Essays by Vivek Jayadeva, MD
Insights
Writing about psychiatry, psychotherapy, medication, and the conditions shaping how people think, feel, and live.
These essays examine clinical questions that do not always fit neatly into a diagnosis or a brief prescription encounter.
Editorial focus
Questions that deserve more time
Psychiatric symptoms rarely occur in isolation. Medication response, sleep, stress, relationships, physical health, technology use, and the demands of daily life may all affect what a person experiences and what treatment is likely to help.
The writing here explores those intersections without presenting a single prescribed way to live or reducing every difficulty to a medical diagnosis.
The purpose is to make psychiatric thinking more understandable while preserving the complexity of the person being considered.
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The Insights archive remains available as a professional and educational resource independent of current clinical availability.
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Writing archive
Essays and clinical reflections
Browse current writing from Sattva Psychiatry.
Practice availability: Sattva Psychiatry is not currently accepting new patients or maintaining a waiting list.
Educational use: These essays provide general information and do not constitute medical advice, establish a physician-patient relationship, or replace individual evaluation.
How Your Information Diet Shapes Attention and Mental Noise
The mind is shaped not only by what happens to it, but by what it repeatedly takes in. News, feeds, podcasts, conversations, alerts, clips, essays, arguments, and background noise each leave some trace. Over time, these inputs do more than fill attention. They begin to train it.
That is what makes an information diet worth thinking about. The issue is not simply how much information a person consumes, but what kind of mental environment that information creates. Fast, fragmented, emotionally charged input tends to train the mind toward scanning, reaction, and novelty-seeking. Slower, more coherent forms of input tend to support continuity, reflection, and depth.
The difference is not moral. It is cumulative.
This matters clinically because many people feel mentally crowded without fully recognizing how much that crowding is being reinforced by what they consume. A person may move through the day surrounded by urgency, argument, outrage, stimulation, and unresolved fragments, then wonder why their own thoughts feel noisy, impatient, or hard to organize.
The mind adapts to the conditions it is repeatedly asked to inhabit. A nervous system fed a steady diet of interruption and intensity may begin to expect interruption and intensity. A mind trained on fragments can become less practiced at staying with anything long enough for thought to deepen.
This does not mean avoiding the world or trying to curate a perfectly tranquil life. It means recognizing that attention has limits, and that repeated exposure changes what feels normal. If the day is filled with rapid shifts, emotional cues, open loops, and unresolved alerts, the mind may carry that same rhythm into work, relationships, rest, and sleep.
A careful psychiatric evaluation may be useful when attention problems, anxiety, irritability, rumination, sleep disruption, or mental fatigue become persistent and difficult to interpret. These symptoms can reflect ADHD, anxiety, depression, burnout, sleep problems, medication effects, substance use, workload strain, or the cumulative effects of chronic overstimulation. The right treatment depends on understanding the pattern clearly.
A practical starting point is to pick one part of your informational intake and make it slower for a week. Replace scrolling with one long-form article, background noise with silence, or reactive checking with a fixed time to read what actually matters. Notice not only whether you feel calmer, but whether you feel more able to think in sequence.
If your mind feels crowded, reactive, or hard to organize, it may be worth looking not only at what is happening internally, but also at what your attention is being repeatedly trained to expect.
“What you consume repeatedly becomes part of the atmosphere your mind learns to live in.”
References
- Firth J, Torous J, Stubbs B, et al. The “online brain”: How the Internet may be changing our cognition. World Psychiatry. 2019;18(2):119–129.
- Smallwood J, Schooler JW. The science of mind wandering: Empirically navigating the stream of consciousness. Annual Review of Psychology. 2015;66:487–518.
- Mark G, Gudith D, Klocke U. The cost of interrupted work: More speed and stress. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2008:107–110.
How Constant Availability Can Worsen Anxiety and Attention
Constant connectivity has a cost that is easy to miss because it rarely appears as a crisis. It more often shows up as thinning attention, shortened patience, shallower thought, and a nervous system that never fully stands down. Many people now live in a state of continuous low-grade readiness: always somewhat available, somewhat interrupted, and somewhat on call.
That is not just a cultural inconvenience. It can change the way the mind functions. When attention is repeatedly broken, continuity becomes harder to sustain. Thoughts stay shorter. Reflection is more easily replaced by reaction. The day may feel full without feeling coherent.
Over time, people may interpret this as a personal deficiency: poor discipline, weak focus, low motivation, or lack of self-control. Sometimes the better explanation is that the nervous system has adapted to chronic fragmentation.
This matters clinically because constant interruption can worsen anxiety, attention problems, irritability, sleep disruption, and emotional regulation. A person may rarely feel fully at rest, but also rarely feel fully engaged. The mind moves from cue to cue, demand to demand, message to message, without enough time for thought to deepen or emotion to settle.
The problem is not simply technology. It is the repeated training of attention toward interruption. A phone, inbox, or messaging platform does not only deliver information. It also creates a pattern of anticipatory readiness: the sense that something may need a response at any moment.
Connectivity also blurs an important distinction: the difference between contact and claim. A message may be only information, but it can feel like an immediate demand on attention, mood, and response time. Enough small demands accumulate, and the body begins to treat availability itself as a background obligation.
A careful psychiatric evaluation may be useful when distractibility, anxiety, irritability, insomnia, or mental fatigue become persistent and difficult to interpret. These symptoms can reflect ADHD, anxiety, depression, burnout, sleep disruption, medication effects, substance use, workload strain, or the cumulative effects of chronic interruption. The right treatment depends on understanding the pattern clearly.
Restoring steadiness does not require rejecting technology. It requires restoring conditions in which attention can gather itself again: fewer alerts, more monotasking, protected silence, clearer boundaries around response time, and more moments in which a signal can arrive without automatically becoming an obligation.
A practical starting point is to protect one 25-minute period each day in which nothing can reach you. No notifications, no parallel tabs, no checking between tasks. Treat it as training in mental continuity, not as a productivity trick. The point is to remember what your mind feels like when it is allowed to stay.
“What constant connectivity steals first is not time, but continuity.”
References
- Mark G, Gudith D, Klocke U. The cost of interrupted work: More speed and stress. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2008:107–110.
- Rosen LD, Carrier LM, Cheever NA. Facebook and texting made me do it: Media-induced task-switching while studying. Computers in Human Behavior. 2013;29(3):948–958.
- Kushlev K, Dunn EW. Checking email less frequently reduces stress. Computers in Human Behavior. 2015;43:220–228.

