Tag: adhd

Mental Health: Update

It’s been over six months since I got off my medication for depression (venlafaxine) and ADHD (methylphenidate), so I thought I should just provide an update. The immediate trigger for this post is that I’m reading Nassim Nicholas Taleb’s Antifragile, in which among other things he rants against excess medication, and explicitly picks on medication for depression and ADHD.

Overall, I must mention that I’ve managed pretty well these last six months. Yes, there are depressive bouts. Yes, there are times when I can’t concentrate and I get increasingly restless. Sometimes it is perhaps as bad as it used to be before I started seeing a psychiatrist. But it’s ok. The most important outcome of going to a psychiatrist for a year has been that I’ve gotten diagnosed.

You might have heard this in several places – that ninety percent (or maybe more, or less) of treatment of a disease is diagnosis. And in case of my mental health I find that to be absolutely true. Yes, I took medication for a year. Yes, it helped back then. Yes, as I’ve written before, having those medicines provided me the necessary stimulus to get myself out of the depths I’d gotten into over the last few years. However, I’m certain that I don’t need them any more. But the diagnosis helps.

Two years back my biggest concern was that I wasn’t able to explain my life. There was no story. I had done a lot of things that were seemingly disparate and there were a lot of things that I’d done which I would later regret. So I had a lot of regrets, and I would expend a lot of my idle processor time (in my head) dwelling on these regrets, and wondering why I did certain things the way I did, or why I took the decisions I took. Every time I tried to come up with an explanation for something, I would get the “but everyone deals with that, why can’t you” response.

The biggest advantage of having diagnosed is that it now all fits in. I now know why after getting into IIT with such a good rank I drifted away and completely lost interest. I now know why so many of my initial crushes didn’t work out (ADHD among other things makes you impulsive and blurt out things you aren’t supposed to). I now know why I chose to literally run away from my first job (that’s a long story in itself. Will save it for another day). And I precisely know why I went in and out of three more jobs in the five years after that.

Yes, I might be overfitting in some things (you can see that I’m doing that in the previous paragraph to explain why no relationships worked out). Nevertheless, after a long and ardous search for that one variable or set of variables that would explain a large part of who I am or what I did, when I all I found was noise, I think I’ve found the signal. Till I was close to thirty, I led my life without having fully understood myself. And trying to blame myself for being inferior to other people in certain ways, and constantly regretting my decisions. The diagnosis changed all that. Yes, after a discussion on a mailing list on ADHD some three years back I’d posited that I might have it. Yet, a formal diagnosis from a qualified psychiatrist helped.

So you may ask why I discontinued medication if I know that I have some problems. Two different reasons for the two medicines I was taking. As for Venlafaxine (which I used to take for anxiety and depression), I had a harrowing time in November of last year when I ran out of supplies of the drug and couldn’t find it in any store near my house for a couple of weeks. During this time I would feel weak, have a fever and feel extremely numb in the limbs, but had no clue why that was happening. Later, the psychiatrist told me that these were withdrawal symptoms for failing to take my drugs regularly. I panicked. i didn’t want to get addicted to mind-altering substances. More importantly, around this time I got the feeling that the drug wasn’t doing much help. I would still have the same old bouts of depression. The psychiatrist agreed that I had plateaued in response to the drug. So she recommended a rather slow taper off from the drug (to prevent withdrawal symptoms), which I followed and got off it.

Methylphenidate was useful, and wasn’t addictive (some literature has likened it to wearing spectacles. It affects you only when you’re taking it). Yet, I found that it changed me. Yes, I know that I’m attention deficit and possibly hyperactive, but I  refuse to believe now that it’s a ‘disorder’. The problem with the drug was that it was changing my mind. Yes, it made me concentrate so much better. Long strings of meetings when I would visit the client’s office were a breeze thanks to the drug. My concentration levels shot up. Yet,  I found that it had impaired my creative thinking. I’m extremely proud of my ability to connect disparate things, but I felt that this drug was impairing my ability to do so. I just wasn’t being myself. And I had found that on days when I would forget to take the drug  I would be more capable of creative non-linear thinking. And I figured that with the drug I wasn’t being myself.

So yes, I’ve been off the drugs for a while now and have adjusted to life with it. Yes there are days when I’m constantly fidgety and can’t concentrate to get work done. Yes, nowadays  work that takes long bouts of intense concentration gets delayed. But I’m back to being myself. And I’m back to being good at what I thought I was always good at – big picture thinking and making disparate connections.

