ANCIPS 2023 Souvenir

Souvenir 74TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY 2023 Theme: CHANGING LANDSCAPES IN MENTAL HEALTH CARE Date: 2nd to 5th February 2023 Venue: MAYFAIR LAGOON & CONVENTION CENTRE BHUBANESWAR, ODISHA

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Indian Psychiatric Society 2023 3 Indian Psychiatric Society East Zone Branch Office Bearers Dr. Om Prakash Singh President Dr. Amrit Pattojoshi Hon. Secretary Dr. Tirthankar Dasgupta Hon. Treasurer Dr. Nishant Goyal Hon. Editor Executive Council Members Odisha State Branch (Host) Chairman - Various Committees Member - Executive Committee Dr. Ashrumochan Sahoo Hony. Secretary Dr. Suvendu Narayan Mishra Immediate Past Hony. Secretary Dr. Tanmaini Das Treasurer Dr. Satyakam Mohapatra Editor Dr. Amrit Pattojoshi President Dr. Pranab Mahapatra Immediate Past President Dr. Rajnikant Shukla Vice President Dr. Debadatta Mohapatra Chairman - CME Committee Dr. Samrat Kar Chairman - Constitution Committee Dr. Snehanshu Dey Chairman - Membership Committee Dr. P.K. Mohapatra Chairman - Award Committee Dr. Pallabi Sahu Chairman - Media Committee Dr. Udit Panda Chairman - Addiction Committee Dr. Seema Parija Chairman - Website Committee Dr. Surjeet Sahoo Chairman - Geriatric Committee Dr. JPR Ravan Chairman - Rehabilitation Committee Dr. C.S. Tripathy Chairman - Ethics Committee Dr. Jigyansa Ipsita Pattanaik Chairman - Child & Adolescent Committee Dr. Alok Jyoti Sahoo Chairman - Community Psychiatry Dr. Tophan Pati Dr. S.P. Swain Dr. Rakesh Mohanty Dr. Anant Ch. Meher Dr. Swati Mishra Dr. Kirti Anurag Dr. Jitendriya Biswal Dr. Suvendu N. Mishra Representative to IPS Eastern Zone Dr. R.K. Lenin Singh Vice President Dr. Samrat Kar Dr. Deadatta Mohapatra Dr. Satish Rasaily Dr. Anweshak Das Dr. Rajeev Pradhan Dr. Rajashree Ray Dr. Chayanika Sarma Dr. S. Gojendra Singh Dr. Dipankar Chakravarty Dr. Archana Singh

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74th Annual National Conference of 6 Welcome Addr elcome Address by Or ess by Or ess by Organizing Chair ganizing Chairman.... man.... man.... Esteemed Delegates, Greetings to all the members of the Indian Psychiatric Society on behalf of the organizing committee of ANCIPS 2023. We sincerely thank Indian Psychiatric Society for conferring on us the responsibility to organise the prestigious ANCIPS 2023 in Bhubaneswar, Odisha, the beautiful temple city. Odisha always plays the perfect host. Odisha hosted ANCIPS in 1989, 1999 and now again in 2023. The scientific committee has tried to make a well balanced academic program for four fruitful days with national and international speakers. Team ANCIPS 2023 is striving hard to make the conference academically enlightening, enjoyable and memorable. This post pandemic, ANCIPS 2023 will give a chance to come together for professional exchanges with kindred souls from across the globe. I feel humbled once again to welcome you on behalf of organising committee for active participation, contributions and enjoy the hospitality to make the annual national conference successful. Long live IPS! (Dr. Tophan Pati) Organizing Chairman ANCIPS 2023

Indian Psychiatric Society 2023 7 Prof. Ganeshi Lal Governor, Odisha Raj Bhavan Bhubaneswar-751008 January 27, 2023 Message I am glad to know that the Annual Conference of Indian Psychiatric Society (ANCIPS) 2023 is to be organized at Bhubaneswar on February 2-5, 2023. A Souvenir is also being brought out on the occasion. For psychiatrists, up-to-date knowledge and clinical skills remain critical in ascertaining and delivering quality. The theme of this annual conference is “Changing Landscapes in Mental Health Care”. It is inevitable that some changes will occur at a faster speed than others. It is in best interests of patients and society at large that psychiatrists and patients work together to deal with the challenges offered by stigma, newer treatments and health promotion. ANCIPS has been a vibrant forum for interaction and advancement of professional knowledge. Like in the past the present conference is expected to serve the members to have better knowledge and preparation to meet the new emerging challenges. I wish the Conference and publication all success. (Ganshi Lal)

74th Annual National Conference of 8 Naveen Patnaik Chief Minister, Odisha Lokseva Bhavan Bhubaneswar Message I am glad to know that the Indian Psychiatric Society is organising its 74th Annual National Conference on 2nd & 3rd February, 2023 in Bhubaneswar and bringing out a souvenir in commemoration. In the post pandemic era, mental health issues have assumed significance along with other health issues. There is a need for greater awareness in society over these issues. I am glad that the Indian Psychiatric Society is holding its annual conference in Odisha. I hope the psychiatrists will come out with novel concepts to address this burgeoning issue and help people to overcome their mental health problems. I extend my warm greetings to the delegates and wish the National Conference a grand success. (Naveen Patnaik)

Indian Psychiatric Society 2023 9 Message Dear Friends I am happy to note that the organizing team of Annual Conference of Indian Psychiatric Society (ANCIPS) 2023 is bringing out a souvenir during its conference in Bhubaneswar. It is a haapy occasion to get into a festive mood after a gap of three years though a good conference did take place last year in Visakhapatnam. The Organizing committee deserves the entire accolade for making all efforts to make the conference a memorable one and I am sure thousands of members throng in the temple city for academic delight and cultural tourism. The beaches in Puri add serenity to the divinity of Lord Jagannath while the beauty of sculpture of Konark adds attraction to the surrounding sands. Indian Psychiatric Society crossed many milestones in its long journey of 75 years though the current event is 74th conference. It is a matter of pride to the Odisha state branch to have hosted the prestigious meeting for the third time in its capital thanks its cultural richness of dance and cuisine. The scientific committee has charted out a well balanced academic program for four fruitful days with national and international speakers. It is a delight to watch young members sending many papers, symposia and workshops. I am sure the delegates will have a glimpse into the recent developments taking place in understanding human behavior. It is appropriate that a good theme "Changing Landscapes in Mental Health Care" has been chosen to highlight the strides which are taking place in the scientific horizon and I congratulate the entire team under the Organizing Chairperson Dr.Tophan Pati, Organizing Secretary Dr.Amrit Pattajoshi and treasurer Dr.Tanamini Das. I am certain that the Editor of Souvenir Dr.Satakam Mohapatra is gearing up to bring a colorful souvenir with great content. The good news that the uncertainties of pandemic and its newer versions are slowly but surely taking a back seat allowing a good physical meet. I am sure all of us will have a very successful get together for four days. I wish the conference a grand success. Long live Indian Psychiatric Society. (Dr. N.N. Raju) Dr. N.N. Raju President Indian Psychiatric Society 24th January, 2023

74th Annual National Conference of 10 Dr. Goutam Saha President SAARC Psychiatric Federation Immediate Past President, Indian Psychiatric Society Message Respected Seniors, Beloved Friends, and my dear Juniors Some moments in life call for a true celebration. One such moment was when Bhubaneswar was selected to host the ANCIPS 2023. I was filled with joy, knowing this would be one of the best ever, as it had the most dedicated team to shoulder this responsibility. And surely they have proved beyond doubt their brilliance, chartering the stormy waters of the uncertainty of the pandemic. The Organising Team, led by the two most renowned colleagues of IPS, Dr. Tophan Pati and Dr Amrit Pattojoshi have worked tirelessly over the last couple of years to perfectly plan this event. Dr. Pati, with his exceptional calmness, a wealth of experience, and eye for detail has ensured the meticulous organization of the Scientific program and hospitality arrangements. And Dr. Pattojoshi deserves the praise of the highest order, for his dynamic, transparent and sterling leadership, proving beyond doubt his ability to be a future national leader. The theme of this annual conference aptly describes the present scenario of modern Psychiatry “Changing Landscapes in Mental Health Care”, and I am sure the four days of academic extravaganza will provide the platform to share, discuss and assimilate evidence-based research in Psychiatry. We will also be part of many innovative initiatives like Women IPPL, alongside Men IPPL, Walkathon, and Talent Night. Finally, Bhubaneswar, a city with the perfect mix of traditional Heritage and elements of Smart City, is a wonderful venue to meet and greet colleagues from across the world during the four days of the Conference. All members of the Indian Psychiatric Society, under the able leadership of Dr. N N Raju and Dr. Vinay Kumar, will be witnessing a series of academic sessions par excellence. I wish the Conference a grand success. (Dr Gautam Saha) 28th January, 2023

Indian Psychiatric Society 2023 11 Vinay Kumar Message It’s my proud privilege to welcome respected guests from India and abroad, and esteemed members of Indian Psychiatric Society and their family members to this first fully in-person post-COVID ANCIPS being held in the ancient city, Bhubaneswar. It’s pleasant to recall that once upon a time Bhubaneswar was called temple city of India due to presence of 700 shrines, and now it is known for modern sanctuaries of learning medicine, law and engineering. This information speaks about enlightening potential of this land and fully justifies the assembly of minds searching and sharing scientific knowledge for serving humanity better. And what a surprise, that for the city of changing landscapes the Team IPS and the Team ANCIPS chose a matching theme - ‘Changing Landscape of Mental Health Care. This ANCIPS is very special for me as I will be handed over the heaviest baton of IPS at the end of the opening day. I know, this weight means glorious legacy, challenging trail and huge demands of changing landscapes of mental healthcare, but at the same time I feel inspired and confident because of our track record and history and experience of creative comradery in IPS. I am sure, 2023-24 will be an year new steps and new flights. With these few words, I wish all of you happy conferencing and safe journey back home. (Dr Vinay Kumar) Vice President: Indian Psychiatric Society Secretary: Suicidology Sp Section: World Association for Social Psychiatry Past Hony General Secretary:Indian Psychiatric Society (2018-20) Imm Past President : Indian Psychiatric Society Eastern Zonal Branch (2020-21) Hony Treasurer: Indian Association for Social Psychiatry (2016-2020) Chairperson: Publication Committee, Indian Psychiatric Society (2016-18) Past Hony Treasurer: Indian Psychiatric Society (2012-16) Chairperson IPS Election Commission 2010-11 Direct Council Member: IPS (2005-2008) Consultant Psychiatrist Manoved Mind Hospital, Patna,

