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Background: Stress has been an unavoidable reality of resident's life. Postgraduates face numerous stressors in their medical training. Stress may indirectly lead to medical errors which negatively impact the quality of patient care. However, the severity varies among individuals. Here, we present a study where we looked into the levels of stress among postgraduate junior residents of Coastal Karnataka and its association with various sociodemographic and clinical variables. Materials and Methods: This cross-sectional study conducted among postgraduate residents of various departments of seven medical colleges of Coastal Karnataka involved 236 participants. Ethical clearance was obtained from the institutional ethical committee. The sociodemographic and clinical variables of participants were collected using an online questionnaire. Assessment of stress level was done using Perceived Stress Scale. Results: The study indicated statistically significant increase in stress level among females compared to males (P = 0.009). The year of postgraduation, number of years taken to join postgraduation, and subject of postgraduation did not make any significant difference in the level of stress. However, most of the postgraduates had moderate stress scale scores. Conclusion: Postgraduation is indeed a time of incredible stress to all the residents. Our study was also able to indicate the same. There is a need to provide psychological support during their training.

Stevens-Johnson syndrome is a severe immune-mediated cutaneous reaction occurring due to exposure to certain drugs. Lamotrigine is an FDA approved drug used in the treatment of bipolar depression. When it is given concomitantly with sodium valproate, the risk of developing Stevens-Johnson syndrome increases. Here we present the report of a patient with bipolar depression who developed serious skin rashes while on lamotrigine and NSAID prescribed by a local doctor, who recovered after timely management. This case highlights the importance of following proper dosing, drug escalation regimen and managing drug interactions during lamotrigine therapy.

Psychiatric rehabilitation is a therapeutic approach in the management of mental illness which encourages people to recover from the illness and achieve their fullest potential through learning and environmental support. The method involves adapting the patient to his environment or modifies the environment to meet the patient's needs. The concept of psychiatric rehabilitation has a long history in India. In its difficult journey from colonial ages to post independence it has come across many hurdles. With the hard work of few pioneers, institutes and government reforms we have reached a significant stage today. We will discuss psychiatric rehabilitation from the Vedic period, ancient India, British rule, post-independence to the current status. Also covering the laws related to the field, achievements, people and Institutions involved. People say past is where we learn lesson and future is where we apply them. After this long fascinating journey through development of psychiatric rehabilitation in India, we can find that the development in this field is still inadequate. With multiple deficiencies in funding, infrastructure and work force this unique multidisciplinary field has a long way to go in this country..