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 writing remains available while scheduling is paused
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.
Why Multitasking Can Worsen Attention and Mental Fatigue
Multitasking feels efficient because it creates the sensation of movement. Messages get answered, tabs stay open, small items get touched, and the day appears full. What often goes unnoticed is that this kind of fullness can come at the cost of continuity.
The mind is usually not doing many things well at once. It is repeatedly leaving one task before it has fully become organized thought.
Most so-called multitasking is really rapid task-switching, and switching has a cost. Each shift requires the mind to disengage, reorient, recover context, and rebuild working memory around a new target. Those costs may seem small in isolation, but repeated often enough, they can shape the quality of the whole day: thinner concentration, more mental fatigue, more irritability, and more unfinished cognitive residue.
This matters clinically because the problem is not only reduced productivity. Repeated fragmentation can affect the texture of experience itself. A person who lives in constant switching may lose the feeling of sequence. Thoughts stay shorter. Emotions become easier to react from and harder to reflect on. Even rest may become less restorative because the mind has been trained toward interruption so often that it struggles to remain with one thing long enough to settle.
This is one reason many people feel mentally crowded even when they are not doing objectively extreme amounts of work. The crowding comes not only from workload, but from the number of open loops. Attention gets divided into partial starts, partial returns, and partial completions. Life becomes full of re-entry costs.
A careful psychiatric evaluation may be useful when distractibility, mental fatigue, irritability, avoidance, or difficulty completing tasks become persistent and hard to explain. These symptoms can reflect ADHD, anxiety, depression, sleep disruption, burnout, medication effects, workload strain, or the cumulative effects of chronic interruption. The right treatment depends on understanding which pattern is actually present.
The answer is not perfection or rigidity. It is to rebuild conditions under which continuity becomes possible again: fewer open channels, fewer parallel demands, more monotasking, more deliberate batching, and more protected time for deeper work. The mind generally works better when it is allowed to arrive somewhere before being asked to leave again.
A practical starting point is to pick one recurring part of the day and protect it from switching. One task, one window, one purpose, for a set period of time. The goal is not maximum output. It is to retrain the mind’s ability to stay.
“What multitasking erodes first is not efficiency, but continuity.”
References
- Monsell S. Task switching. Trends in Cognitive Sciences. 2003;7(3):134–140.
- Leroy S. Why is it so hard to do my work? The challenge of attention residue when switching between work tasks. Organizational Behavior and Human Decision Processes. 2009;109(2):168–181.
- Miller EK, Buschman TJ. Cortical circuits for the control of attention. Current Opinion in Neurobiology. 2013;23(2):216–222.

