Critical Incident Stress Debriefing—CISD

posted Jul 18, 2017, 2:32 AM by Piyali Misquitta   [ updated Jul 18, 2017, 3:02 AM ]

Critical Incident Stress Debriefing—CISD

Piyali Misquitta, MA Clinical Psychology

CISD (Critical Incident Stress Debriefing) was conducted at the  office of a software company in Pune by Piyali Misquitta. A team of 15 members were present for the debriefing, including Lynette Nazareth (CGP) and a representative from the HR department. The session was planned in response to the unexpected death of a young team member three days before the session. 

The stress debrief began with an overview of basic guidelines which established the tone of the session, with an emphasis on confidentiality. Next, the facts of the incident were elicited from the team members, and most shared what they knew. This facilitated an understanding of the members who were most impacted by the incident, as well as clarifying the facts of the incident for everyone present at the session. 

Reactions to the incident were elicited from the group, focusing on the distressing thoughts, emotions, and physical sensations. The use of standardised scales for trauma and general health aided the discussion. The group then moved to the educational aspect of the session. The emphasis on this session was on validating the experiences of different people within the group, and acknowledging that distressing and unusual reactions are expected in highly stressful and unusual situations like present one. In addition, members were advised self-care and to prevent avoidance of anxiety-related events. A Quality of Life Scale helped identify areas in their life that needed attention. 

A report of the scores was handed to the members at the end of the session. Members with high distress levels were advised to seek personal counselling.

ADHD—Psychoeducation I/IV

posted Jul 5, 2017, 5:51 AM by Neville Misquitta   [ updated Jul 5, 2017, 5:57 AM ]

Presentation for Thursday (06-Jul-17)

Psychoeducation for ADHD

By Nishtha Buddhiraja, MSc Psychology

For parents of children that are diagnosed with ADHD.

Information about ADHD and coping with disorder. Management and support group information will also be provided. This is the first of four modules each an hour long. Sessions include activities and videos to make it easier to remember and apply knowledge about ADHD.

Psychoeducation is the process of providing knowledge, awareness and information to the individual who is suffering from mental illness and their immediate group of people. The immediate group of people often includes parents, teachers, caregivers, family, close relatives and friends. The aim of is to impart scientific knowledge over ancient and faulty theories. The basic purpose behind psychoeducation is to deal with problems associated with the illness and management of maladaptive behaviour in case of troublesome events. An overview of the possible treatment plans is also given with psychoeducation.

This module is specifically designed for parents of children that are diagnosed with ADHD. ADHD is a neuropsychiatric condition which is characterised by an inability to control behaviours like hyperactivity, impulsivity and inattention. Not only will the information be given about ADHD and coping with it, information on its management and support groups will be provided. The module is divided into 4 1-hour long sessions which include activities and videos to make it easier to remember and apply knowledge about ADHD.

Workshop on IQ

posted May 19, 2017, 12:21 AM by Neville Misquitta   [ updated May 19, 2017, 10:17 PM ]

IQ workshop dates, venue, faculty and contact number
Assessment of IQ Workshop for Psychologists

IQ Workshop for Psychologists

Registration is open for the IQ Workshop for Psychologists. This workshop will benefit psychologists who have just completed their masters degree and seek to gain practical experience in IQ testing and assessment.


Day 1     Sunday     04 Jun 2017     (9:00am to 5:00pm) 
Day 2    Sunday      11 Jun 2017      (9:00am to 5:00pm) 


Pathfinder Clinic
S-5 (2nd flr) Destination Centre 
Magarpatta City 
Pune - 411028

Registration Fee

Rs 2500
(includes tea and vegeterian  lunch on both days)


Ms Shalini Prakash 020-66069676


  1. Dr Neville Misquitta MD Psychiatry
  2. Dr Bharti Rajguru PhD Clinical Psychology
  3. Ms Piyali Misquitta MA Clinical Psychology

Work Style Assessment

posted Jul 20, 2015, 10:48 PM by Neville Misquitta   [ updated Jul 27, 2015, 7:13 PM ]

work style assessment

Work Style Assessment

What is work style?

