¡cfËa®l¡dL hs) hÉhq¡l Ll¡ k¡u
• AeÉ HpHpBlBC (ho¡cfËa®l¡dL hs) m¡C®p¾pfË¡ç eu
• pQl¡Ql gÓ¤JÝ„V®el pÝÂ p¡C®L¡mSL¡m Ýbl¡fJ Ll¡ EQv
• Kod p¡L¡u¡VÌ®ØVl e®cÑ®n Ýphe Ll¡ EQv
• fËbj Q¡l pç¡q fËa pç¡®q X¡š²¡l ÝcM¡®e¡ EQv
B®l¡ hnc S¡e®a q®m Bj¡®cl ho¡cfËa®l¡dL hs houL f¤Ù¹L¡ fs¤ez

Bj¡l f®r ÝL¡eV¡ clL¡l hs e¡ p¡C®L¡®bl¡f;

ÝpV¡ eiÑl LÝl Bfe¡l ho¡c®l¡®Nl a£hËa¡ Hhw L£i¡®h hoZÀa¡ öl¦ qm a¡l Eflz
Lb¡l j¡dÉ®j Ýk QLvp¡ qu, a¡ AÒf h¡ j¡Tl j¡®fl hoZÀa¡u L¡kÑLl£zAÒf j¡®fl
hoZÀa¡u Ko®dl ÝL¡®e¡ i§jL¡ ÝeCz a®h, Bfe¡l ho¡c a£hË q®m Kod m¡N®h,
p¡d¡lZax p¡a Ýb®L eu j¡®pl SeÉz
A®e®L Ýc®Me Ýk ho¡cfËa®l¡dL hs hÉhq¡l L®l hoZÀa¡ Lj®m, a¡lfl Lb¡l j¡dÉ®j
QLvp¡ Ll®m EfL¡l f¡Ju¡ k¡uzaMe Ýk flØbal SeÉ Bfe¡l S£h®e ho¡c g®l
Bp®a f¡®l, a¡l Ýj¡Lhm¡ Ll¡ pñhz
L¡®SC HC QLvp¡ Lwh¡ I QLvp¡ eu, H®L A®eÉl flf§lLz Bpm Lb¡ q®m¡
ÝL¡eV¡ LMe M¡V®hz j¡T¡l j¡®fl hoZÀa¡u Kod Bl p¡C®L¡®bl¡f pj¡e L¡kÑLl£z
A®eL p¡L¡u¡VÌØV j®e L®le a£hË hoZÀa¡u Kod Ýhn L¡kÑLl£z
ÝLE ÝLE a£hËi¡®h Kod Ýph®el h®l¡d£,ÝLE h¡ a£hËi¡®h p¡C®L¡bl¡fl h®l¡d£z
ÝpM¡®e eSü Aij®al fËnÀ B®pza®h H®r®œ j¤nLm q®m¡ WLja L¡E®¾pmw h¡
p¡C®L¡®bl¡fl p¤hÉhØb¡ Ýc®nl A®eL S¡uÚN¡u ÝeCz
kMe Bfe hoZÀ b¡L®he aMe L£ Ll¡ EQv h¤T®a Ap¤hd¡ q®a f¡®lz Bfe Bfe¡l
fËuSe h¡ hnÄ¡pi¡Se L®l¡ pÝ Lb¡ h®m L£ Ll®he WL Ll¦ez

Bj¡l L£ p¡L¡u¡VÌØV ÝcM¡®e¡l fË®u¡Se B®R;