74th Annual National Conference of 12 Message Dear Esteemed Colleagues, It is time for us to look forward to congregate once again at Annual National Conference of Indian Psychiatric Society (ANCIPS) that is being held at Bhubaneswar, in Odisha state, from 2-5 February, 2023. Bhubaneswar is an ancient land. It is dubbed the "Temple City", a nickname earned because of the 700 temples which once stood there. Not only in architectural splendour, the city is also endowed with a green canopy of forests. Mother Nature is at her munificent best here - showering the blessed land with unending thick forests. Post pandemic, ANCIPS 2023 will give a chance to make us come together seeking the warmth of professional exchanges with kindred souls from across the globe. It will also give us an opportunity to take stock of what we have and what we can have to march ahead with firm steps in tandem to deliver quality mental health service to our people. The theme of the conference "Changing Landscapes in Mental Health Care” has aimed at upgrading our knowledge as well as to give a message to the society at large about our concern for the mental disorders specially during this post pandemic time. The organising committee headed by Dr Tophan Pati and Dr. Amrit Pattojoshi is working tirelessly to make ANCIPS 2023 an unforgettable aesthetic and intellectual experience for us all. I extend my warmest wishes for the grand success of this conference. WELCOME TO ANCIPS 2023 LONG LIVE INDIAN PSYCHIATRIC SOCIETY (Dr Arabinda Brahma) Dr Arabinda Brahma Hon. General Secretary Indian Psychiatric Society 18th January, 2023

Indian Psychiatric Society 2023 13 Message It is indeed a matter of great pleasure that the 74th Annual National Conference of Indian Psychiatric Society (ANCIPS) is being organized from 2nd -5th February 2023 at Bhubaneswar. The theme of the conference “Changing Landscapes in Mental Healthcare” is the need of the hour. Renowned speakers from India as well as abroad are part of the scientific program. The organizing committee under the leadership of Dr. Tophan Pati., Organizing Chairperson, and Dr. Amrit Pattojoshi, Organizing Secretary is working day and night to make this event memorable. I hope that deliberations and discussions during the conference will enrich all of us not only academically but also socially and culturally. I extend a warm welcome to all the delegates and wish the conference a splendid success. (Prof. Dr. M. Aleem Siddiqui) Prof. Dr. M. Aleem Siddiqui Hon. Treasurer, Indian Psychiatric Society 25th January, 2023

74th Annual National Conference of 14 Message It is a matter of immense pleasure and privilege to write the message for the 74th Annual National Conference of the Indian Psychiatric Society. I congratulate the Odisha State Branch for taking the initiative to organize the 74th Annual National Conference of the Indian Psychiatric Society at Bhubaneshwar. Odisha State Branch is a pioneer in the academic front, with many innovative programs running under its banner. The theme chosen for the Conference, Changing Landscapes in Mental Health Care, will excite the brain and open new insights, understandings and paradigms in psychiatry. The conference venue, Bhubaneshwar, is one of India's oldest cities and holds a rich history. The City of Temples got its name from Tribhubaneswar, meaning Lord Shiva. Considered one of the first planned cities of modern India, Bhubaneswar is developing quickly as one of the education hubs. I am sure that under the guidance of meticulous and experienced Organising Chairperson Dr Tophan Pati and dynamic Organising Secretary Dr Amrit Pattojoshi, the organizing teams' dedication and hard work will make this Conference a huge success. Many innovative, fun activities planned during the Conference show the organizing team's commitment and involvement. It will be a perfect blend of excellent academics, marvellous hospitality and a rich cultural experience. As the IPS Eastern Zonal Branch President, I cordially invite and welcome all the delegates to attend the Conference and enrich the event with their knowledge, experience and wisdom. I wish the Conference a huge success and an everlasting memorable event for all of us. Long live IPS! Prof. (Dr.) O.P. Singh Prof. (Dr) O.P. Singh Editor in chief, Indian Journal of Psychiatry (IJP) President, IPS Eastern Zonal Branch President, Psychodermatology Association of India

Indian Psychiatric Society 2023 15 Dr. Amrit Pattojoshi President IPS, Odisha State Branch Hon’ble Gen. Secretary East Zonal Branch, IPS Message Esteemed Delegates, It is a matter of pride on my part to welcome esteemed members of Indian Psychiatric Society and their family members from India and abroad to the event of 74th Annual National Conference of Indian Psychiatric society (ANCIPS), 2023 at Bhubaneswar. It will be the first fully in-person postCOVID ANCIPS. Our Organising team has put in a lot of effort to carry out the mandate of our society to organise Annual Conference during this period. I thank you all for your participation in this conference. Looking forward to lots of stimulating activities for improvement of mental health care of our population. I again welcome you all to the enjoyable and academically enriching conference. Long live Indian Psychiatric Society. (Dr. Amrit Pattojoshi) Organizing Secretary ANCIPS 2023 26th January, 2023

74th Annual National Conference of 16 Dr. Asrumochan Sahoo Hon’ble Secretary IPS, Odisha State Branch Message Dear esteemed colleagues, It is a matter of great pleasure and privilege that Odisha state branch is taking the initiative to organize the 74th annual national conference of Indian Psychiatric society at Bhubaneshwar. The theme chosen for the conference “Changing landscape in mental health care” will open a new insight and understanding in Psychiatry. The organizing committee headed by Organizing chairman Dr. Tophan Pati, Organizing Secretary Dr. Amrit Pattojoshi, Treasurer Dr. Tanamini Das, Editor Dr. Satyakam Mohapatra and silent worker Dr. Debadatta Mohapatra& Dr. Suvendu Mishra will make the conference a huge success. I wish the conference to be an everlasting memorable event for all of us. Long Live IPS (Dr. Ashrumochan Sahoo) 27th January, 2023

Indian Psychiatric Society 2023 17 Prof. Gopal Ch. Kar Former Professor & Head, Dept. of Psychiatry & Medical Suptd. Mental Health Institute, Principal & Dean, SCB Medical College, Cuttack, DMET, Orissa President, Indian Psychiatric Society (2000-01) President, AIPI (1992-93) Dist. Governor, Rotary International (2000-01) Residence : Shree Niloy, Purighat Road Cuttack-753 009, Odisha, India MOB : 9437031988/ 9938359535 Message Dear Dr. Tophan, I am delighted to know that the Indian Psychiatric Society, organising 74th Annual National Conference on 2nd to 5th February 2023, at Mayfair Convention, Bhubaneswar hosted by our IPS, Odisha State Branch. Our members have proved their academic and clinical ability throughout the globe by being felicitated worldwide. Needless to mention that we are working in an atmosphere of many constraints. However, we shall be able to prove best if opportunities are provided to us from the Government as well Non-Government sources. Gayatri joins with me in wishing all success for ANCIPS 2023. Best of Luck. Jai Jagannath. Gopal Kar

74th Annual National Conference of 18 Editorial.... Editorial.... Editorial.... Changing perspectives of community psychiatry in India Community psychiatry in India originated from the work of Dr. Vidya Sagar who in the late 1950s began to involve family members in the treatment of mentally ill patients at Amritsar. The first general hospital psychiatric units (GHPU) began functioning in 1933 at the R.G. Kar Medical College Calcutta, followed by one at JJ Hospital Bombay (1938), Patna Medical College hospital (1939), and KEM hospital Bombay (1940). Along with the development and expansion of the GHPUs, many community mental health outreach services were also started all over the country. The most important development was of the launching of the National Mental Health Programme (NMHP) of India in 1982, and later the District Mental Health Programme (DMHP) in a stepwise fashion from 1996 onwards. This programme focussed on utilization of the existing general health care infrastructure through integration of mental health services with general health services. Other significant approaches to community mental health in India include the camp approach, school mental health, NGO initiatives, media-based interventions, and telephone helplines. Following the implementation of NMHP and DMHP, there has been improvement in human resource development and public awareness has also increased due to community-based mental health care. Despite efforts to energize and scale up the program from time to time, progress with development of community-based mental health services and achievement of the desired outcomes in India has been slow. Public health measures, along with integration of mental health services in primary healthcare systems, offer the most sustainable and effective model given the limited mental health resources. The main barriers to this integration include already overburdened primary health centres (PHCs), which face the following challenges: limited staff; multiple tasks; a high patient load; multiple, concurrent programs; lack of training, supervision, and referral services; and non-availability of psychotropic medications in the primary healthcare system. Challenges in expanding the DMHP to all districts in India remained and one strategic approach would be to develop regional training resource centres such as through the local tertiary care mental health institutes to support the program. It is

