Latest news with #SrishtiSharma
Medscape
22-05-2025
- Health
- Medscape
He Couldn't Stop — Then Psychiatrist Found the Real Cause
A 25-year-old engineer was admitted to the hospital with sudden, irresistible urges for sexual gratification, leading him to seek commercial sex workers. The condition was progressive with an increasing number of sexual encounters and masturbation. Following a detailed history and physical and mental examination, a diagnosis was established and treated with a combination of pharmacotherapy and psychotherapy. The case report by Srishti Sharma, a resident doctor in psychiatry at the Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India, and colleagues shed light on an often taboo psychiatric illness. The Patient and His History The patient presented to a hospital in Chandigarh, India, with a 2-year history of progressively intensifying compulsive sexual urges. Apart from encounters with commercial sex workers, he also watched pornographic content available online for about 1-2 hours at night, followed by masturbation. His frequency of visits increased from three to four times per month initially to three to four times per week over 5-6 months. He would not use a condom or any protection during intercourse. Although he reported an urge to watch pornographic content, the act did not give him as much sexual gratification as visiting commercial sex workers. He continued to experience initial excitement during the anticipation of sexual intercourse, which perpetuated the cycle, but soon followed by feelings of guilt and worthlessness following the encounters. He reported not being in any romantic relationship at the time of presentation. Although he is a diploma holder in mechanical engineering, he works as a cab driver. Gradually, he felt that his desire for sexual gratification was excessive and beyond his control, as he was unable to focus on his academic and professional goals due to preoccupation with thoughts of acquiring sexual pleasure. Other psychiatric disorders, including substance use, were ruled out, and he denied having any family history of psychiatric disorders. Findings and Diagnosis The patient's vital signs were measured at the time of admission. Blood pressure, oxygen saturation on room air, body temperature, respiratory rate, and heart rate were all within normal ranges. Physical examination revealed molluscum contagiosum. Auscultation, palpation, and percussion revealed no pathologic findings. Routine laboratory test results were unremarkable. The patient scored 59/110 on the Compulsive Sexual Behaviour Inventory-13 (CSBI-13) and 36/40 on the Sexual Compulsivity Scale. On the basis of the overall findings, hypersexuality was diagnosed. Following the diagnosis, treatment was started on fluoxetine 20 mg once daily and tablet clonazepam 0.25 mg as needed. He was initially enrolled in supportive therapy sessions, which later proceeded to behavioural therapy and relaxation exercises. A dermatological consultation was arranged for the treatment of molluscum contagiosum. Within 2 weeks of treatment initiation, the patient reported 20%-30% improvement. However, he still engaged in excessive viewing of pornographic content, followed by masturbation. Tablet fluoxetine was increased to 40 mg/d, and after another 3 weeks, the patient reported an overall 60%-70% improvement. To achieve further progress, the focus of psychotherapy shifted to identifying the underlying causes. In subsequent sessions, he was able to identify that the lack of a romantic partner made him feel inadequate and unworthy, and visiting commercial sex workers had become a sort of reassurance seeking. Based on the clinical interview and therapy sessions, the patient had poor exposure to individuals of the opposite sex during his adulthood, including the absence of peer circles and women in his adolescence, which could have further led to communication deficits and anxiety in initiating conversations with them. After 6 months of combined therapy, the patient achieved a CSBI-13 score of 31/110. The Sexual Compulsivity Scale was reduced to 13/40. The patient reported increased confidence in his ability to attract partners as a result of therapy. Discussion 'In the Indian context, where open conversations about sex itself are generally taboo, it is imperative to explore reasons for distress and encourage healthy discussions regarding sexual disorders so that people can seek help and not just continue to live in shame and guilt, thinking that there is something inherently wrong with them and there is no solution to their problems,' the authors wrote.
Hindustan Times
14-05-2025
- General
- Hindustan Times
Class 10 CBSE results: Srishti from Panchkula nails a perfect 100%
Right after her 16th birthday celebrations on Monday, Srishti Sharma had even more reason to celebrate on Tuesday as she scored an impressive 100% in the CBSE Class 10 exams. A student of Bhavan Vidyalaya in Sector 15, Panchkula, Srishti lost one mark in the social science subject. But given the CBSE's 'Best of Five' rule in Class 10, where the marks of the five best-performing subjects are considered when calculating the overall percentage, she achieved a perfect 100%. 'I already knew where I had gone wrong. It was a multiple-choice question and I made a silly mistake. I was bawling after returning home,' she said. Interestingly, she had opted for Punjabi as the optional third language. While many students don't study too hard for the third language, as they just need to clear it, she studied Punjabi avidly and got full marks in it. Srishti said she did not take any tuitions and her success was the result of self-study, dedicating an astounding 17 to 18 hours a day, and her teachers' efforts. School principal Gulshan Kaur was all praises for the student. Her father, Rajiv Sharma, works with CITCO in Chandigarh and her mother, Aasha Sharma, is a housewife. She has now opted for non-medical, with plans to pursue computer science engineering from IIT Bombay. Two students from the tricity — Amisha Parkash of Delhi Public School, Sector 40, Chandigarh, and Yashasvi Bhav of Hansraj Public School, Sector 6, Panchkula — secured a remarkable 99.8%. Gurnoor Singh of St Joseph's Senior Secondary School, Sector 44, achieved 99.6%. His father, Wattandeep Singh, is a manager at Cheema Broilers in Mohali and mother Deepika Kamboj is a housewife. In Mohali, Harshvir Singh of Shemrock Senior Secondary School, Sector 69, also bagged 99.6%.
Time of India
13-05-2025
- General
- Time of India
Srishti tops Chandigarh Tricity with perfect 100
1 2 Panchkula: Having put in 18-20 hours of hark work during her exams, Srishti Sharma of Bhavan Vidyalaya, Panchkula, emerged as Tricity topper in CBSE Class X results, scoring 100% marks. She scored 500 marks out of 500. Srishti, a resident of Sector 25, Panchkula, credited her parents, teachers, and God for her success. "Besides my hard work, my parents and teachers' support played an important role. Above all, it's due to God," the elated topper told used to study for long hours and ensured she did not leave any topic unstudied. "Normally, I studied for 10-12 hours a day, and during examinations, I studied for 18-20 hours. I ensured I did not leave any part of any subject or topic," she shared. She aspires to do engineering from IIT Bombay. "I do not have an interest in sports. I love studying," she proud father Rajiv Sharma, who is in a clerical job at CITCO, said, "She did not take any tuition or coaching classes. This is all result of self-study, other than what teachers taught her in school." Her mother is a Yashasvi Bhav of Hansraj Public School, Sector 6, Panchkula, also got an impressive score of 99.8%. For her, rather than solely focusing on studies, it was about striking a balance between different things. "I would not say I sacrificed this or that for studies or left watching TV. In fact, I did everything but struck a balance. Every child aspires to score 500/500. A mark or two here and there does not matter," said Yashasvi, whose mother is a dentist. She aims to crack of Delhi Public School, Chandigarh, also performed excellently, scoring 99.8%. "This really means a lot to me, and I would like to express my heartfelt gratitude to my parents and teachers for their constant support and encouragement. Their guidance, motivation, and belief in me played a crucial role in helping me stay focused and give my best. This result inspires me to continue working hard and strive for excellence in future," she others who scored brilliantly included Rijul Garg, Akshara Goyal, Vinayak Gupta, and Ishti Aggarwal of Bhavan Vidyalaya Panchkula , who scored an identical 99.4%.