Yes, one important factor that has helped me to deal with my condition (no, it’s NOT a disorder) is my work. As a freelance management consultant who mostly works from home (and visits client once every couple of weeks)  I can set my own pace. If i’m feeling particularly fidgety some day, I can take a break till I’m doing better. I don’t have daily or sub-daily deadlines to bother me (this was my biggest issue with most of my jobs). More importantly there’s no one looking over my shoulder to see what I’m doing, so I can freely switch between my work screen and twitter. And trust me, this helps. Immensely.

Since I visit my clients once in 2-3 weeks I end up having lots of meetings during these visits. But I simply draw up on my energy reserves during those times and buckle down and concentrate. Yes, last two or three times after I’ve visited the client I haven’t got much work done for the following three or four days – since I’d be recuperating from that intense expense of mental energy – but again I’m okay with that.

I plan to write on this again in the near future after I finish reading antifragile. I find this to be a rather important concept for me given that I’m prone to making errors (I’ve now accepted that). I think I’ve already started designing my life along antifragile principles. But more on that in another post.

Meanwhile, some other posts I’d written earlier about my mental condition.
1. How ADHD is like being perennially doped
2. On the importance of admitting mental illness and going to a specialist
3. On anti-depressants being like an economic stimulus
4. On mental illness in elite colleges in India
5. On anxiety being like a computer virus
6. On how ADHD can sometimes be advantageous

The Upside of ADHD

Attention Deficit Hyperactivity Disorder (ADHD), a condition that I have, isn’t all bad. In fact, it was a recognition of the qualities of this “disorder” that led me to stop my medication for it. I figured that I prefer the with-ADHD me to the without-ADHD me. I found the latter too boring, not creative enough, and unable to connect seemingly unrelated things – something that I’ve always taken a lot of pride in.

Yet another positive of ADHD, I realized yesterday, is that it allows you to lead a “markovian” life. It allows you to easily get rid of historical baggage while taking decisions, and makes you look forward by taking a decision based on the present. Yes, it can sometimes be a bit troublesome, as it prevents you from following long-drawn-out plans, but mostly it’s a good thing.

It makes you disregard that you’d taken a decision for some reason in the past. It makes it easy for you to disconnect from your earlier decisions, and look forward. It doesn’t allow you to be swayed by emotions – on account of some decision you’d taken in the past, and instead makes you rely on rational reasons.

There’s this documentary called “ADD and loving it”. Maybe I should watch that. And maybe I’ll have something to add to that.

Push and Pull Teaching

I’m writing this in the context of the Right to Education Act coming into force this year. The reason I use a musical example upfront is that music is the only thing I’ve tried to learn formally in recent times. While I use the example to illustrate the problem with the traditional Indian learning system, I refer to more basic and general education in this post. 

So about a month back I decided I need to add to my education in Carnatic and Western Classical Music and decided to learn Hindustani Classical. I decided it was time to learn a new instrument (so far I’d been trained only in playing the violin) and after some facebook queries, found a teacher who lived close by. After a lecture in how he teaches to take forward a “parampara” and not for money, and that he expects extreme devotion from students, and that he likes to begin classes for a new student only on a Monday, classes began in right earnest.

Classes soon hit a roadblock, though. As the more perceptive of you here might be aware, I have (I don’t want to use the word “suffer”) ADHD (Attention Deficit and Hyperactivity Disorder), thanks to which my attention span is grossly lower than that of the normal human being. Weeks together of simply going up and down the (Bilawal) scale soon got to me and I lost interest in practicing. Soon I realized I had started to look for excuses to bunk classes. I decided to cut my losses and decided to discontinue class.

Before I discontinued class, however, I  thought long and hard about telling my teacher about my ADHD, and that his methods of teaching weren’t working out for me. I wanted to tell him about the Suzuki method which my Western Classical teacher had adopted a year ago, which kept me interested in the music without relaxation of rigour. The Suzuki Method had worked fantastically well for me. Each class I would learn a new (simple) song – for example, I started my Western Classical learning by learning to play Twinkle Twinkle Little Star.