Indian Psychiatric Society 2023 19 critical to examine the role of the existing mental health professionals and administrators in facilitating such the change from a hospital-based service system to a communityoriented service. Through effective and unique training programs, clinicians can be better equipped to apply leadership skills and qualities to support better patient recovery outcomes. Local community resources are increasingly being recognized as a valuable part of the health system but are often neglected in the medical model of care. Solutions to address the high mental illness burden need to acknowledge that cultural and traditional care, family and community structures are important elements in mental health care. Further cultural aspects of the ways mental illnesses and disorders are viewed, presented and treated must be considered when applying an intervention model that is acceptable to the local community. No single model of care can be applied all communities in the country and that locally appropriate models working in close partnership with local communities is required. Targeted and skill-based training programs are useful to build local leadership capacity in implementing quality and culturally appropriate community mental health services. Although progress has been slow in development of community-based mental health services and achievement of the desired outcomes in India, the importance of these cannot be understated. India has a huge burden of mental disorders and a significant treatment gap. It is important to continuously assess performance of community-based mental health services in order to identify problems at the earliest and initiate corrective measures. There is a need to take a fresh look at implementation of the program, with a focus on achieving sustainable improvements in a timely manner. References Ng C, Chauhan AP, Chavan BS, Ramasubramanian C, et al. Integrating mental health into public health: The community mental health development project in India. Indian J Psychiatry. 2014 Jul;56(3):215-20. Giri DK, Chaudhury S, Chakraborty PK. Trends and issues in community mental health programs in India: The Ranchi Institute of Neuropsychiatry and Allied Sciences experience. Ind Psychiatry J. 2021 Jan-Jun;30(1):11-17. Hans G., Sharan P. Community-Based Mental Health Services in India: Current Status and Roadmap for the Future // Consortium Psychiatricum. - 2021. - Vol. 2. - N. 3. - P. 63-71 Dr. Satyakam Mohapatra Consultant Psychiatrist, Cuttack Contact no- 8456915506

74th Annual National Conference of 20 'Bhubaneswar', the modern capital city of Odisha with a deep antiquity traced back to 4th century B.C. dotted with temples mostly of Saivite Origin provided the first glimpse of urbanisation during the Asokan period or after the Conquest of Kalinga by Asoka.The Kalingan empire that received a rude shock after Alsoka's conquest in 261 B.C.E showed the world the path of peace and non-violence and became a cause for the spread of message of 'universal brotherhood of men'.The Empire revived itself from the shock and Bhubaneswar again became a cause for creation of Pan-Kalingan Empire.The Empire thus created became the largest since Magadhan Empire under Asoka after being consolidated and expanded by Kharavela in first century B.C.E. 'Asoka' being a visionary might never have thought that the place chosen by him for fixing the Asokan Edicts in Dhauli located in close vicinity of Bhubaneswar would after two millenium years be choosen as the modern capital centre of Odisha. BHUBANESWAR AS TOSALI 'Sisupalgarh' situated about two kilometers to the east of old town of Bhubaneswar was excavated by Archaeological Survey of India during 1947-48 under the supervision of B.B. Lal assisted by B. K. Thapar revealed the presence of a great well planned city that served as the capital of Kalinga, the then name of this part of India and Odisha as well. Whereas in view of the finding of the Rock Edicts at Dhauli some scholars surmised that Tosali identified with Dhauli served as the Capital city of Kalinga during 'Asokan' times, but the discoveries made by B.B Lal made it absolutely BHUBANESWAR : A DEEP HISTORY Professor Laxmi Kanta Mishra Retd. Professor of History & Former Head Ravenshaw University, Cuttack - 753003 email: [email protected]. Mob: 9861065900 clear that 'Sisupalgarh' was the Capital City. Even B.B. Lal stated that, "The initial date of this site goes back to 300 B.C with a margin if any on the earlier side".1 Though documentary evidence in favour of the identification of Mauryan headquarters of Tosali with Sisupalgarh are lacking, but it may well be surmised in view of the latter containing antiquities dating back to 3rd century B.C.E.that it was the capital. Archaeological data available revealed that "the site had been in occupation from the beginning of the third century B.C. to the middle of the fourth century A.D and that its defences had been erected at the beginning of the second century B.C. The layout of the city roughly square in plan, protected on all sides by a rampart, each of its sides over a kilometer long and pierced with two elaborate gateways is suggestive of a well- developed civil and military architecture. The streamlet Gangua (ancient Gandhavati) flowing all around the rampart served as a natural moat with a permanent supply of water."2 Sisupalgarh was the site of Kalinganagar the Capital City of the Chedi Kings of the Mahameghavahana family during first century B.C. The Kalinga was an independent kingdom then. The Hathi-Gumpha inscription of Kharavela in the Udayagiri hill located roughly 10 km north-west of Sisupalgarh furnish details of his eventful career. There are specific descriptions about the gates, walls and houses of the capital being devasted by a cyclone, which is not a far flung possibility, situated about sixty kilometers away from PuriKonark sea shore. At present there is no fortified town of the period except standing pillars and

Indian Psychiatric Society 2023 21 scanty evidences about the Western Gateway. Excavations undertaken by Prof. K.S. Behera, Prof. R.K. Mohanty and Monica L. Smith, Umakanta Mishra, Subrata Kumar Acharya and myself in Sisupalgarh, Golabai, Suabarei, Deltihuda, Gopalpur, etc conclusively prove about intense economic activity in Cuttack and Khurda regions closely connected with Bhubaneswar. At Dhauli, we find one of the earliest inscribed records of India which contained eleven out of well-known set of Fourteen Rock Edicts found in the territorial limits of the empire. The Eleventh, Twelfth and Thirteeenth rock edicts are replaced by two separate rock edicts. In the separate rock edicts, Asoka made the famous declaration, "All men are my children".3 The declaration brings in to fore the concept of a globalised world.The inscriptions are inscribed on a rock with the sculptured forepart of an elephant. This elephant figure symbolising "the Buddha" though lacking in characteristic Mauryan finish because of inferior quality of the rock was not only the earliest sculpture of Odisha, but exhibits dynamic naturalism, plastic treatment of bulky volume and dignified bearing. Recent excavations in Sisupalgarh in 2006 added significant dimensions for Buddhist studies in Bhubaneswar. Asokan relics have been found from Dhauli-Bhubaneswar region where the ancient city of Tosali was located. These include Stupa railings and fragments of Asokan pillars.5 Few railings were found in the vicinity of the Bhaskareswar temple. N.K. Bose noticed two of them which were removed to Puri.6 "One fragment each is preserved in Orissa State Museum, Bhubaneswar and the Ashutosh Museum, Calcutta. Seemingly, imitating Asokan pillar capitals are a lion capital found in the same area and now in the state museum and a large bell-shaped lutus capital found near the Asoka jhara tank and also removed to that museum".7 K.C. Panigrahi associate them and also the pillar inside the Bhaskareswar temple with Asoka. Even it has been held that a part of the Asokan pillar was converted in to a huge Siva linga in the Bhaskareswar temple. Debala Mitra was inclined to believe that the reliefs on the lotus capital are more inclined to those on the early caves of Udayagiri and Khandagiri than anything Asokan. The Contention of Debala Mitra can be contested on the basis of recent discoveries made by S.B. Ota.8 S.B. Ota drew our attention to observations made by N.K. Sahu in his monumental work "Buddhism in Orissa" published in 1958 by Utkal University and also about a brief note on a limited excavation carried out by B.K. Thapar in 1950, which remained until Ota noticed the same in the archival records of the Sisupalgarh excavation. In the records, B.K. Thapar claimed to have excavated two Megaliths. But in January 2006, when excavations at Sisupalgarh was in progress, a joint exploration was carried out by S.B. Ota of Archaeological Survey of India and R. K. Mohanty of Deccan College, Pune which resulted in the discovery of a stone railing near a temple in a hamlet on the northern side of the Sisupalgarh fortification. Further investigations resulted in the discovery of Stupa, earlier being identified as a Megalithic mound by B.K. Thapar.9 The said stupa was a mud stupa which might be of an early date and stone railings might have been added subsequently like that of Sanchi, Satdhara, Sarnath, etc. Kharavela, the Chedi ruler of Kalinga of first century B.C. introduced Odisha into a career of aggrandisement, which with various ups and downs culminated in taking Odisha in to the finial of its glory under Kapilendra Gajapati during 15th century. Under the royal aegis of the Chedis, Udayagiri and Khandagiri not only became a strong centre of Jainism, but the two honey combed hills contained the signature of eastern Indian artists in their best forms.The Udayagiri and Khandagiri cave monuments have remained a major tourist attraction in contemporary days.

