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Be smarter than your smart phone

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Marking the World Mental Health Day which fell on October 10, we spoke to Dr. Mahesh Rajasuriya, Consultant Psychiatrist, National Hospital of Sri Lanka and the Senior Lecturer from the Department of Psychiatry, Faculty of Medicine, University of Colombo who warns that “all frills of digital devices including smart phones come at a huge cost,” impacting our overall mental health and well being.

by Randima Attygalle

The smart phone has come to stay with us and there is no escape. From communicating with people to reading your daily newspaper, the smart phone has become indispensable. More than a mobile phone, it is now a movie theatre, a TV, a radio, a camera, an alarm clock, a diary, a notebook, a flashlight, a navigator, a health checker, a banker, grocer and so much more! It has become the first thing we check in the morning and the last thing before we go to sleep. While leaving home without the phone makes one ‘lost’ for the rest of the day, losing it is a nightmare.

While addiction to our smart phone or other digital devices such as tabs or computers (with access to the internet) is yet to be classified as a ‘mental disorder’, the negative impact of their overuse on our overall health and well being cannot be underpinned says, Dr. Mahesh Rajasuriya, Consultant Psychiatrist, National Hospital of Sri Lanka and the Senior Lecturer of the Department of Psychiatry, Faculty of Medicine, University of Colombo.

“Drunk driving could crash your car and kill another pedestrian and leave you disabled for the rest of your life. But one need not necessary be an alcohol addict to be in this predicament. It is the same with device or screen addiction. There need not be an underlying pathological condition for us to understand the seriousness of addiction to these devices. Your family and work life, education, social connections and even sex life would all be at stake,” says Dr. Rajasuriya.

A mental disorder is diagnosed on acceptable diagnostic guidelines. There are two such internationally renowned guidelines: The International Classification of Diseases (ICD 10, ICD 11) by the World Health Organization (WHO) and Diagnostic and Statistical Manual of Mental Disorders (DSM 5) by the American Psychiatric Association. None of these guidelines still recognize a ‘disorder’ for addiction to screens or electronic devices, yet it recognized internet ‘gaming disorder’ in the section recommending conditions for further research, along with caffeine use disorder and other conditions.

In a move that addresses concerns about the public health implications of excessive use of electronic devices, WHO has included gaming disorder in the 11th Revision of the International Classification of Diseases (ICD-11) which is to come into effect on January 1, 2022. Accordingly, Gaming disorder is defined ‘as a pattern of gaming behavior (“digital-gaming” or “video-gaming”) characterized by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences.’ According to the WHO, for gaming disorder to be diagnosed, the behaviour pattern must be of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months.

However Dr. Rajasuriya explains that not all people who engage in gaming will develop a gaming disorder. “Studies have shown that gaming disorder only affects a small proportion of people who engage in digital/video-gaming activities.” Evidence-based research findings are yet to emerge on the pathological use of digital devices, yet the obvious harms such excess use can inflict on the user and his family and loved ones which are larger than pathological conditions, cannot be overlooked he says. “It is no rocket science,” reflects the psychiatrist who goes on to say that if the use of digital devices entail any concerns for you, your children and others, certain interventions are necessary. These would include neglect of daily chores, drop in academic performance, strains on family life and cyber/online harassment including sexual harassment.

The physical and mental health cost of device abuse is enormous. An increase in energy intake, sleep disorders, daytime tiredness, the displacement of time available for physical activity and reduction, poor attention and lack of concentration in metabolic rate are among the latest research findings related to physical health impact. Irritability, low mood, impaired cognitive and socio-emotional development and poor educational performance are among the mental health consequences of excessive device dependency. In case of ‘developing minds’, this could be worse, resulting in low IQ levels and poor interpersonal skills in children.

Citing the Screen time Guidelines by the American Association of Paediatrics, Dr. Rajasuriya says that for toddlers under 18 months, no screen time is permitted unless it is to connect with a loved one such as ‘video chatting with grandma.’ While little screen time of ‘high-quality educational content’ is permitted for toddlers between 18 months and two years, according to each age groups up to 13 years, the Guidelines offer advice for parents and care givers.