There are times when I think that I should have given my sitar teacher a fairer chance and explained to him about the Suzuki method and adopt something like it for the Sitar. However, from my knowledge of him based on my intereaction with him for a month or so, it didn’t seem like it would work, and I ended up (regretfully) quitting without giving him a chance to push the education on me.

The thing with traditional Indian learning is that it is fundamentally “pull”. The onus is on the student to convince the teacher to take him on as a student, and then to extract knowledge and wisdom from the teacher. In the traditional Indian context, it is absolutely okay for the guru to be aloof and disinterested, for it is not his duty to teach – it is the student’s duty to extract knowledge from the teacher. In fact my friend and colleague Nitin Pai informs me that according to the Upanishads, it is the duty of the teacher to reject a student the first three times he “applies”, and accept a student only after he has sucked up considerably.

While there might have been good reasons for such teaching practices back in the Vedic and Puranic ages (for example, the caste system forbid considerable sections of the population from learning the scriptures), these practices are wholly unsuited for the modern age where the focus is on increasing the reach of education and and ensuring that more people have access to education.

With the onus being on universal education and on getting every child to learn, we need to get rid of the “Acharya Devo Bhava” (teacher is god) paradigm and instead shift to a framework  of professional teachers where it is the teacher’s duty to reach out to the student. We need to get to a paradigm where the students can demand that the teacher reach out to them and teach them, and where students don’t need to suck up to the teacher.

The “acharya devo bhava” concept might have served us well in the pre-writing age and ensured that our most important scriptures were transmitted down to an era where they could be written down. This paradigm, however, is not scalable, and definitely not suited to a situation where the objective is to provide education to everybody.

Flawed though it may be, the Right to Education Act is a good step by the Union Government to ensure greater learning among kids and to maximize our chances of making good of the demographic dividend. The measure, however, will be dead on arrival unless the mindset of teaching and learning is changed.

Teerth Yatre

The Yatre (journey) took us through four different worlds. All at the same time. We kept flipping from one world to another. Each of us were going through the worlds independently, yet we seemed to meet in one of the worlds (let’s call this one “reality”) once in a while. Time moved extremely slowly. It was like TDMA (time division multiple access) was going through our minds, as we went through the four or five worlds simultaneously.

Parts of the human brain are sequential and parts are parallel. I discovered during the course of the Yatre that our minds are equipped with a parallel, maybe even superscalar, processor. However, certain features such as context switches are not very well developed in human minds so this capacity is seldom used. The human mind prefers linear processing and thus most of the time, all but one processor is shut. And there is a continuous stream of thought that allows us to “execute”.

Those like me with ADHD seem to have an easier time in context switching. While this results in a generally higher level of mental output, it also means that there is greater discontinuity in thought. This discontinuity in thought leads to what psychiatrists term as ‘lack of executive functioning’. “Executive functioning” as us humans have defined it depends on a single train of thought working continuously to get things done.

The Teertha (holy water) however ensures that all human beings, ADHD or the lack of it, become equal, and opens up the superscalar processes in people’s heads. It is like everyone who imbibes it reaches a state that is an advanced level of ADHD. Four or five streams of thought. Parallel inhabition of four or five different worlds. And constant switches between the worlds. One moment you have a sense of achievement. The next you are paranoid. Paranoid about getting through the madding crowd and back safely to the dirty hotel room.

Fifteen minutes past six, we are on the way to the river bank to watch the world-famous aarati. An eternity later (but with the watch only showing six twenty) we see a chaat shop on the way and decide to imbibe some chaat. Another eternity later, some parallel thoughts drive us to the aarati, the rest recommend stopping at the restaurant for an early dinner.

I order pav bhaji. Four pieces arrive. In my journeys through the various worlds, I think I’ve spent an enormous amount of time eating it. During fleeting visits to “reality”, though, less than one piece has been eaten. The rest of the table also consists of plates with a lot of leftover food. I break a piece of pav. By the time I bring it to my mouth I’m in another world. And when i return to “reality” the piece of pav is still in my hand, uneaten.

The final bit of the teerth yatre is the most surreal, when we have to get back to the hotel. We are in no mental state to tell our driver where to reach us. We decide to take cycle rickshaws. To get to a cycle rickshaw, though, we need to go through a sea of humanity.