74th Annual National Conference of 22 Because of ascedancy of Saiva Pasupata Cult, the Buddhism received a set back in Bhubaneswar, but Jainism thrived through the pages of history. Unfortunately, with the eclipse of Asoka's rule and Chedi rule in Kalinga and Bhubaneswar as well, both Asoka and Kharavela were lost in to oblivion and even did not survive in public memory in any form. They were rediscovered only during 19th century epigraphic discourses. The History of Bhubaneswar from 2nd century A.D to 7th century A.D is shrouded in mystery. Continuance of Sisupalgarh until 4th century A.D is unmistakable. The discovery of Kushana and imitation of Kushana coins/ PuriKushana coins, clay bullae imitating Roman coins, a unique gold piece with Kushana motifs and Roman legends, Yaksha and naga statues (now exhibited in Odisha State Museum), a pot bellied naga and two nagi figures from Kapilaprasad near Bhubaneswar and several other folk divinities definitely attest to this. On the basis of the study of Puri-Kushana coins it has been held that a Murunda King named Dharmadamodar ruled over Odisha in the Post Chedi era.4 BHUBANESWAR AS EKAMRA With Samudragupta's conquest of Western Odisha and Kalinga region in South Odisha, the state society expanded and the Sanskrit Cosmopolis made its head way and Saivism became the dominant religious faith in Odisha. Thus Bhubaneswar came under the spell of Saivism. The Sanskrit text like the Ekamra Purana as well as the epigraphical sources speak about the Gauda King Sasanka, a staunch devotee of Siva conquered the most parts of Coastal Odisha including Bhubaneswar region and the Kangoda country in the first quarter of Seventh Century A.D and built the first Saiva temple at the site of Tribhuvaneswar. This culminated in ousting Buddhists from Bhubaneswar who now took shelter in Jaipur, from where political orders were issued from 7th-8th century onwards. Bhubaneswar lost its political vitality. The Pasupata sect under the supervision of Lakulisa, a Saiva teacher gained supremacy and thereafter large scale temple building activity started, which continued unabetted till late 13th and 14th century. The conflict and coalescing between Saivism and Buddhism continued, which are reflected in the sculptural art forms in the temples of Bhubaneswar. Resemblance of Lakulisa Siva with that of Buddha; Lakulisa sometimes represented in the dharmachalra-pravartanamudra, representation of deer in the pedestal of an image in Sisireswar temple signifying the first sermon of Buddha testify to the co-existence of both religious faiths in Bhubaneswar. The Buddhist imprint on some Saiva temple is unmistakable.10 Simultaneously the animosity of the Pasupatas towards Buddhism is evident from the representation of Buddha on the sacrificial post (Yupa) infront of the Vaital temple. J.N. Banerjee opined that "Buddhism existed even long after the city had been swept away by the Pasupatas is proved by the finding of Buddhist images in the vicinity of the Brahmeswar temple."11 The Sailodvaba rulers having their sway over Bhubaneswar during mid-sixth to mid-eighth century converted Bhubaneswar into a workshop of temple architecture. The Saivite temples of Parsurameswar, Lakshmaneswar and Swarna Jaleswar were built by the Sailodvabas. Sasanka, the Gauda king built the Tribhuvaneswar on which site the present Lingaraj temple was built by the Somavamsi rulers. Besides, the largest tank popularly known as 'Bindusagar' with magnificient flight of steps was dug during this period. Although the Bhaumakara rulers (8th-10th century A.D.) were having their political orders issued from Jajpur and ardently patronised 'Vajrayana Buddhism', temples like Sisireswar, Markandeyaswar, Taleswar, Mohini, Uttareswar and Vaital were built during their period. During the Somavamsi period from 10th to 12th century A.D, the Pasupata cult of Saivism was

Indian Psychiatric Society 2023 23 delcined and it was Mattamayura cult which replaced the Pasupata cult. As the Somavamsi were from Central India, they brought elements of Chandella architecture as a result of which grand gigantic temples like Mukteswar, Brahmeswar, Rajarani and Lingaraja temples were built and the temple architecture achieved perfection and entered into its mature phase. The Imperial Ganga rulers during 12th-15th century A.D added Natamandapa and Bhogamandapa to the Lingaraja temple. The Lingaraja temple inscription incised on the wall of the Jagamohana of the Lingaraja temple records the grant by the Ganga King Anantavarman Chadagangadeva (A.D 1078-1150) of a village for the maintenance of a lamp in the temple of Krittivasa (original name of Lingaraja) in 1114-15 A.D. This donation on the dates mentioned in the inscriptions suggest the conquest of Bhubaneswar by Chodagangadeva before that date which might correspond to C.1110 A.D, the date of conquest of Utkala by him. A twelfth century inscription found at Sisupalgarh provides us information that this fort was being in use until the reign of Anantavarman Chodagangadeva. The inscription stated that Chodaganga built a temple for the worship of Lord Siva either within or outside the fort of Sisupalgarh and constructed a bridge on the Gangua river to establish communication with Bhubaneswar.12 The Ganga rulers and their officers have issued several donative records which are inscribed in different temples of Bhubaneswar. The Megheswar temple was built by Svapneswardeva during the reign of Anangabhimadeva II. The Anata-Vasudeva temple, the only Vaisnava temple of Bhubaneswar was built by Chandrikadevi, the daughter of Anangabhimadeva III (1211-1238 A.D) in the year A.D 1278. The impact of Vaisnavism on Saivism went to such an extent during 13th century that Lingaraja was personified as combined form of Hari and Hara. A number of Vaisnava rites were introduced in to Lingaraja temple. Addition of the figure of Garuda by the side of the bull on the votive column in front of the bhoga-mandapa of the temple is another indication of syncretised cult.The practice of wo worshipping Lingaraja both with vilva and tulsi leaves speak about syncretisation of both the sects. After lapse of roughly one and half millenium years since the end of Chedi rule during first century, Bhubaneswar again became politically vibrant when Kapilendradeva, the founder of Suryavamsi Gajapti rule in Odisha was coronated at Bhubaneswar in 1435 A.D. A new calendar called as 'Kapilabda' was introduced. The Kapileswara temple was also built by him. The Varuneswar temple on the bank of the Papanasini tank was also the creation of the Gajapati rulers. Although, Cuttack continued to be the capital of Odisha under the Suryavamsi Gajapatis and even thereafter under Muslims, Marathas and the British, Bhubaneswar might have served as the battleground for different contesting groups after the establishment of Muslim rule and creation of Khurda kingdom by Ramachandradeva sometime during 1570/71 A.D. Creation of 'Patia' kingdom by Raja Mansingh in 1592 was meant not only to pacify the rebels but also to create a buffer zone in Bhubaneswar in order to keep close watch on the activities of reigning king of Khurda.True the expectations of Raja Mansingh,Patia always remained friendly to the Muslims,Marathas and the British as well. JOURNEY OF BHUBANESWAR From Tosali to Ekamra and then to Bhubaneswar, the capital city. 'Tosali' with Sisupalgarh as capital city provided a history for Bhubaneswar for roughly three centuries. 'Ekamra' niched Bhubaneswar for over one thousand years. It was only on the eve of formation of 'Odisha' as a separate province in 1936 that 'Bhubaneswar'

74th Annual National Conference of 24 again surfaced to provide 'Odisha' its political nucleus. Abul Fazl of 'Akbarnama' fame while describing about Odisha stated, "This country is not made for conquests nor for the design of human ambitions, it belongs to the Gods". Here, the country i.e. Odisha belongs to Gods best applies to Ekamra Kshetra i.e. Bhubaneswar which is dotted with ayatanas (houses) of Devas (Gods and Goddesses). In contrast to Abul Fazl's imagination Ravi Kalia in his much acclaimed book, 'Bhubaneswar: From Temple Town to a Capital City' (Southern Illinois University Press, 31 December, 1995 )tried to visualize a secular space against the realities of 20th century modernity by creating a planned and structured city, which is currently moving towards being a smart city altogether. 'Bhubaneswar' is the second planned city of Independent India. Debates about selection of a site for new capital for Odisha started in June, 1933 when the authorities in Britain decided to constitute the separate province for Odisha. Several places such as Cuttack, Puri, Choudwar, Khurda, Rangeillunda were considered. Advantages and disadvantages were discussed. But setting aside all arguments, Harekrushna Mahatab who formed the Congress Ministry in Odisha on 23rd April, 1946 decided to establish the Capital of Odisha in 'Bhubaneswar' on historical and strategic grounds. Mahatab invoked history in justifying his decision to shift the capital to Bhubaneswar. He stated in the Legislative Assembly as follows: "...I would like to trace the history of Bhubaneswar…This edict (Asoka's edict at Dhauli), if the government is located there, I would certainly expect and sentiments also dictate to us the message of good will, the message of service to all governments to come and will penetrate through ages - through the thousand years in the past to the coming centuries also communicating the same desire for peace and the same….The Edicts (SRE) say that government will look after the tribal people and they will always try to bring these people has the path of religion or path of duty or whatever way it may be translated…No place in Orissa is from the viewpoint of History, from the viewpoint of health and sanitation, from the viewpoint of economy and from all other points of views, is more suitable than Bhubaneswar."13 No city in India provides examples of invocation of past religious contours in creating a secular space. On 30th September 1946, the Orissa Legislative Assembly unanimously approved the construction of Capital at Bhubaneswar. The site was approved by V.C. Mehta, the Chief Engineer and Planner, Kanpur Development Board on 21 June, 1947. Dr. Otto H. Koninsberger (a German Jew who had migrated to England) then working as Town planner for Mysore came to Cuttack on request of Mahatab to the Mysore Government on 18 February, 1948 by train and prepared the Master plan. He found the laterite soil of Bhubaneswar bad for Agriculture but well draining and suitable for building. The Government appointed Julias Vaz as Deputy Chief Architect who remained in service until 1961. He designed the buildings for the Assembly, Secretariat, Raj Bhavan, B.J.B College, Hospital, Rabindra Mandap Auditorium, Agriculture and Veterinary College, etc. On 13 April, 1948 the Prime Minister Pt. Jawaharlal Nehru laid the foundation stone to this Capital. The first session of Orissa Legislative Assembly met at Bhubaneswar on 10 October 1949. While preparing the design for the city the Chief Architect Koninsberger and Deputy Chief Architect Vaz and Indian counterpart realized the Hindu sensibility of Oriya leaders, but Ekamra Kshetra, the Old Bhubaneswar was not included in their imaginations. Thus the temple city of Ekamra was never organically fused with Bhubaneswar. But the predilections of Asoka and Kharavela about