While letters, post cards and aerogrammes could be ‘ancient communication regalia’ for the present youth, forging a life banishing the latest technological devices would only be unreal. Hence, empowering them to be the master of their smart phone without becoming a slave to it is the way forward, points out Dr. Rajasuriya. “We need to accept that youngsters spend a considerable time on their smart phones, connecting with the world and people. Today WhatsApp groups are popular which could collectively link many people instantly- both students and adults. The instant communication these enable is beneficial, especially in an emergency situation. The COVID pandemic situation further validated the benefits of the digital world.”

In case of social media, while it enables enhanced connectivity, it could also be an intrusion on privacy, calling for ‘smart’ navigation of it. Cyber bullying, online sexual harassment and even digital crimes are rampant today. ‘The projected reality’ created by many digital platforms could lure their users, especially the youngsters, notes Dr. Rajasuriya. “The online social connections foster a false sense of enrichment although in reality the brain is negatively stimulated by them. Such experiences are not deepening or rewarding.”

Identifying early markers of ‘digital device’ addiction could help mitigate its long term cost. “If you or your adolescent child use social media, yet forge real-life social connections with no phobia, socially interact with the extended family, peers and colleagues at the workplace, it does not become a concern, yet if the only social connections are those made on social media, then it becomes a serious concern,” warns the psychiatrist. Inter personal skills, negotiation skills, problem solving, mentoring and even intimacy are all essential elements of human development which could never be replaced by social media, he adds.

Introverts and those with social anxiety find social media and other digital devices as a means of escaping from the reality. “As a result their behaviour doesn’t get corrected but enhanced. In case of depressed people, no real life friend would be there to identify early markers and intervene, the repercussions of which could sometimes be fatal. While some of these introverted people including adolescents may harbour a false sense of achievement and self-esteem in the digital world, in the real world, they would be socially handicapped.” Excessive dependency on these media could even trigger conditions such as depression as a result of an exhausted brain and lack of coping strategies says the Consultant.



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Rediscovery of Strobilanthes pentandra after 48 years

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Strobilanthes pentandra, one of Sri Lanka’s most elusive endemic flowering plants

A Flower Returns From Silence:

Nearly half a century after it slipped into botanical silence, a ghost flower of Sri Lanka’s misty highlands has returned—quietly, improbably, and beautifully—from the folds of the Knuckles mountain range.

In a discovery that blends patience, intuition and sheer field grit, Strobilanthes pentandra, one of Sri Lanka’s most elusive endemic flowering plants, has been rediscovered after 48 years with no confirmed records of its existence in the wild. For decades, it lived only as a name, a drawing, and a herbarium sheet. Until now.

This rare nelu species was first introduced to science in 1995 by renowned botanist J. R. I. Wood, based solely on a specimen collected in 1978 by Kostermans from the Lebnon Estate area. Remarkably, Wood himself had never seen the plant alive. The scientific illustration that accompanied its description was drawn entirely from dried herbarium material—an act of scholarly faith in a plant already vanishing from memory.

Renuka

From then on, Strobilanthes pentandra faded into obscurity. For 47 long years, there were no sightings, no photographs, no field notes. By the time Sri Lanka’s 2020 National Red List was compiled, the species had been classified as Critically Endangered, feared by many to be lost, if not extinct.

The turning point came not from a planned expedition, but from curiosity.

In October 2025, Induwara Sachinthana, a fourth-year medical student at the University of Peradeniya with a sharp eye for plants, stumbled upon an unfamiliar flowering shrub while trekking in the Knuckles region.

Sensing its importance, he photographed the plant and sent the images for verification, asking a simple but crucial question: Could this be the recently described Strobilanthes sripadensis, discovered from the Sri Pada sanctuary in 2022?

At first glance, the resemblance was striking. But something didn’t quite add up.