We don’t know where we are going. We hold hands. In the moments when we are in “reality” we check if we are still together. In the fleeting between-moments, we worry about losing each other. We do our independent trips of the other worlds (I think we have our own set of worlds and the only intersection is “reality”). We independently worry where we are going. The sea of humanity means that traffic is rather slow and there is little chance of being run over. Yet, we worry.

The teertha in question is a product of this tiny store at Godowlia Chowk called “Mishrambu”. It came highly recommended by a friend who had studied at the Banaras Hindu University. It was sweet, laced with dry fruits and nuts, and dollops of butter. “Shall I put a little or more?” asked the kindly shopkeeper as he displayed a dirty-looking green paste from a small stainless steel box. In one of those collective fleeting moments of bravado we asked him to put ‘lots’. Maybe our inexperienced showed up there.

So what if we had gone to Varanasi and not seen the famous Ganga Arati? So what if we didn’t take the boat-ride to see the various famous ghats, and instead settled ourselves in a rooftop cafe on the banks of the Ganges (we were the only Indians there)? So what if we went all the way to the Kumbh Mela and spent our time mostly clicking photos and walking around, and didn’t venture close to the river?

We’ve undergone the most exhilarating Teerth Yatre ever. I’m not sure any of the religious experiences could match this parallel journey across four worlds.

Depression and Stimulus

Ok so this post has nothing to do with macroeconomics, though it borrows its concepts from there. As the more perceptive of you might have figured out by now (ha, i love that line!) I was diagnosed with clinical depression about a year back. Actually that was the second time I had been diagnosed with that diagnosis, the first being a full six months earlier, when I had suddenly stopped medication after I had lost trust in that psychiatrist.

For over a year now, I have been on anti-depressants. It started with 37.5 mg per day of Venlafaxine (brand name Veniz), which got slowly bumped up until at 187.5 mg per day I started going crazy and having crazy mood swings and had to be scaled back to 150 mg. I was at that level for over six months when I realized that I had plateaued – that there was no real improvement in my mental situation thanks to continuous intake of the drug and perhaps I should consider getting off.

I proposed this idea to the psychiatrist when I met her last month and amazingly she agreed without any hesitation and quickly drew up a plan on how I need to get off the drug (you need to decrease dosage slowly else you’ll have withdrawal symptoms which are pretty bad). I found it a little disconcerting that she so readily agreed to take me off the drug, given that she had herself not given any indication of wanting to take me off the drug. I was disconcerted that I had been taking the drug for much longer than necessary, perhaps.

The doctor, however, paired the paring of my anti-depressant with doubling the dosage of the stimulant that I have been taking for my ADHD for the last six months. As it happened, though, I went through a major bout of NED that evening, and didn’t muster the enthu to go to the one pharmacy that legally sells Methylphenidate (the ADHD drug,  supposed to have similar chemical composition as cocaine) in Bangalore. That I managed to function pretty well the following one week, including the three days spent at my client’s office, meant that I probably didn’t need teh ADHD drug also. So as I write this I’m off all mind-altering substances (apart from my several-times-a-day doses of caffeine and occasional ingestion of ethanol).

Recently I met a friend who told me that I had been too generous in my praise of psychiatric drugs in my blog, and that I hadn’t taken into consideration their various side effects and addictive symptoms. I’ve heard this from other people also – that I probably wasn’t doing the right thing by taking anti-depressants. So do I now regret taking them, given that I’ve chosen to go off them? Probably not.

This is where the analogy of economic depression and clinical depression comes in. In an economic depression, there is a halt in economic activity thanks to which there isn’t much circulation of money. When people start earning less, they start spending less, which further depresses their income and the whole economy goes into a tailspin. Going by Keynes’s theory, letting the economy slowly repair itself would take an extraordinarily long time (in the course of which we will all be dead, as the joke goes), so it is recommended that the government steps in and spends heavily in order to “stimulate” the economy and break the vicious circle it was getting itself into.

When you suffer from clinical depression, there is a shortage of flow of this chemical compound called Seretonin in your brain. Thanks to that, your mental energy is at a much lower level and you get tired and stressed out easily. Moreover, depression also leads to a significant drop in your confidence levels. You start believing that you are useless and not capable of anything. But then, your lowered mental energy levels mean that it is tough for you to be good at work, and do things that are likely to give your confidence a boost. And this in turn leads to further lowering of confidence and there is no way out for you to break out of this vicious circle.