Indian Psychiatric Society 2023 25 developing urban centres in places with potential for expansions proved true when Bhubaneswar is seen today as a city with secular spaces and coexisting with the temple town of Bhubaneswar. References 1. B.B. Lal, Ancient India NO. 5, 1949, Quoted in K.C. Panigrahi, Archaelogical Remains at Bhubaneswar, Cuttack, 1981, p.181 2. Debala Mitra, Bhubaneswar, ASI, New Delhi, 1978, pp. 6-7 3. ibid, p.5 4. Bhubhaneswar: The Capital of Odisha, Odisha State Archives Bhubaneswar, 2015, p.2. Dr. A.S. Altekar read a gold coin found at Sisupalgarh which is assigned to 3rd century A.D. 5. J.K. Patnaik and S. Acharya, 2000. Early Buddhist art in Kalinga: A Reappraisal, Paper presented in the National Seminar on 'Mauryan Art' organised by Patna Museum at Patna between 8th and 10th December, 2000. 6. N.K. Bose, The Journal of the Bihar and Orissa Research Society, XV, 1929, p.259 7. Debala Mitra, op.cit.p.8 8. S.B. Ota, Evidence of a stupa at Sisupalgarh, Orissa: Re-interpreting Earlier Excavation Data; Man and Environment XXX II (1); Indian Society for Prehistoric and Quaternary Studies, Pune, 2007, pp. 67-73 9. ibid, p.73 10. Debala Mitra, op. cit. p. 11 11. ibid. p. 11 12. Kedarnath Mohapatra (Ed.), Bhubaneswar Abhilekha, Bhubaneswar, 1998, p.62 13. Harekrushna Mahatab's speech on the motion regarding the location of the Capital of the Province at Bhubaneswar, OLA proceedings, Vol II, OSA, pp 963-967

74th Annual National Conference of 26 Healthy early childhood is a significant predictor of adult mental health. Left unattended, early mental health issues such as developmental disabilities, adverse childhood experiences, emotional and behavioral problems lead to mental health issues such as personality disorders, unstable interpersonal relationships, poor job performance and mental health disorders in adulthood. Developed countries have established child and adolescent psychiatry services. However, the vast majority of the world's children live in the developing countries like ours. Low- and MiddleIncome countries, like India, due to lack of resources, have to deal with shortage of trained mental health workers and paucity of standardized intervention modules and materials. Children in general, due to age and developmental status are vulnerable to mental health problems. However, children in difficult circumstances, namely street and working children, orphan and abandoned children and in child care institutions, children with disability, children infected/affected by HIV, have higher levels of protection risks, developmental lags and mental health morbidities due to their experiences of socio-economic difficulties, illness, violence and abuse, destitution/abandonment and developmental challenges. Poverty, harmful social and cultural norms particularly in gender and sexuality contexts, marginalization of disadvantaged groups and civil strife add to the level of vulnerability. In the wake of these challenges, and given that child development and mental health concerns cut across a plethora of disciplines, sectors and services, public health models need to incorporate CHANGING PERSPECTIVES IN CHILD MENTAL HEALTH IN INDIA Dr. Shekhar Seshadri Prepared by Gauri Damle on behalf of the SAMVAD team integrated approaches to responding to the mental health and psychosocial care needs of vulnerable children. The shifting landscapes of child mental health in all the challenges that a professional need to address are taught in postgraduate programs. The focus needs to expands to other spaces such as schools, child care institutions, courts, children and the illness context, other protection spaces and of course clinical practice. Often it is observed that there is a gap between Intent, Content and actual practice. For any intervention to be effective, there must be a synergy between efforts made by different stakeholders to address the issues. Child mental health is a shared responsibility, there is a need to create a mechanism that will make such a synergy possible. Developing a transdisciplinary public health model for child and adolescent mental healthcare in low- and middle-income countries is a feasible, acceptable, and affordable approach for catering to the mental health needs of children in India. In response to this scenario, the Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), a tertiary-level mental healthcare institution, under the Ministry of Health and Family Welfare, established a unique country-wide initiative called SAMVAD (Support, Advocacy & Mental health interventions for children in Vulnerable circumstances And Distress). Supported by the Ministry of Women and Child Development (MoWCD), Government of India, SAMVAD is an expanded and scaled up version of what was

Indian Psychiatric Society 2023 27 previously a community-based Child and Adolescent Mental Health (CAMH) service project. A one-of-a kind initiative, it serves as a resource for the country, to increase access to and availability of child and adolescent mental health and protection support and services through the use of integrated approaches to child well-being. Working in four verticals, Care & Protection,Education, Mental Health and Law &Policy, the SAMVAD model is unique in that it employs transdisciplinary approaches, to enable solutions to complex CAMH problems through dialogue and capacitation of stakeholders from multiple disciplines. SAMVAD undertakes research, training and capacity building and related services, using methodologies that draw upon monodisciplinary expertise, whilst also amalgamating the diverse viewpoints that characterize systemic and sectoral priorities. In line with transdisciplinary frameworks, SAMVAD applies innovative teaching and learning methods of participatory, creative and skill-based pedagogies, to deliver innovations in CAMH awareness and capacitation. SAMVAD's essential training program focuses on the fundamentals of child mental health and protection work, that would be relevant to LMICs, namely: sensitization to children and childhood experiences, application of child development concepts, identification of vulnerability and protection risks and contexts, communication and counselling techniques with children, provision of first level responses to common child mental health disorders, and key provisions of child law in India, so as to locate the implementation of the law in relevant child psychosocial and protection contexts. SAMVAD embodies how a tertiary mental healthcare facility, instead of confining itself to the care and treatment of a small sub-group of clinical populations, can play a critical public health role, integrating CAMH at grassroots and frontline levels of child work, thereby expanding access to quality CAMH support and services. It is an exemplar of a national model for child mental health, one that is replicable and adaptable in LMICs, where child mental health systems are often weak or fragmented, through the convergence of multiple stakeholders-building safety nets and social supports for vulnerable children, and when necessary, enabling access to specialized CAMH services. "Child Mental Health lies not in the textbooks of psychiatry, But out there in the community, In the streets, In Homes & Families…In Child Care Institutions & Schools… In books, Music & theatre…" Ramaswamy, S., Seshadri, S., & BundersAelen, J. (2022). Shifting landscapes of global child mental health: Imperatives for transdisciplinary approaches. Asian journal of psychiatry, 69, 103002. Ramaswamy, S., Sagar, J. V., & Seshadri, S. (2022). A transdisciplinary public health model for child and adolescent mental healthcare in lowand middle-income countries. The Lancet Regional Health-Southeast Asia, 100024. https://nimhanschildprotect.in/ (A repository of materials for community work) YouTube Resource: http:// www.youtube.com/c/NIMHANSChildProtection Facebook: https://www.facebook.com/ childprotectnimhans Twitter: https://twitter.com/ nimhans_CPC Instagram: https:// www.instagram.com/nimhanschildprotect/

74th Annual National Conference of 28 First time I was meeting the sea at Puri, the ocean and the skies over oceans and its blue vastness. I was a five-year-old child not knowing of the waves at the sea. I fell with a thud of wave, had a taste of the brine-bitter and salty.Coming from the bank of our village pond, a tank of an eight hector the largest known water body. I tasted the salt in water of the sea, almost vomited out. I clung my new sponge chappals that were floating away. I had started crying being afraid of the sea and its salty water. My father grabbed mefrom sand and salt, and I was in tears. Why the sea water is salty. I had asked my father then the sea water is salty for being filled with human tears -my father told me. The mankind had cried so much tears! I had a taste of my tears too. At mission Ashra. I have always taste of these oceans of tears. After almost sixty years later, as a doctor who does not retire and teacher wo refuses to die, I have seen lights in form of my teachers, men and women many institutions as lights. Lights and light housesin between oceans of tears, darkness, tsunamis and storms. I have always been by the side of these lights who are salvaging human garbage, serving the homeless, mentally ill and the most helpless. These have been bridges between dismay and discovery that life can have one more spark, can have hope and victory of the soul, the human spirit. MY SOUL: She was moving alone. She had twenty plastic empty bottles tied to her. Clothes were torn, dirty, so were her tanged locks of hair.' She was soaked with dirt, blood semen thorns rashes, and smelled foul. Her eyes were bright with dried tears and mucous.Thumbs and nails studded to her body, and wires and rings. A wandering lady lunatic. I nick named `Mangla' as she roamed around Manglabagsquare in front of Manglabag police station amid jeers, laughter, filthy jokes and filthier comments. She was preyed upon by drunkards, goons, lump in elements maybeshe traded food for being easy meat never knew what was happening to her when Samaritans of Janani caught hold of her to bring her to thehospital of Mental Health Institute- volunteers of Janani guarding her. Shopkeepers around obstructed, where are you taking her? To cannibalise her kidneys? Eyes? Police did come to help. She had bitten- jawed and clawed a few. Subjugated, cleaned to undress to give a pair of new clothes-her bottles nails and wires were cut apart.It was a ghastly sight. Her uterusfell apart precedential covered with a white sheet she was rushed to Gynaecologyunit then manned by my friend the most eminent gynaecologist of our country Prof. Purna Chandra Mohapatra of SCB, who volunteered to operate, helped with all medicines and all needfulthat saved her. A chronic schizophrenic. Treatment for mental illness along with operation for the total prolapse of uterus -hysterectomydone to save her started simultaneously. Kalinga Kalyan took over. Janani of Kalinga Kalyan Shelter ManglaDeyBabu, no more Madam Kalpana. Madam Bharatiahave Mangla. OF SERVING THE HOMELESS MENTALLY ILL: "THE LIGHTS BETWEEN OCEANS" "I HAVE SEEN YESTERDAY I KNOW TOMORROW" Dr. Neelmadhav Rath Ex-Director, MHI, COE, SCBMCH State Advisor, Mental Health, Govt. of Odisha