Work style is a blend of special personality traits that pertain to the workplace. These traits include initiative, integrity, leadership, stress tolerance, analytical thinking, and interpersonal skills. Working style describes how you act as you carry out your work roles. Work is a domain in which personalities connect in many ways. When you describe people as being cooperative, or assertive, you are talking about their work styles.

How are work styles assessed?

Working style is assessed with a set of standard questions. Based on your answers a profile of your strengths is prepared. This profile is used to explore global career options. Your personality traits can then be matched to those of hundreds of jobs listed in the O*NET index. With this you can choose a job that uses all your unique strengths and abilities.

At Pathfinder Clinic working style assessment offers insight into five core areas of job performance and their related work style behaviours:

Performance Area
Work Style Behaviour

Achieving results (drive)

achievement, initiative, persuasiveness, confidence

Dealing with people (interpersonal skills) 

leadership, cooperation, concern for others, social orientation

Solving problems (problem solving skills) 

independence, innovation, analytical skills

Adjustment                (self management) 

self control, stress tolerance, adaptability

Responsibility       (work ethic) 

dependability, attention to detail, integrity, conscientiousness

Work styles in career planning

Understand reasons for dissatisfaction with your present job. Each of us has a distinct work personality. Personality predicts outcomes like job performance and job satisfaction. A mismatch between your work apporach and that required by the job can be a source of burnout and job dissatisfaction. Understanding why you are not happy in your present job will help you take corrective actions.
I joined the MNC of my dreams. Now I feel like a clerk. There is no room for ideas or initiative.
I don’t think I can succeed at sales work. The pressure and hustle make me very tense.

Identify alternate occupations based on your work approach. Career choice is an area in which work style assessment is essential.With work styles assessment you are then better able to spot occupations that are likely to be satisfying.
I’ve done my Engineering and need to pursue higher studies – should I go in for a PhD or an MBA?
I am stuck in this job since 10 years. I want a change. Do I have what it takes to succeed on my own?
My son is keen on forensic anthropology. The field is novel. Is he suited for it?
Employee selection to match 'soft-skill' requirements of the job. Managers who are hiring can define working styles they value in employees. From a pool of qualified job seekers they can make a final selection based on the extent to which they possess the required working styles. Matching employee work style with job requirements leads to top performance and job satisfaction.
I run a fitness centre. Four people are on the shortlist for my reception post. Which person would be my best choice?

Work styles assessment is a study of your work personality. It gives an insight into how you work with others, your mindset, and your work ethic. It will help you to think about how you act and respond to events in your workplace.

Assess Your Work Style Today

What Works for You?
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Call +91-20-66069676 for an appointment
10am-8pm Mon-Sat

Importance of Work

posted Jun 3, 2015, 5:48 AM by Neville Misquitta   [ updated Jun 3, 2015, 7:26 AM ]

importance of work
Work occupies a third of adult life

The Importance of Work

The importance of work is through its impact on three key aspects of life.
  1. We spend a third of adult life at work. Through work we add to our growth and well-being, and also that of our families and of society.
  2. Work provides the income and outputs for meeting the needs of life.
  3. Work has a positive impact on our mental, social, and physical health. It adds to to our confidence and personal self-esteem. Work gives us social status and a sense of social responsibility. Work keeps us mentally alert and physically active.
Carefully consider the work you choose with the help of a reliable aptitude test given this importance of work. Income is important but should not be the sole criteria for career choice. Income is just one of the reasons for which we need to work. If income is the only purpose of work, work becomes a chore, something to avoid or to finish in a hurry. There is no drive, no sense of achievement, no pride in doing the work well. Spending a third of one's adult life in work that is disliked adversely impacts psychological, social, and physical health and well-being. Burnout, absenteeism, employee attrition, depression and work-stress related disorders are the end products.