A number of people believe that depression can be conquered with “willpower”, but this is applicable only if you’ve recognized it in its early stages. In most cases though, you realize it only when it’s deep into the vicious circle, and your “willpower”, much like “normal economics” during an economic depression, will take way too long to break you out of the vicious circle, and by then half your productive life will be gone.

Hence, to draw the Keynesian analogy, you need a stimulus. You need some sort of an artificial stimulus that breaks you out of your vicious cycle of low self-esteem and low performance. Sometimes, there can be a fortuitous life event which by matter of chance gives you a sudden sense of achievement and helps you break out of the cycle (for example, I was quite depressed (most likely clinically) through most of my life at IIT, but success in CAT proved to be a good stimulant in helping me break out of that cycle). But then, most of the time, life is structured such that there are few opportunities for such positive black swans, especially when you are older and especially when your mental energy levels are in general quite low.

Under these circumstances, I believe, there is no way out but chemical stimulants to help you get out of your depressive state. Clinical researchers and psychiatrists over the years have found the answer to be this molecule called “SSRI” which slows down the rate of seretonin uptake into the brain, with the result that there is greater flow of seretonin in your nervous system (continuing our economic analogy this is like the government cutting taxes as a form of stimulus). Greater seretonin in the system means greater mental energy, and sometimes the difference in energy levels is itself enough to push up your self-esteem levels, and the new energy levels means you have given yourself a chance to perform, and the cycle breaks.

Keynes said, as part of his theory, that it is important that a stimulus is short and targeted, and that in good times a government needs to be fiscally conservative so that, if not anything else, it has the necessary firepower to deliver a stimulus when necessary. Similarly, it is important that you don’t get yourself addicted on these anti-depressants and that you don’t become immune to them. Which is why psychiatrists typically wean you off your anti-depressants six months to a year after you started on it. By then, they expect, and in my case it did, that the stimulus would have been delivered.

Project Thirty – Closure

Today is the last day of my twenties. Which means Project Thirty has come to an end. I had a long list of things to do, and as the more perceptive of you would have expected from me, most of them are undone. Nevertheless, it has been a mostly positive year, and I’m glad I gave myself the year off in an attempt to find what I want to do.

The biggest positive of the last one year was that my mental illnesses (anxiety, depression, ADHD) got diagnosed and started getting treated. Yes I’m on drugs, and face severe withdrawal symptoms if I don’t take my antidepressant for a few days, but the difference these drugs have made to my life is astounding. I feel young again. I feel intelligent again. I have more purpose in life, and am back at the cocky confidence levels I last saw in 2005. I suddenly feel there’s so much for me to do, and for the first time ever, have started enjoying what I’m doing for money.

Which brings me to professional life. I decided to give myself a year to become a freelancer. I must admit I got one lucky break (one long-term reader of this blog was looking for a data science consultant for his company and I grabbed the opportunity), but I grabbed it. My improved mental state meant that I was motivated enough to do a good job of the pilot project I did for that company, and I have managed to extract what I think is a reasonable compensation for my consulting services.

There are other exciting opportunities on the horizon on the professional front, too. I’ve started teaching at Takshashila and am quite liking it (I hope my students are, too). There is so much opportunity staring at me right now that the biggest problem for me is one of prioritization rather than looking for opportunity.

There has been both progression and regression on the “extra curricular activities” front. Thanks to demands of my consulting assignment, I haven’t been getting time to practice the violin and abruptly discontinued classes two months ago. I did one awesome and rejuvenating bike trip across Rajasthan back in February but wasn’t able to follow that up even with weekend trips. I wanted to start on adventure sports but that remained a non-starter. I started preparing for a half-marathon and gave up in a month. I took a sports club membership, tried to teach myself swimming again, but have been irregular.

Personal life again has been mixed. Increasing excitement about work means less time for the family, and have been finding it hard to balance the time requirements. I seem to be putting on weight again, and now look closer to the monstrosity I was four years ago rather than the fit guy I was two years ago at the time of my wedding. I blame my expanding waistline and neckline on my travel, but that is not an excuse and I need to find an exciting way to get fit soon.

For perhaps the first time in several years my car didn’t take a knock that year, but I had two motorcycling accidents (one major and one minor) this year. The former led to the first ever broken bone in my body (the fifth metacarpal) thanks to which I don’t have a prominent fourth knuckle on my right hand. The latter led to major damages to my laptop.