Indian Psychiatric Society 2023 29 In DeyBabuf's farm, a self-sustained shelter,Mangala nowmanages orphan babies, calves, rice fields, vegetable patches and other helpless inmates wherewild elephants roam, at times panthers howl and rarely peacocks' dance in the background of SankarpurKothi, Damdamani shrine, mountain ranges, foot hills and hillocks, springs and flowers. The Janani - As a Psychiatrist, I call it my Soul. MY FRIEND - Dealing directly with wanderinglunatics started by patients brought by Gobinda Pattanaik of People's Forum in the background of super cyclone in 1999. Managing them in to garages of SCB Hospital and its dark lanes. I took help from Kalpana Madam of Sakha - Who provided food and managed them with medicines and injections. The real engagement started in 2003 - when Manglaof Manglabag started it all - from calf love fleeting to companionate - serious affair. MY BODY - A mentally ill wandering unkempt lady fully naked was in labour pain delivering baby in OMP square and a hundred by standers started watching the free academic childbirth session in obstetrics till volunteers threw open a shawl. They helped in delivery, rescued and brought the patient once more to labour room mother saved, child saved taken care by Archana madam, Rinimadam, Saila madam of Basundhara, Cuttack. Aswasana of GhatiroutPatna a branch of BasundharaCuttack was born - catering to the needs of homeless mentally ill women at Cuttack. This is the best infrastructure of NGO Odisha. In the riverine back drop across Choudwar to Jagatpur, the Chief Architect Bhavani Mishra who has a lot of contribution to MHI COE building of its beautification has done a lot for BasundharaMental Health shelter. A School, a hostel, a shelter home conference hall, farmland and orchard spread to around sixth acres. I call it my body, a body that harbours a psychiatrist - a mind that minds mind! She was mute, tiedto pole in costal northern Odisha for twelve years, GobindaPattnaik and his team of Mission Ashra, People'sForum rescued her, brought her to MHI. We did keep her, treated her cured her till she sang, danced celebrated Diwali, went back to her native place, united to her parents.Thousands and hundred have stayed in Ashra, patients have come from Tiswa' Sambalpur, Chennai, `Sneha' of Mumbai. Dibyajyoti Babu, BuluBabu and most affectionate staff nurse superintendent pharmacist and worker all in one, Pratima taking over. Whether I wanted or not I have become a part of mission Ashra. l was there clapping when Gobindababu received prestigious lady Durgabai Deshmukh award from then President of India at Ashoka Hall of Presidential palace New Delhi. I was there when Sheetal aliasGudia left mission Ashra with her husband and reunited with her son. I was there when Adyasha, the 1st patient of mission Ashrabreathed her last at Head Quarters Hospital, Khurda, paralysed, yet rose to her feet from death to fall on feet of volunteers of Mission Ashra for the first time talking, giving her thanks while dying. No Psychotropic medicine work in psychosocial vacuum. The magnificent atmosphere, the affectionate responsible missionary, zeal of People'sForums Mission Ashra as well as the Mother TeresaMissionaries of Charity dealing with mentally ill patients adjacent to boundary of Mission Ashra change, the resistant, refractory wandering lunatics, homeless mentally ill the utmost change. Mission Ashra team has the Midas touch to turn clay to human and humans to deities we call God! As a Psychiatrist, the Mission Ashra is my heart. The mentally ill are abed in hospital units, mostly in our Mental Health Institute some deliberately some desperately, some are driven away, some patient reaches us, we cannot, we should nut refuse any one. Whether mentally ill

74th Annual National Conference of 30 or not patients in critical health conditions are thrown in to mental health institute campus either through causalities, dealers of the dark nursing homes and brothers not helping sisters, children not helping old parents, mothers, father abandon their wards and disappear mostly giving false address and names - in helplessness as we leave unwanted babies in church/temple/orphanage gates. We do keep them as patients govt. provides only meals, we must cater to other essentials. Many of them are aged, injured, drug addicts, some of them are criminal's scot free, psychopaths disrupting ward environment. One NGO with its volunteers serves destitute and vigilant of negligence wards stink. The paid attendants do not have missionary zeal. They are just zoo keepers. We need angels at hell. Is has it volunteer Deepak babu, AchutyaBabu in the campus, senior Ram babu withBuddhist zeal and calm vision help our patients and waters, gives life even to plants and animals around. Sevak has a hundred odd old, young patients of dementia and ageing atChhatia - in presence of the Statue of Lord Buddha upcoming - the kind and compassionate one! Many highest officials in administration have helped MHI COE in mental health Cuttack serve the homeless mentally ill. As Municipal Health Secretary, Anu Garg madam, Aarti Ahuja madam,Sujata Kartikeyan madam, as Director,Rupa Mishra madam, Pradeep Mohapatra Sir, Swaswat MishraSir, as CollectorSri S N Girish, Sri Niranjan Sahu, among political great figures Sri PanchananKanungo,Sri PrasanaAcharya all have gone out of their ways to help the organisations and our friends. The pediatricSurgeon Dr.PravasSubudhi, Dr.KedarBabu, Pediatrician ofSishuBhavan and Dr, R K Shukla, Dr.AshrumochanSahu, the psychiatrists, Dr, JasobantaMohapatra the psychologist have contributed immensely for the destitute mentally ill. The Honorable Supreme court helps Honorable Human Right Commission, the honorable state human rights commission, many legal bodies and district administrate police department medical patient Police and post and Manglabag police station. All have helps us and our Mental Health Institute to take care of the homeless mentally ill at the mental health institute and beyond in the community settings in NGO's. We are always grateful to thetm. So many road maps, so many plans and orders shine, and decay promises hardly kept or pursued. We all have come a long way.My dearcompanies like the Sun the Intas thelnnova, the psycho remedies of Contributing Medication, ensure, many of their officers Bunubabu, Sangrambabu, Kartikbabu, Deepak babu all have contributed along with me in my association with mission Ashra on behalf of MHI. Dr.Laxmidhar MishralAS, Rtd.,Ex special rapporteur of NHRC on mental health Sri. Deepak Sarangi, l-of NHRC. Dr.Mathur, Central Health Bodyk, Azadall have visited, contributed for the cause of such a A movement of servicing the homeless mentally ill- mission Ashra leads this endeavor with a missionaryleal par excellence. Basic needs India, the Banyan, the Sneha all have been inspiration in our background. I do identify with mission Ashra. I am a part of it for last sixteen years with body heart and soul. The Ashra has been a light house of hope dedication the light between oceans of tears. In a way it is onesidedlove affair.Yours, only yours, yours for ever -me- often. I feel without you `Ashra' still feel a stranger to myself. Though my fate has been changed over years. I shall always be yours as a psychiatrist. I am the outsider, yet I behave as the insider. The soul within me is your soul. I have seen yesterday. I know tomorrow. I am - today.

Indian Psychiatric Society 2023 31 It is well known that the rates of mental illness in doctors are higher than those of the general population and other professionals. Among doctors, psychiatrists are known to be a particularly high risk group. This has been reported in many studies and surveys. In a clinic designated only for health professionals, a vast majority of psychiatrists attended for their mental health problems (89%), addiction (8%) and 2% for physical problems. The mental health problems that psychiatrists presented with were comparatively more complex than other specialties.1 There are multiple reasons for this. As a group, psychiatrists suffer from high levels of stress and also some of the highest levels of job dissatisfaction. Patient complaints and threat from patients or caregivers are significant risk factors too, in many areas of clinical practice. Burnout has become extremely common among doctors; in a survey 42% of psychiatrists and mental health professionals reported burnout stress.2 The concerns of stress in mental health professionals are universal and reported in India too.3 Another interesting reason of increased mental illness in psychiatrists which has been reported is that many who join mental health work are more likely to have suffered with mental health problems themselves. Concerns Although psychiatrists have one of the highest rates of psychiatric morbidity among Psychiatrists, take care of yourselves: practice what you advise Dr. Nilamadhab Kar Consultant Psychiatrist and College Tutor Black Country Healthcare NHS Foundation Trust, UK doctors, this is not adequately recognised and managed.4 The psychiatrists understand their own mental health concerns, however most of them do not go for any treatment. In general, doctors often find it difficult to admit illness whether physical or mental. It is especially the case for psychiatrists seeking care for their own mental illness. In a survey of psychiatrists, most reported that they would be reluctant to disclose their mental illness.4 These were possibly because of fear of stigma, shame, prejudice, fear of a permanent record, issue of confidentiality, or other reasons.5 There are also concerns about career or professional implications, e.g. worry about impact of having time off sick due to mental health problems, detriment to career progression, regulator involvement, etc. There is probably another issue of ‘us’ and ‘them’ separating psychiatrists and patients who they are treating. This division often does not allow the clinicians to recognise that they may also be having similar issues as their patients.2 This is a subject still pushed under the carpet because of stigma, and general discomfort in discussing with colleagues. However at the same time, it is not only affecting the health and quality of life of the affected psychiatrists, but the quality of care they provide to their patients. Time for action Openness helps in dealing with stigma.

74th Annual National Conference of 32 Many doctors, including psychiatrists, are sharing their mental health problems. They have been praised as being ‘brave’ to ‘come out’ and admit their mental illness.6 Similarly many psychologists and psychotherapists have also ‘come out’ and made their mental health struggles public.7 This is definitely helping to tackle the stigma associated with it. However many still feel the impact of stigma and do not seek professional help. Not doing anything about it is perpetuating the stigma; specifically because psychiatrists have the means and strengths to provide solutions to this problem.8 A consistent approach to destigmatise mental illness at all levels including that among clinicians should be a key focus. In this context, it is important not to be judgemental about colleagues who reveal about their mental health concern,2 but to help them professionally. Intervention While it is essential to be under the care of a clinician, not only for medication but also for psychotherapeutic interventions, a survey among psychiatrists reported that around 43% would consider self-medication for mild/ moderate depression; 7% for severe depression; and 15.7% reported that they have treated themselves for depression.5 There is evidence that avoidance of appropriate help-seeking behaviour by doctors starts as early as medical college and is linked to prevailing misperception of mental health problem being viewed as a form of weakness with implications for subsequent successful career progression.4 It is also a fact that it is often difficult to get appropriate service, within the same organisation, because of various contributing factors. There are also some challenges of treating colleagues and it may be preferable to refer them elsewhere in certain circumstances. Resilience Most doctors do have higher resilience, work in extremely stressful situation and manage stress well; however the risk factors are more frequent as well. Doctors as individuals are vulnerable too to the usual stress and strain of life. Learning about one’s own factors of resilience, and having a bountiful of them would be helpful. Support systems It is important to be aware about the increased risk of mental illness in doctors especially psychiatrists. Managing stress effectively, improving work-life balance, taking preventative approaches and to seek help early are essential. The support systems and comfortable work environments should be available where professionals can seek help easily without hesitancy. It may be better to check, if the institutions have facilities of providing such psychological help to the practicing clinicians. Offering help to colleagues and psychiatric trainees, checking their wellbeing regularly should be built into the work systems. There can be wellbeing champions who can guide and support colleagues in distress. Improving work environment, where people are spending most of their active life, for oneself, colleagues and patients, making it more comfortable is one such step. Psychiatrists are all aware of these issues, it is important they take care of themselves, and practice what they advise!