Career choices you make today decide who your friends will be, which area or city you will stay in, and even who you will marry. This adds to the importance of work and makes it essential to choose a career with consideration. However, even after decades of progress in aptitude testing we still believe that career decisions ‘just happen naturally’. Most young people take the path of least resistance. They follow family and friends or their peers at school. They have no exposure to real-world work. They have no idea what the work in a particular profession actually is. Unreal expectations lead to disappointment, frustration, absenteeism, or depression early in their careers. Career choices veer towards high prestige jobs –e.g doctors, engineers– while ignoring an aptitude for clerical or mechanical work.

When two people of equal intelligence, and undergo similar training, why does one master the knowledge or skill easily, while the other take longer to do so? This is because they differ in their aptitude for that particular work. A reliable aptitude test helps in career guidance. A blend of aptitude, interest, and training helps place the right person in the right job.

The work you do must exercise all your abilities to reap the benefits of a life well lived. You will be happier, stay motivated and last longer at work that uses your specific abilities, and that is suitable for your personality. You will be more willing and able to overcome the challenges that are part of any work. Success, promotions and income would then be likely to follow. A well designed and reliable aptitude test will help you choose a suitable career, and is essential given the importance of work.


  1. WHO. Global strategy on occupational health for all: The way to health at work. 11-14-Oct-1994. Accessed 10-May-2015.
  2. Stanford University News Service. How people choose 'career paths'. 28-May-1991. Accessed 02-Jun-2015.

Take an Aptitude Test Appointment

Find what works for you!
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What is aptitude testing?
aptitude testing information

3 essential life skills for teenagers

posted Nov 8, 2014, 2:52 AM by Neville Misquitta   [ updated Nov 24, 2014, 6:55 PM ]

life skills for teenagers
Parenting can inculcate life skills in teenagers and ease transition to adulthood

Life skills are abilities that promote mental well-being and competence in teenagers and young people as they face the realities of life. They enable the teen to make rational decisions in problem solving, communicate effectively and manage their emotions and behaviours so as to participate constructively in society.

Ajay’s parents are distraught as their intelligent teen has four backlogs in college. He may not be allowed to appear in his third semester exam for poor attendance. His parents had anxiously provided him every external support at home so he could focus just on studies for his board exams. They did not foresee how their efforts to manage, support, and fix Ajay’s problems were preventing their teen from mastering the life skills he would need to be effective as a teenager in college and as an adult in later life.

Life skills for teenagers

  1. Critical thinking and decision making – the analytical skills for problem solving. This includes the ability to gather information, evaluate consequences of actions, and define alternate solutions.
  2. Interpersonal skills and communication – includes verbal and non-verbal communication, and the ability to manage conflict. Interpersonal skills are a key requirement for teamwork. These skills are the foundation for adult social behaviour.
  3. Coping and self-management skills are essential for a sense of self-control, self-awareness and goal setting. The ability to handle loss, anxiety and frustration depends on these skills. Stress and time management are key abilities in this component.

Responsible parents foster an environment of independence by introducing the concept of daily chores from childhood. Many bright teenagers have difficulties when they enter college without adequate coping and self-management life skills. Gradually handing over tasks such as getting up on their own in the morning, scheduling activities, and doing the laundry lay the foundation for work-life balance in adulthood. Guiding their teenager in his efforts at working through the daily chores while demanding focus on his studies, provides parents with opportunities to teach and learn problem solving, interpersonal communication and coping life skills that are essential for independent living in society.