j®e qu e¡z Ýhnli¡N Ýr®œ hoZÀa¡l QLvp¡l SeÉ Sfl p¡q¡kÉ k®bøz AÒf L®uLSe
EfL¡l f¡e e¡,ay®cl ÝØfn¡mØV ÝcM¡®a quz a¡y®cl qu p¡L¡u¡VÌÙV eu®a¡ LjEeV
ÝqmÚb V®jl ÝL¡Ýe¡ pc®pÉl L¡®R f¡W¡®e¡ quz p¡L¡u¡VÌÙV HLSe X¡š²¡l ke j¡epL
QLvp¡l Ef®l h®no fs¡öe¡ L®l®RezLjEeV V®jl pcpÉ qu e¡pÑ,eu
p¡C®L¡mSØV,euÝa¡ Ýp¡p¡m Ju¡LÑ¡l Lwh¡ JL¤®fne¡m ÝblfØVz a¡yl¡ Ýk ho®ul
h®no‘ qe e¡ ÝLe, pL®mC j¡epL Ap¤Øba¡l Ýj¡L¡hm¡ Ll®a AiÉÙ¹z
fËbj Ýkce Bfe p¡L¡u¡VÌ®ÙÝVl L¡®R k¡®he, Ýpce Bfe¡l O¾V¡ M¡®eL pju m¡N®hz
Bfe Q¡C®m pÝ Bfe¡l hå¤ h¡ BaÈ£u®L e®u Bp®a f¡l®hez e¡iÑ¡p qh¡l ÝL¡®e¡
L¡lZ ÝeCz Ýk dl®el fËnÀ pQl¡Ql Ll¡ qu, Ýp¬m ßce¾ce S£he pÇfLÑ£u j®el Ni£®l
fË®hn Ll¡l jÝa¡ ÝL¡®e¡ fËnÀ euz p¡L¡u¡VÌØV Ýh¡Th¡l ÝQø¡ Ll®he Ýk ÝLje Bfe¡l
f¡lf¡nÄÑL fl®hn Hhw Aa£®a Bfe¡l LWe ÝL¡®e¡ Ýl¡N (n¡l£lL h¡ j¡epL)
q®uRm Le¡z Ee S‘¡p¡ Ll®he Ýk HMe Bfe¡l S£h®e E®õM®k¡NÉ LR¤ OÝV®R
Le¡,L£i¡®h hoZÀa¡ öl¦ qm Hhw Hl SeÉ Bfe¡l ÝL¡®e¡ QLvp¡ B®N q®u®R Le¡z
ph fË®nÀl Ešl c®a Ap¤hd¡ q®a f¡®l, a®h Bfe¡l X¡š²¡l Bfe¡®L Ýc®M h¤®T L£
QLvp¡ Bfe¡l f®r Ef®k¡N£ a¡ eZÑu Ll®hez
qua p¡j¡eÉ LR¤ Ýce¾ce hÉ¡f¡®l Ef®cn Ýc®he, h¡ ÝL¡®e¡ QLvp¡ fÜa pÇf®LÑ
hm®he,Abh¡ Bfe¡l flh¡®ll ÝL¡®e¡ pcpÉ®L Bfe¡l QLvp¡l hÉ¡f®l pwk¤š² Ll®a
Q¡C®hez Bfe¡l hoZÀa¡ a£hË q®m h®no QLvp¡ m¡N®a f¡®l, Hhw Bfe¡®L
q¡pf¡a¡®m iaÑ Ll¡ q®a f¡®lz ho¡c®l¡NNËÙ¹Ýcl j®dÉ naLl¡ HLSe®L q¡pf¡a¡®m
iaÑ q®a quz

Bj¡l QLvp¡ e¡ q®m L£ q®h;

p¤Mhl HV¡C Ýk ÝL¡®e¡ QLvp¡ R¡s¡C f¡yQS®el j®dÉ Q¡lSe ho¡c®l¡NNËÙ¹ hÉš² el¡ju
q®u k¡®hez Q¡l Ýb®L RÚj¡p m¡®N (LM®e¡ LM®e¡ Hl Ýhn) p¤Øb q®az a¡q®m hoZÀa¡l
QLvp¡l fË®u¡Se L£?
kcJ f¡yQS®el j®dÉ Q¡lSe el¡ju qe he¡ QLvp¡u, f¡yQS®el HLSe hoZÀ b¡®Le
c¤hRl f®lJz Bj¡®cl f®r B®N b¡L®a hm¡ pñh eu, ÝL i¡®m¡ q®he Bl ÝL q®he
e¡z Ýno Ahd i¡®m¡ q®u ÝN®mJ hoZÀa¡l Ai‘a¡ M¤h LøLlz a¡C HC pjuV¡ Lj¡h¡l
ÝQø¡ Ll¡ EQvz a¡R¡s¡ Bfe kMe fËbj hoZÀa¡u Ýi¡®Ne Bfe¡l àa£u h¡l qh¡l
pñ¡he¡ 50 na¡wnz AÒf LR¤ pwMÉL l¦N£ hoZÀa¡l pju BaÈqaÉ¡ L®lez
HC f¤Ù¹L¡®a ÝmM¡ B®R Hje LR¤ LR¤ Lb¡ Ýj®e Qm®m hoZÀa¡l Ýju¡c Lj®a f¡®lz
Bfe e®S hoZÀa¡l Ýj¡Lhm¡ Ll®a f¡l®m Bfe¡l j®dÉ BaÈhnÄ¡p Bp®h, ihoÉ®a
fËaL§m flØba q®m Bfe k¤T®a f¡l®hez a®h hoZÀa¡ a£hË h¡ c£OÑ®ju¡c£ q®m
Bfe¡l L¡S Llh¡l rja¡ h¡ S£he®L Efmì Llh¡l rja¡ qË¡p f¡®hz
ÝL¡®e¡ ho¡c®l¡NNËÙ¹ hÉš²®L Bj L£i¡®h p¡q¡kÉ Ll®a f¡l;