Indian Psychiatric Society 2023 33 References 1. Why do doctors need a specialist mental health service [Internet]. [cited 2023 Jan 21]. Available from: https:// www.practitionerhealth.nhs.uk/why-dodoctors-need-a-specialist 2. Yasgur BS. Challenging Stigma: Should Psychiatrists Disclose Their Own Mental Illness? [Internet]. Psychiatry Advisor. 2019 [cited 2023 Jan 21]. Available from: https:/ /www.psychiatryadvisor.com/home/topics/ mood-disorders/depressive-disorder/ challenging-stigma-should-psychiatristsdisclose-their-own-mental-illness/ 3. Sarma PG. Burnout in Indian Psychiatrists. Indian J Psychol Med. 2018;40(2):156–60. 4. White A, Shiralkar P, Hassan T, Galbraith N, Callaghan R. Barriers to mental healthcare for psychiatrists. Psychiatric Bulletin. 2006 Oct;30(10):382–4. 5. Balon R. Psychiatrist attitudes toward selftreatment of their own depression. Psychother Psychosom. 2007;76(5):306–10. 6. Gask L. I’m a Psychiatrist-and I Live With Depression. 2016 Jan 21 [cited 2023 Jan 21];33. Available from: https:// www.psychiatrictimes.com/view/impsychiatristand-i-live-depression 7. Devendorf A, Victor S. Psychologists are starting to talk publicly about their own mental illnesses – and patients can benefit [Internet]. The Conversation. 2022 [cited 2023 Jan 21]. Available from: http:// theconversation.com/psychologists-arestarting-to-talk-publicly-about-their-ownmental-illnesses-and-patients-can-benefit177716 8. Brower KJ. Professional Stigma of Mental Health Issues: Physicians Are Both the Cause and Solution. Acad Med. 2021 May;96(5):635–40. Prof Nilamadhab Kar, MD, DPM, DNB, FRCPsych; Consultant Psychiatrist and College Tutor; Black Country Healthcare NHS Foundation Trust; Honorary Professor of Psychiatry, University of Wolverhampton, UK; Honorary Professor, Faculty of Contemplative and Behavioural Sciences, Sri Sri University, India

74th Annual National Conference of 34 Healing is an unfulfilled potential in the current healthcare system. Although illness is a ritual that necessitates the social support of natural networks and healers .The philosophy of medicine has become a vibrant and complex intellectual landscape. In pursuing the interdependent aims of caring and curing, medicine relies on concepts, theories, inferences and policies that are often complicated and controversial. Curing' implies a technical action that in some way prolongs the life of the patient or improves some physical problem. 'Caring' implies the holistic process whereby the patient feels comfortable by the treatment and relates more to 'quality' than to 'quantity' of life.That caring makes a difference to the patient's sense of well -being. Caring may occur without curing but curing cannot occur without caring. It is with the hope that we contribute to the cure or wellbeing of that patients. Most physicians consider 'curing' as the most important aspect of their task, partly because they are well trained in the matter.In view of the Hippocratic oath that physicians should act to preserve the life of their patients, this leads to the comfortable position where the optimal treatment is easy to choose. Regarding the 'social value' of the patients at hand, many would therefore advocate that the decision should be taken by the patient or close relative, after appropriate information on the different treatment options and their expected outcomes . A 'curing' approach can induce a feeling of being abandoned (nothing can be done) in the patient and a feeling of failure in the care giver. The 'caring' approach shifts the focus from 'quantity' to 'quality' of life. As quality of life is a subjective matter .The 'right of care' is a TO CURE TO CARE Dr. Alok Jyoti Sahoo Consultant Psychiatrist Bhubaneswar fundamental right of the patient and should be the main concern of the caregiving team .The available 'supportive measures' can comfort the patient .Once again, the knowledge that something can be done is of extremely important for the mental well-being of the patient.The more important and fundamental question is namely: what should be the ultimate goal of medicine and health care providers .The consideration of :not only curing, but also caring about patients who have put their trust with compassionate angle . Giving quality patient care can absolutely have an effect on health outcomes. It contributes to a more positive patient recovery experience and can improve the physical as well as the mental quality of life for people with chronic ailments .Caring behaviors are actions concerned with the well-being of a patient, such as sensitivity, comforting, attentive listening, honesty and nonjudgmental acceptance. Caring is strength, because it's the little things in life that often make all the difference to others. Caring allows an individual to connect with others, respecting human dignity and responding with compassion. Actively listening and being emotionally present, as well as providing support are important. Providing care can be rewarding in many ways: The satisfaction of knowing you have helped someone who needs you and that you have done the best you could to improve their quality of life. Where care comes First, So changing LIVES with caring HEARTS.

Indian Psychiatric Society 2023 35 We often try hard to get engaged in activities which enhance our mental and physical well being such as aerobic exercise, vegetarian diet, yoga etc. However, just after practising for a few days to weeks, we revert back to our old usual self and procrastinate. Have we ever pondered why is it so difficult to continue with these practices which, we know for sure, are beneficial to our overall well-being, both mental and physical? Our brain is always running on an auto pilot mode which makes our life efficient by helping us in carrying out most of our day to day activities without giving much attention and effort. This autopilot mode of our brain is carried out by a network of neurons known as the default mode network which connects medial prefrontal cortex, posterior cingulate cortex and angular gyrus. It is this network which resists any change to our daily routine making it difficult to engage in activities which are outside our usual schedule, ultimately leading to hesitation and procrastination. Therefore, if we want to strengthen our will power and want to engage in activities outside our routine schedule then we have to switch off this autopilot mode by deactivating the default mode network by activating its nemesis: the task positive network. The task positive network acts in an antagonistic manner to that of the default mode network. Task positive network or TPN involves such brain regions as dlPFC (dorsolateral prefrontal cortex), anterior cingulate cortex and insular cortex. This network is activated when we focus actively and attentively on an ongoing task. When the task positive network is active it keeps the activity of the default mode network at bay. Mindfulness meditation is such a practice which A KEY TO HAPPINESS: DEACTIVATING THE DMN WITH MINDFULNESS Dr. Rajesh Kumar Meher Assistant Professor, Department of Psychiatry, VIMSAR, Burla, Odisha has tremendous potential in activating the task positive network and thereby deactivating the DMN. Mindfulness The human mind is an avid wanderer. In fact, in a study by Matt Killingworth, it was found that when we are awake our mind spends 47% of its time in wandering and pondering. To activate the task positive network we must practise to focus on the present moment and stop our mind from wandering. However, it is not an easy task and requires regular practice. Mindfulness meditation is one such practice which has proven benefit in taming our wandering mind and bringing changes in our day to day life by enhancing our willpower and motivation. The technique of mindfulness While practising mindfulness, a person should sit comfortably in a quiet place and make himself attentive of some events occurring at present. Some techniques advise to focus the attention on the breath occurring naturally while others teach to focus on the bodily sensations from top to bottom (body scanning method). After some time, the mind inevitably starts wandering and the attention is shifted from the present. At the very moment when the person becomes aware that his mind has wandered away from the focused event he should simply reorient his mind to the present moment without giving any thought to it. As many times as the mind shifts its attention from the present, the practitioner must reorient his attention to the present moment whenever he becomes aware of it. With practice, he gradually develops the ability to focus on the present and

74th Annual National Conference of 36 also the ability to prevent his mind from wandering away. With practice, he can focus his attention on the present moment for longer and longer periods of time and also even at times when he is not even meditating. Mindfulness is not about blocking one's thoughts and causing the mind to go blank; this is just not possible at all (our mind can never go blank without any thoughts coming into it). Mindfulness is being aware of one's own thought (meta-thinking) and the ability to focus one's attention on the topic he or she wants to and the ability to prevent the mind from wandering away (it is as simple as this even if it needs regular practice to achieve). Changes in the brain with mindfulness meditation Mindfulness meditation teaches the brain to focus its attention on the present moment which activates the task positive network. With practice the neural connections within the TPN gradually strengthen and make it more and more active and robust. An active TPN overrides the default mode network. With a relatively deactivated DMN and a hyperactive TPN the person feels energetic most of the time with the ability to focus on a task for a prolonged period of time at will. Mindfulness and happiness Researchers have shown that a wandering mind is an unhappy mind. Most of the time while our mind is wandering, it is thinking about some negative events in the past even if it no longer has any bearing on the present moment or some imaginary untoward event in the future. These emotionally loaded memories make us feel guilty, anxious and unhappy. As soon as we start focusing on the present moment, our mind and body calm down and we feel more productive. Happy are those persons who live in the present forgetting about their past and are not being worried about the future. Bibliography 1. Andrews-Hanna JR. The brain's default network and its adaptive role in internal mentation. Neuroscientist. 2012 Jun;18(3):251-70. 2. Zhang W, Wang X, Feng T. Identifying the Neural Substrates of Procrastination: a Resting-State fMRI Study. Sci Rep. 2016 Sep 12;6:33203. 3. Boyatzis RE, Rochford K, Jack AI. Antagonistic neural networks underlying differentiated leadership roles. Front Hum Neurosci. 2014 Mar 4;8:114. 4. Cabeza R, Nyberg L. Imaging Cognition II: An empirical review of 275 PET and fMRI studies. Journal of Cognitive Neuroscience. 2000;12(1):1-47. 5. Berkovich-Ohana A, Glicksohn J, Goldstein A. Mindfulness-induced changes in gamma band activity - implications for the default mode network, self-reference and attention. Clin Neurophysiol. 2012 Apr;123(4):700-10.