  1. Economic and Social Commission for Asia and the Pacific. Life Skills Training Guide for Young People. United Nations. 2003 (Accessed 08-Nov-2014)
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10am-8pm Mon-Sat

Mental Health Awareness Week – MHAW

posted Oct 22, 2014, 3:51 AM by Neville Misquitta   [ updated Mar 27, 2015, 7:00 AM ]

Dr Neville Misquitta, Mental Health Awareness Week (MHAW)
Dr Neville Misquitta at MHAW, Mumbai

Mental Health Awareness Week at Carter Road, Mumbai was hosted in a public park without barriers to any citizen who happened to be on that stretch of Mumbai over those two days. Mental health conferences and events are mostly attended by mental health professionals, and occasionally by caregivers – indirectly affected by mental health problems of their loved ones. At the MHAW event a subset of people, who might never have considered mental health even as a concept, were made aware.

Mental health awareness and stigma

One in ten children has a mental illness that impairs academic performance. However, few are recognised and fewer receive treatment. The World Health Organization indicates that psychiatric disorders will be one of the five most common illnesses among children by 2020. 

My talk on Mental Health and Academic Performance in Children highlighted the mental health problems that impact the future livelihood of these children through adverse career outcomes. Teachers and students were concerned with the modalities of dealing with ADHD, learning disorders, cannabis use, and other disorders of children and adolescents. 

Educating the public about mental health and mental illness in children is a key concern. Mental Health Awareness Week is a major opportunity for promoting child and adolescent mental health and for mitigating the risk factors of mental illness.

Mental Health Awareness Week is held in the first full week of October every year since 1990. It coincides with World Mental Health Day on 10th October. The stigma of mental illness is a major barrier to seeking treatment. 

Stigma is of three types:
  1. Public stigma - the harmful effects of prejudice and discrimination by the general population
  2. Self-stigma - the harmful effects of prejudice which people with mental illness turn against themselves
  3. Label avoidance - avoiding stigma by not seeking mental health services from which labels or diagnosis are obtained. 

Challenging mental illness stigma is essential for helping individuals to attain recovery. Mental Health Awareness Week programs seek to erase public stigma and label avoidance through education, and contact.


  1. US Department of Health and Human Services; US Department of Education; US Department of Justice. Report of the Surgeon General's Conference on Children's Mental Health: A National Action Agenda. Washington (DC): US Department of Health and Human Services; 2000.
  2. Patrick W Corrigan and Amy C Watson. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002 February; 1(1): 16–20.
  3. Patrick Corrigan. A toolkit for evaluating programs meant to erase the stigma of mental illness (Revised). Illinois institute of Technology. 2012
  4. Corrigan, Patrick W, and Abigail Wassel. Understanding and influencing the stigma of mental illness. Journal of psychosocial nursing and mental health services 46.1 (2008): 42-48.

Take an Appointment



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Changing addiction behaviour

posted May 1, 2014, 10:27 PM by Neville Misquitta   [ updated May 2, 2014, 12:10 AM ]

stages of change in addiction behaviour modification
Where are you on the spiral of change?

Stages of Change

Modification of addictive behaviours involves progression through five stages - precontemplation, contemplation, preparation, action, and maintenance. Individuals cycle through these stages many times before termination of the addiction. Most people move through the stages of change in a spiral pattern. During relapse individuals regress to an earlier stage of drug use.

There is no intention to change behaviour in the near future. Resistance to recognising or modifying a problem is the hallmark of precontemplation.
“As far as I’m concerned, I don’t have problems that need changing” 

The individual is aware that a problem exists and is seriously thinking of overcoming it. The drug dependent person weighs the pros and cons of modifying addiction behaviour. There is no commitment to action and the drug dependent person can remain stuck in this stage for a long time. 
 “I have a problem and I really think I should work on it.”

Individuals who are prepared for action report small behavioural changes such as reduction in the quantity or frequency of drug use. There are reductions in their drug using behaviours. 
 “I will reduce consumption gradually”

In this stage individuals manage to remain abstinent from drug use for some period of time. There is considerable commitment of time and energy in the effort to change. 
“I am really working hard to change”

The individual works to prevent relapse and consolidate gains attained during action. Stabilising behaviour change and avoiding relapse are the hallmarks of maintenance. 
“I want to stop myself from a relapse of my problem”


Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102-14.

