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psychiatry arousal disorder nrem sleep sleep paraphilias sexual dysfunction sexual disorder respiratory infection acute respiratory tract arti dr jagmohan prajapati changes in mental health act new right based approach mental asylum erwadi fire accident mental health care act 1987 indian lunacy act mental health care act 2017 mental health organic brain syndrome icu psychosis confusion occupational delirium cerebral insufficiency encephalopathy oneroid twilight delirium mental health and psychiatry comorbidity tuberculosis defense defense mechanism somnambulism bruxism pavor nocturnus night terror mhca2017