Indian Psychiatric Society 2023 37 My most beautiful Psychiatry family of teachers in 1974, when I joined SCB Medical College, coming from Grant Medical College,Mumbai,was so joyous, comprising of greats like Dr Parth Rao, Dr Bimbadhar Das, Dr Sarojini Das, Dr Wodood, Dr Nibaran Mohanty, Dr Banalata Mohapatra and my good friends Dr GC Kar, Dr Baikuntho Mishra, Dr Achin Kumar Bardhan, Dr Sengupta, Dr Jyoti Mohapatra and joined later by Dr N M Rath and Dr Tofan Pati. I am happy to be associated with these greats and sad to miss many of them today ! Regards, Prof. Prakash Chandra Choudhury Odisha State Branch of IPS has a special place for me; as the bond runs deep, beyond the professional relationship, it’s more like an extended family. Members share the common language Odia and the culture, which is so relevant in clinical practice; along with many unique issues that is relevant to Odisha. It is a great feeling to remain rooted in IPSOSB. Dr. Nilamadhab Kar Consultant Psychiatrist and College Tutor Black Country Healthcare NHS Foundation Trust, UK MY IPSOSB Of late I decided to be a Psychiatrist. I was given the charge of Registration 1989 ANCIPS, Cuttack during my 1st year PG days. So very soon I was involved in IPS activities, also given the same charge in 1999 ANCIPS, Bhubaneswar. Things were different in those days, very painstaking, without any professional/technology developed as you all see nowadays, too difficult with less Delegates even. Later on I avoided taking any post of office bearer in IPSOSB but I was active in participating for society activities. Recently our IPSOSB was awarded as best State Branch. Personal conflicts may be there, let's be united and ignoring all those we will march ahead. Long Live IPSOSB. Dr. K.C. Nayak, MD(Psy) Cuttack.

74th Annual National Conference of 38 Odisha Psychiatric Society through the looking glass. Odisha Psychiatric Society is one of the most diverse professional societies I have encountered. To me, the society stands for unity in diversity, finds agreement within disagreements, and believes in collective decision making. Its’ an honor and privilege to be part of this society and contribute towards successful conduct of ANCIPS2023. Dr Suravi Patra Additional Professor Psychiatry AIIMS Bhubaneswar The time since I have joined this discipline following the footsteps of my mentor my life has been filled with new exciting experiences. I am learning everyday and IPSOSB has been a guiding light throughout. This society is a forum with an admixture of blessing and teachings from my elders, hard working colleagues keeping the name of the branch and all time enthusiastic juniors and trainees. IPSOSB has a good academic culture, scientific temper and cooperativeness. It provides opportunities to learn from seniors as well as juniors not only academic knowledge but also remarkable virtues and principles. The active cooperation among all members transpire an air of culture of academics, good work culture and brotherhood. I feel honored to be a part of this association. Dr. Biswa Ranjan Mishra Additional Professor of Psychiatry AIIMS, Bhubaneswar For me IPS OSB is an extended family having elders, contemporaries, and youngers. Mutual respect, love affection is there along with truancies also like in any family. l have been a part of this family since my post graduate days. OSB IPS taught me leadership, fellow feelings, togetherness and of course great academics. l feel happy and proud to be a part of it. Dr. Tanmaini Das

Indian Psychiatric Society 2023 39 My first interaction with IPOSB was in december 2021 when I attended the state conference at paradeep as a guest faculty from central institute of psychiatry. From then I absolutely fell in love with IPOSB and I am proud to be a part of IPOSB this year after moving to Odisha after 14 years because I think IPSOB is the absolute platform to quench my academic thirst in psychiatry. Dr Swayam Prava Baral Assistant Professor, Psychiatry, SJMCH, Puri The ever-changing scenarios all around the world, everywhere Has manifested an evolving landscape of mental health care! Information, education, communication – unraveling the myth! Telepsychiatry - bridging the gap! 24*7 helpline - saving from the death trap! Support of caregivers - herewith attached!! Dr. Antara Kunwar Final year post graduate trainee Dept of Psychiatry, IMS & SUM HOSPITAL, BHUBANESWAR. “Show me sane man, I will cure him for you.”—Carl Jung My journey with PSYCHIATRY started in year 2017 as a quote, when I was selected for PG trainee in Department of psychiatry at SCB MHI COE, Cuttack. After this I used to know about IPSOSB & started attending different academic meets like CME, workshops,conference and met with some extraordinary personalities at IPSOSB. During last 6 year I had gone through few ups and downs experiences related to IPSOSB. At many aspects I got very wonderful and inevitable life experience with IPSOSB but few jitterness also there. “IPSOSB is not destination but the process, It’s about how we do rather where we heading.” Dr Deepak Kumar Rout MBBS MD Psychiatry, SCB MCH, Cuttack I LOVE MY IPSOSB IPSOSB hamare Dil meinhain….. Strength of IPSOSB is each member, Strength of each member is IPSOSB. Bande Utkal Janani. Dr. Alok Jyoti Sahoo Consultant Psychiatrist Bhubaneswar

74th Annual National Conference of 40 IMAGING ODISHA Kalinga is a kingdom described in the Mahabharata. (Duryodhana married the daughter of Chitrangada, who was a Kalinga king) King Ashoka of Mauryan dynasty conquered Kalinga in the bloody Kalinga War in 261 BCE. The Kalinga War resulted in bloodshed and suffering near Daya river deeply affected King Ashoka. He turned into a pacifist and converted to Buddhism. The rich Maritime history of Kalinga started much before 800 BC. There is trading of the elements of their culture to the people of Indo-China and throughout Maritime Southeast Asia. "Hathigumpha" inscription of King Khravela at Udayagiri Hills near Bhubaneswar during 1st century BCE Khandagiri Caves carved out for Jain monks during the reign of King Kharavela.

Indian Psychiatric Society 2023 41 IMAGING ODISHA Khandagiri caves depicting figures of Jainism Mukteswar temple- Built during 966 CE by the Somavamshi king Yayati I built the temple at Bhubaneswar Barabati Fort is a 989 AD fort built by Marakata Keshari of Somavamshi (Keshari) dynasty in Cuttack Lingaraja temple - Largest temple in Bhubaneswar. Built by the kings from the Somavamsi dynasty in11th century CE. Jagannath Temple- Built by the Ganga dynasty king Anantavarman Chodaganga in the 12th century CE at Puri. World Famous Rath Yatra At Puri

74th Annual National Conference of 42 IMAGING ODISHA Konark Sun Temple-Built by King Narasimhadeva-I of the Eastern Ganga dynasty during 1250 CE Famous Konark Wheel is used in Government of India official symbol and in some currency notes of Indian rupees. In Odisha Buddhism flourished from the 6th century BC to 16th century AD. Diamond Triangle is a collection of three Buddhist sites of Ratnagiri, Udaygiri and Lalitgiri. Udayagiri is the largest Buddhist complex in Odisha Lalitgiri- Budhist complex of stupas, ‘esoteric’ Buddha images and monasteries Dhauli known for “Dhauli Santi Stupa”, a peace pagoda monument which witnesses the great Kalinga War built by Japan Budhha Sangha and Kalinga Nippon Budhha Sangha.

Indian Psychiatric Society 2023 43 IMAGING ODISHA “Paika Rebellion” of 1817 odisha considered as the country’s one of the “first war of Independence”. Puri famous tourist place for Shree Jagannath Temple and sea beach. World famous Tarakasi - the silver filigree work from Cuttack Famous Chandi medhas of Durga puja of Cuttack (the Millennium City) Famous Chilika Lake a brackish water lagoon, largest wintering ground for migratory birds on the Indian subcontinent Satapada famous tourist place for the Irrawaddy dolphins

74th Annual National Conference of 44 IMAGING ODISHA Endangered Olive Ridley turtles has the largest mass nesting site at Gahirmatha, Devi river mouth and Rushikulya Simlipal National Park a famous tiger reserve. Bhitarkanika National Park famous for saltwater crocodile. “Odissi dance” major ancient Indian classical dance that originated in the temples of Odisha “Pattachitra” a famous traditional cloth-based scroll painting of Odisha. “Chandua” of Pipili an unique fabric art design

Indian Psychiatric Society 2023 45 IMAGING ODISHA Historical records of the origin of the mouthwatering Odisha “Rasagola” dates back to at least 800 years. Odisha sets an exemplary way in the disaster management. World cup hockey 2023 held at the Kalinga Stadium in Bhubaneswar and at the 20,000 seat Birsa Munda International Hockey Stadium in Rourkela. Hirakud Dam is built across the Mahanadi River in Sambalpur is the longest earthen dam in the world.

74th Annual National Conference of 46 IMAGING ODISHA Daringbadi is a hill station in Kandhmal district of , Widely known as “Kashmir of Odisha” for its climatic similarity. The Khandadhar Falls of Odisha, is the 9th highest waterfall in India Odisha has the third highest percentage of tribal population in the country with a rich and colourful culture.

Indian Psychiatric Society 2023 47 IMAGING ODISHA “Sand art” of Odisha, a unique type of art form is developed at Puri. Now it spreads all over the world. Nandankanan is the first zoo in India with a white tiger safari Chhou dance of Odisha is a semi classical Indian dance with martial and folk traditions

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