RESUMO
Background: Online mental health treatment is an emerging, area and few professionals currently use the Internet to provide mental health services. At this time, mental health professions are lacking conclusive evidence about the effectiveness of these Internet services. The objective of the present study is to explore the nature and extent of online counselling in India.Methods: The study relies on data collected through semi-structured interview from e-Counsellors (n=15) and site admins (n=3) from India. The collected data were thematically coded and analyzed quantitatively.Results: Participants reported specific concerns and stereotypes related to the provision of mental health treatment online, including confidentiality of client information, liability issues, and limitations. Also, conveyed benefits of e-Counselling and suggestions for professionals for practicing on e-platforms.Conclusions: Participants reported specific concerns and stereotypes related to the provision of mental health treatment online, including confidentiality of client information, liability issues, and limitations. Also, conveyed benefits of e-Counselling and suggestions for professionals for practicing on e-platforms.
RESUMO
Mycophenolate mofetil (MMF) is a commonly used immunosuppressive drug in the management of transplant recipients. Gastrointestinal (GI) toxicity (diarrhea) is the most frequently reported adverse event in MMF-treated transplant patients. MMF-induced Graft versus Host Disease has rarely been reported in literature. We report a case of MMF-induced colitis with Graft versus Host Disease-like features, to highlight the importance of high clinical suspicion for its diagnosis, and that appropriate management in such a setting can reduce morbidity and mortality. We also review the relevant literature.