Consult with our expert

Dr Neville Misquitta
MD Psychiatry 


or Call +91-20-66069676
10am-8pm Mon-Sat

Autism Awareness Materials

posted Apr 3, 2014, 4:10 AM by Neville Misquitta   [ updated May 2, 2017, 12:44 AM ]

autism awareness month
Drawing by a child with autism

April 2nd is World Autism Awareness Day. To highlight the growing need for awareness about autism, a wide spectrum of complex disorders of brain development, the month of April is recognized as a special opportunity to educate the public.

World Autism Awareness Materials

Please feel free to use, reprint and distribute any of the following materials for promotional and educational purposes. However, the content may not be altered without written consent. If you have any questions about fair use or suggestions for future materials, please contact Autism Speaks

World Autism Awareness Day Logo:

.eps format (702kb) | .jpg format (56kb) 

World Autism Awareness Day UN Resolution (.pdf format):
| English |

About Autism Brochure (.pdf format):
| English

Talking to Parents About Autism Action Toolkit:
| English | Developmental Milestone Maps|

Today, 1 in 110 children are diagnosed with autism. As a parent or early childhood educator, you may be the first to notice when a child is not meeting typical developmental milestones. When this happens, you need to approach a child psychiatrist or developmental paediatrician or talk to the parents and urge them to have their child screened. The Talking to Parents About Autism Action Kit contains the tools you need to initiate this critical dialogue. Having this conversation with parents can make all the difference in a child's life!

100 Day Kit

The Autism Speaks 100 Day Kit and the Asperger Syndrome and High Functioning Autism Tool Kit were created specifically for newly diagnosed families to make the best possible use of the 100 days following their child's diagnosis of autism or AS/HFA. Anyone can download the 100 Day Kit for free! To view more of Autism Speaks Family Services Tool Kits, visit:

Learn about the Autism Speaks Global Autism Public Health (GAPH) Initiative - read more here. Overview available in here.

How to teach … autism awareness

To mark World Autism Awareness Day, use these lesson resources and teaching tips to help teachers ensure all students understand the disorder and support those directly affected    

Consult our Experts

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Dr Neville Misquitta, MD Psychiatry Child Psychiatrist

or Call +91-20-66069676
10am-8pm Mon-Sat

ADHD and absenteeism

posted Oct 23, 2012, 8:39 PM by Neville Misquitta   [ updated May 25, 2016, 9:13 PM ]


ADHD, Emotions, and Absenteeism

ADHD is associated with increased absenteeism in children. Absenteeism varies with the type and intensity of emotional problems experienced by children with ADHD. Many children with ADHD are scapegoats for any incident in the class or at home which compounds their emotional problems. A thorough evaluation often reveals these children have emotional disorders like depression and  anxiety. Depression occurs in 12-50% of children with ADHD, and anxiety disorder in upto 33% of these children. ADHD, depression and anxiety lead to poor academic performance. Poor academic performance is a common reason why children are referred to us by the school counselor or parents.

Poor academic performance in ADHD is now shown to be associated with increased primary care doctor visits and emergency room vists as compared to typical children. Children with ADHD are prone to injuries through their inattention and impulsivity. Associated emotional problems delay help seeking. Injuries and neglect result in increased doctor and emergency care visits. These visits contribute to increased school absenteeism. This combination of ADHD, emotional problems and absenteeism is associated with poor academic performance.

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Treatment for ADHD in children can improve academic performance when it addresses the associated emotional problems, and not just the behaviours.

Classi P, Milton D, Ward S, Sarsour K, Johnston J. Social and emotional difficulties in children with ADHD and the impact on school attendance and healthcare utilization. Child and Adolescent Psychiatry and Mental Health 2012, 6:33 (4 October 2012)

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