My “studs and fighters” book still remains unwritten, and not a word has been added to its manuscript in the last one year. I was hoping to capstone my Project Thirty by organizing the first ever “NED Talks” but I seem to have bitten off much more than I can chew in terms of work, so that has again been postponed.

So let me take this opportunity to define my Project Thirty One. I want at least two published books by the end of the year. I want to do at least one major motorcycling trip. I need to find partners/employees and expand my consulting business. I want to travel a lot more – at least five weekend trips over the next 12 months. I want to become fit, to the size I was at the time of my wedding. Hopefully I can get weaned off anti-depressants. And I hope to resume music lessons, and start jamming. Ok let me not promise myself too much.

And I have a five-year plan too. By the time I’m thirty five, I want to have written a book on the economic history of India. Ambitious, I know. Especially for an NED Fellow like me.

Pot and cocaine

Methylphenidate, the drug I take to contain my ADHD, is supposed to be similar to cocaine. Overdosing on Methylphenidate, I’m told, produces the same effects on the mind that snorting cocaine would, because of which it is a tightly controlled drug. It is available only in two pharmacies in Bangalore, and they stamp your prescription with a “drugs issued” stamp before giving you the drugs.

Extrapolating, and referring to the model in my post on pot and ADHD, snorting cocaine increases the probability that two consecutive thoughts are connected, and that there is more coherence in your thought. However, going back to the same post, which was written in a pot-induced state of mind, pot actually pushes you in the other direction, and makes your thoughts less connected.

So essentially, pot and cocaine are extremely dissimilar drugs in the sense that they act in opposite directions! One increases the connectedness in your train of thought, while the other decreases it!

I’ve never imbibed cocaine, so this is not first-hand info, but I’ve noticed that alcohol when taken in heavy doses (which I never reach since I’m the designated driver most of the time) acts in the same direction of cocaine/methylphenidate – it increases the coherence in your thoughts. Now you know why junkies in your college would claim that the kind of “high” that pot gives is very different from the kind of high that alcohol gives.

Elite institutions and mental illness

At the Aditya Birla scholarship function last night, I met an old professor, who happened to remember me. We were exchanging emails today and he happened to ask me about one of my classmates, who passed away last year. In reply to him I went off on a long rant about the incidence of mental illness in institutions such as IIT. Some of what I wrote, I thought, deserved a wider audience, so I’m posting an edited version here. I’ve edited out people’s names to protect their privacy. 

****
<name blanked out 1> passed away a year and a half back. He had been diagnosed with bipolar disorder and was also suffering from depression, and he committed suicide. He had been living in Bangalore in his last days, working with an IT company here. I had invited him for my wedding a couple of months before that, but had got no response from him.
He was the third person that our 30-odd strong Computer Science class from IIT Madras lost. Prior to that another of our classmates had killed himself, and he too was known to be suffering from some form of mental illness. The third was a victim of a motorcycle accident.
I’m quite concerned about the incidence of mental illness among elite students. From my IIT Madras Computer Science class alone, I know at least six people who at some point of time or the other have been diagnosed with mental illness. I myself have been under treatment for depression and ADHD since January this year. And I don’t think our class is a particularly skewed sample.
I think this is a manner of great concern, and doesn’t get the attention that it deserves. I don’t know if there are some systemic issues that are causing this, but losing graduates of elite institutions to mental illness is I think a gross wastage of resources! I don’t know what really needs to be done, but I think one thing that is certainly going to help is to set up on-campus psychiatric and counselling services (manned by trained professionals; I know IIT Madras has a notional “guidance and counselling unit” but I’m not sure what kind of counseling they’re really capable of) , and to encourage students to seek help when they sense a problem.
Of course, there are other constraints at play here – firstly there is a shortage of trained psychiatrists in India. I remember reading a report somewhere that compared to international standards, India has only one third of the number of psychiatrists it requires. More importantly, there is the social stigma related to mental illness which prevents people from seeking professional help (I must admit that I faced considerable opposition from my own family when I wanted to consult a psychiatrist), and sometimes by the time people do get help, irreparable damage might have been done in terms of career. Having read up significantly on mental illnesses for a few months now, and looking back at my own life, I think I had been depressed ever since 2000, when I joined IIT. And it took over 11 years before I sought help and got it diagnosed. Nowadays, I try to talk about my mental illness in public forums, to try and persuade people that there is nothing shameful in being mentally ill, and to encourage them to seek help as soon as possible when they think they have a problem.
I’m really sorry I’ve gone off on a tangent here but this is a topic that I feel very strongly about, and got reminded about when I started thinking about <name blanked out 1>….
****
I know that several universities abroad offer free psychiatric support to students, and I know a number of friends who have taken advantage of such programs and gotten themselves diagnosed, and are leading significantly better lives now. I don’t really know how to put it concisely but if you think you suffer from some mental illness, I do encourage you to put aside the stigmas of yourself and your family, and go ahead and seek help. 