Based on the location, morphology, and subtle floral traits, the initial response was cautious: it was neither S. sripadensis nor S. pentandra—or perhaps something entirely new. Yet, as the pieces slowly aligned, and as the habitat details became clearer, the possibility grew stronger: this long-lost species had quietly persisted in the rugged heart of Knuckles.

Strobilanthes pentandra

The confirmation followed through collaborative expertise. Leading Strobilanthes specialist Dr. Renuka Nilanthi Rajapakse, together with Dr. Himesh Dilruwan Jayasinghe and other researchers, carefully examined the evidence. After detailed comparison with historical descriptions and herbarium material, the verdict was clear and electrifying: this was indeed Strobilanthes pentandra.

What followed was not easy.

A challenging hike through unforgiving terrain led to the first live confirmation of the species in nearly five decades. Fresh specimens were documented and collected, breathing life into what had long been a botanical myth.

Adding further weight to the rediscovery, naturalist Aruna Wijenayaka and others subsequently recorded the same species from several additional locations within the Knuckles landscape.

The full scientific credit for this rediscovery rightfully belongs to Induwara Sachinthana, whose curiosity set the chain in motion, and to the dedicated field teams that followed through with persistence and precision.

Interestingly, the journey also resolved an important taxonomic question. Strobilanthes pentandra bears a strong resemblance to Strobilanthes sripadensis, raising early doubts about whether the Sri Pada species might have been misidentified.

Detailed analysis now confirms they are distinct species, each possessing unique diagnostic characters that separate them from each other—and from all other known nelu species in Sri Lanka. That said, as with all living systems, future taxonomic revisions remain possible. Nature, after all, is never finished telling her story.

Although the research paper is yet to be formally published, the team decided to share the news sooner than planned. With many hikers and locals already encountering the plant in Knuckles, its existence was no longer a secret. Transparency, in this case, serves conservation better than silence.

This rediscovery is more than a scientific milestone. It is a reminder of how much remains unseen in Sri Lanka’s biodiversity hotspots—and how easily such treasures can vanish without notice. It also highlights the power of collaboration across generations, disciplines and institutions.

Researchers thanked the Department of Wildlife Conservation and the Forest Department for granting research permissions, and to the many individuals who supported fieldwork in visible and invisible ways.

After 48 years in the shadows, Strobilanthes pentandra has stepped back into the light—fragile, rare, and reminding us that extinction is not always the final chapter.

Sometimes, nature waits.

By Ifham Nizam ✍️

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Desire to connection. understanding sexual health in modern relationships

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Desire to connection. understanding sexual health in modern relationships

A conversation about intimacy, belonging and relationships with Dr Yasuni Manikkage

In an age where relationships are shaped as much by emotional awareness as by digital connection, conversations about sexual health are finally stepping out of the shadows.

As Dr. Yasuni Manikkage explains, sexual health is not just a medical issue but a lived experience woven through communication, consent, mental wellbeing and self-respect. Many couples share a home, a bed, even children, yet still feel like “Roommates with responsibilities” rather than lovers, which often signal a lack of emotional safety rather than a lack of physical contact. When desire shifts, they may panic, blame themselves or fear the relationship is dying, instead of recognising that changes in desire are common, understandable, and often transformable with knowledge, honest dialogue, and small daily acts of connection.

Q: Why did you decide to talk about sexual desire and connection now?

A: Because so many couples quietly suffer here. They love each other, share a home, raise children, but feel like “roommates with responsibilities” rather than lovers. They rarely talk about sex openly, so when desire changes, they panic, blame themselves, or assume the relationship is dying. I want people to know shifts in desire are common, understandable, and often treatable with knowledge, communication, and small daily changes.

Q: You say there is an “education gap” in sexual health. What do you mean by that?

A: Most women have never been properly taught about their own sexual anatomy, especially where and how they feel pleasure. Many men, on the other hand, have been left to “figure it out” from pornography, jokes, and guesswork. That’s a terrible training manual for real bodies and real emotions. This gap affects how easily women reach orgasm, how safe they feel in bed, and how satisfied both partners feel in the relationship.