a¡yl Lb¡ je c®u öe¤ez HLb¡ hm¡ pqS, Ll¡ LWez HL Lb¡ h¡l h¡l h¡l h¡l öe®a
q®a f¡®lz Ef®cn ÝLE e¡ Q¡C®m Ýc®he e¡z HjeL kc Bfe¡l j®e qu Ýk M¤h pq®S
Hl fËaL¡l pñhz
kc ÝL¡®e¡ L¡lZ b®L hoZÀa¡ öl¦l j§®m, Bfe pj¡d¡e Ll®a p¡q¡kÉ Ll®a f¡®le,h¡
pj¡d¡®el fb h¡vm¡®a f¡®lez
ÝLE hoZÀ q®m a¡yl p®Â h®p pju L¡V¡®m i¡®m¡z a¡y®cl Evp¡q c®a f¡®le,a¡y®cl pÝÂ
Lb¡ hm®a f¡®le,a¡yl¡ pQl¡Ql k¡ L®le ÝpC L¡®S a¡y®cl p c®a f¡®lez
ÝLE hoZÀa¡u i¤N®m a¡y®cl f®r hnÄ¡p Ll¡ LWe Ýk a¡yl¡ ÝL¡®e¡ce i¡®m¡ q®u
EWÝhez Bfe a¡y®cl BnÄ¡p c®a f¡®le, Ýk a¡yl¡ i¡®m¡ q®u k¡®hez j®e l¡M®he, HC
BnÄ¡p h¡l h¡l c®a q®a f¡®lz
ÝMu¡m l¡M®he a¡yl¡ Ýke k®bø M¡Ju¡ c¡Ju¡ L®lez
a¡y®cl jcÉf¡e Ýb®L hla l¡M®hez
kc hÉ¡f¡lV¡ M¡l¡f c®L Ýj¡s Ýeu, a¡yl¡ kc h®me Ýk Ýhy®Q Ýb®L L£ m¡i h¡ O¤Z¡r®lJ
BaÈqaÉ¡l Lb¡ hÝme, Ýp Lb¡ q¡ó¡i¡®h Ýe®he e¡zh®noi¡®h eSl Ýc®he a¡yl¡ Ýke
a¡y®cl Sfl p®Â Lb¡ h®me HhÉ¡f¡®lz
a¡y®cl fË®gne¡m p¡q¡kÉ e®a hm¤ezKod ÝM®a h¡lZ Ll®he e¡, h¡ Ýbl¡fØV ÝcM¡®a
h¡lZ Ll®he e¡z Bfe¡l QLvp¡ e®u ÝL¡®e¡ c¤ÕQ¿¹¡ b¡L®m Ýp e®u X¡š²¡®ll pÝÂ
Lb¡ hm¤ez

With grateful thanks to Dr. Bhargavi Chatterjea Bhattacharyya for translating

this information into Bengali
The original leaflet was produced by the Royal College of Psychiatrists’ Public
Education Editorial Board. Series Editor: Dr Philip Timms. With grateful
thanks to Dr Martin Briscoe. Information about treatments can change
rapidly and the College updates its mental health information leaflets
regularly.

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