The Aditya Birla Scholarship

I spent this evening attending this year’s Aditya Birla Scholarship awards function. Prior to that, there was a networking event for earlier winners of the scholarship, where among other things we interacted with Kumaramangalam Birla. Overall it was a fun evening, with lots of networking and some nostalgia, especially when they called out the names of this year’s award winners. My mind went back to that day in 2004, as I sat confident but tense, and almost jumped when I heard my named called out only to realize it was another Kart(h)ik!

You can read more about my experiences during that award ceremony here (my second ever blog post), but in this post I plan to talk about what the scholarship means to me. During the networking event today, one of the winners of the scholarship (from the first ever batch) talked about what the scholarship meant to him. As he spoke, I started mentally composing the speech I would have delivered had I been in his place. This blog post is an attempt to document that speech which I didn’t deliver.

People talk about the impact the scholarship has on your CV, and the bond that you form with the Birla group when you receive the scholarship. But for me, looking back from where I am now, the scholarship has primarily meant two things.

Back in the day, the scholarship covered most of my IIM tuition fee. When I’d joined IIM, my parents had told me that they wouldn’t fund my education, and I had taken a bank loan. However, the scholarship covered Rs. 2.5 lakh out of the Rs. 3 lakh I needed for my tuition fee, and the loan that I had taken for the remaining amount was cleared within a couple of months after I worked.

My first job turned out to be a horror story. It was six years before my ADHD would be discovered, but I was in this job where I was to put in long hours under extremely high pressure, and deliver results at 100% accuracy. I wilted, but refused to give up and pushed myself harder, and I’m not sure if I actually burnt out or only came close to it. But it is a fact that one rainy Mumbai morning, I literally ran away from my job, purchasing a one-way ticket to Bangalore and refusing to take calls from my colleagues until my parents told me that my behaviour wasn’t appropriate.

While my parents were broadly supportive, the absence of liabilities made the decision to quit easier. Of course I still had the task of finding myself another job, but I knew I would pull through fine even if I didn’t find another job for another six months (of course, I had saved some money from my internship at an investment bank, but the lack of liabilities really helped). The Aditya Birla Group, by funding my business school education, played an important role in my being free or financial obligations, and being able to chart out my own path in terms of my career.

My six-year career has seen several lows, aided in no small amount by my ADHD and depression, both of which weren’t diagnosed till the beginning of this year. I got into this vicious cycle of low confidence and low performance, and frequently got myself to believe that I was good for nothing, that I had become useless, and that I should just take some stupid steady job so that I could at least pay the bills.

During some of these low moments, my mind would go back to that day in September 2004 when I (at the end of the day) felt at the top of the world, having been awarded the Birla scholarship. I would then reason, that if I was capable of convincing a panel consisting of N. Ram, N K Singh and Wajahat Habibullah to recommend me for the Aditya Birla scholarship, there was nothing that was really beyond me. Memories of my interview and the events of the day I got the scholarship would make me believe in myself, and get me going again. Of course on several occasions, this “going again” didn’t last too long, but on other occasions it sustained. I credit the Aditya Birla scholarship for having given me the confidence to pull myself back up during the times when I’ve been low.

These are not the only benefits of the scholarship, of course. The scholarship has helped build a relationship with the Aditya Birla group. In the short run, when I won the scholarship, it helped me consolidate my reputation on campus. And last but not the least, it was a major catalyst in reviving a friendship which had gone awry thanks to some of my earlier indiscretions. Most important, though, was the financial security that scholarship offered, which made potentially tough decisions easier, and the confidence it offered me which has carried me through tough times.