Q: We hear about the “orgasm gap.” Is it really not biological?

A: There are biological factors, yes, but the main gap we see between men’s and women’s orgasm rates in heterosexual relationships comes from communication, knowledge, and what I call “pleasure equity.” In many bedrooms, the script is focused on penetration, speed, and the man’s climax. Women’s pleasure is often treated as optional or “extra.” When couples learn anatomy, slow down, focus on both bodies, and talk about what feels good, that gap narrows dramatically.

Q: Most people think desire should be spontaneous. Is that a myth?

A: It’s one of the biggest myths. Movies show desire as a spark that appears out of nowhere: one glance across the room and suddenly you’re tearing each other’s clothes off. That kind of spontaneous desire does happen, especially early in a relationship. But for many people, especially women, desire is often “responsive”. That means they start feeling desire after some warmth, touch, emotional closeness, or stimulation, not before.

So, if you’re waiting to “feel like it” before you touch or connect, you may wait a very long time. For many, desire comes “after” they start, not before.

Q: How would you scientifically describe sexual desire?

A: Desire is not just a physical urge. It’s a blend of attraction to your partner’s body and personality, emotional connection and feeling cared for, a sense of self-expansion or growth, learning, feeling alive with them, trust and safety, both emotionally and physically. It’s contextual: it changes with stress, health, life stages, and relationship quality. It’s relational: it lives between two nervous systems, not just in one body. And for many, it’s responsive: you get in the mood “after” a hug, a joke, a shower together, not randomly at 3 p.m. on a Tuesday.

Q: You mentioned an “updated sexual response cycle.” What does that look like in real life?

A: Older models suggested a straight line: desire, arousal, orgasm and resolution. That’s tidy, but human beings are messy and complex. Modern understanding is more like a circle or loop. You can enter the cycle at different points: maybe you start with touch, or a feeling of closeness, or even just a decision to connect. Desire doesn’t always come first; sometimes it shows up halfway through.

For example, you may feel tired and not “in the mood,” but you agree to cuddle and share some gentle touch. As you relax and feel appreciated, arousal builds, and then desire appears. That’s normal, not fake.

Q: Are there real gender differences in how desire works?

A: There are common patterns, though individuals vary a lot. Many women tend to enter through emotional intimacy: feeling heard, understood, and safe. Physical touch then wakes up arousal, and desire follows.

Many men more often start with physical attraction or arousal. They may feel desire quickly in response to visual or physical cues, and emotional intimacy can deepen later.

Both patterns are healthy and normal. The problem starts when each partner assumes the other should work exactly like them, and if they don’t, they must be “cold” “needy” or “broken.” Understanding these differences turns conflict into curiosity.

Q: How does desire change as a relationship ages?

A: Think of three broad stages.

stage 1 – Early Attraction (0-6 months): High novelty, strong chemistry, lots of dopamine. You’re discovering each other; desire often feels effortless. stage 2 – Deepening Intimacy (6 months-2 years): You know each other better. The high settles. Desire becomes more linked to emotional closeness. Frequency may drop, and that is “normal”.

stage 3 – Maintenance and Maturity (2-10+ years): Life arrives -work, kids, money, health. Desire usually doesn’t feel automatic. It needs conscious attention, novelty, and emotional safety.

A common mistake is comparing stage 3 desire to Stage 1 and assuming, “we’ve failed.” Actually, you’ve just moved into a different phase that requires new skills.

Q: What are some main things that influence desire?

A:We can think in three layers.

Biological: hormones (testosterone, estrogen), brain chemicals (dopamine, serotonin), medical conditions like diabetes, heart disease, cancer, chronic pain, sleep problems, menopause, and genital issues such as vaginal dryness or pelvic floor pain.

Psychological: negative early sexual experiences, trauma or abuse, body image concerns, low self-esteem, anxiety, depression, and certain mental health conditions.

Relational and social: how safe and respected you feel, attachment style, quality of communication, power imbalances, work and financial stress, caregiving burdens, privacy, and cultural messages that centre on penetration over pleasure. Desire is never “just in your head” or “just in your hormones” – it’s all three interacting.

Q: What tends to kill desire in long-term relationships?

A: Several patterns show up again and again:

Resentment and unresolved conflict – small hurts that never get repaired.

Lack of emotional safety – fear of being judged, rejected, or punished for being vulnerable.

Poor communication – avoiding difficult topics, sarcasm instead of honesty.

Body image shame – feeling unattractive, “too old,” “too fat,” or “not enough.”

Power imbalance -one partner controlling decisions, money, or sex.

Sexual guilt or religious shame messages that sex is dirty, selfish, or only for reproduction.

Stress, burnout, depression -when your nervous system is in survival mode, it doesn’t prioritise pleasure.

You can’t expect desire to flourish in an environment that feels unsafe, unfair, or constantly tense.

Q: And what actually builds desire?

A: Desire thrives in a combination of safety and aliveness.

Emotional intimacy: feeling seen, heard, and valued.

Nervous system calm: your body is relaxed enough to feel pleasure, not just guard against danger.

Open communication: you can talk about wants, limits, and fantasies without mocking or shutting each other down.

Continued growth: doing new things together, seeing new sides of each other, evolving as a team.

I often say: stagnation is desire’s enemy; growth is its ally. Even small adventures -trying a new cafe, dancing in the living room, travelling a different route-can reawaken curiosity.

Q: Can you give couples a simple framework to reconnect?

A: Yes, I often share a six-step framework that’s practical and gentle.

1. Check in: Ask, “How connected do we feel lately?” Not just “How often are we having sex?”

2. Non-sexual touch: Hugs, stroking hair, holding hands – without expecting sex at the end.

3. Novelty: Try something new together: a class, a walk in a different place, a game, a shared hobby.

4. Appreciation: Tell your partner what you notice and value about them, including non-sexual qualities.

5. vulnerability: Share one fear, one hope, or one truth you usually hide.

6. Initiation: Don’t wait for desire to fall from the sky. Gently invite connection; sometimes the mood follows the movement.

You don’t need to do all of this perfectly. Even one or two steps, done consistently, can shift the energy between you.

Q: How can someone tell if their desire problem needs more attention or professional help?

A: some warning signs include:

You feel emotionally distant, even though you still love each other.

Desire has dropped sharply and is tied to stress, shame, or unspoken conflict.

You feel unable to talk about sex without fighting or shutting down.

sex is used to avoid real intimacy, or to keep the peace, rather than to connect.

You feel afraid or ashamed to say what you truly want-or what you don’t want. In these situations, talking to a doctor, a sexual medicine specialist, or a therapist can be very helpful. You are not “broken” for needing support.

Q: Many couples say, “We love each other but there’s no spark.” What do you tell them?

A: I often say, “Let’s first normalise where you are.” If you’ve been together for years, maybe raising children and navigating financial pressures, it’s normal that your desire doesn’t look like the early days. That doesn’t mean your relationship is dying.

usually, you’re in the maintenance phase. Desire is quieter but can be reawakened with intentional effort: scheduling time for each other, bringing in novelty, and rebuilding emotional safety. It’s less about chasing fireworks and more about tending a fire so it doesn’t go out.

Q: what about couples with mismatched desires – one wants sex often, the other rarely?

A: This is extremely common. The mistake is to frame it as “the pursuer is demanding” and “the less-desiring partner is rejecting.” underneath, there are often two different nervous systems trying to feel safe.

one partner might use physical closeness to feel secure and loved. The other might need emotional safety first before their body can relax into physical intimacy. When couples understand this, they stop seeing each other as enemies and start cooperating: “How can we meet ‘both’ our needs, instead of arguing about who is right?”

Q: Many people, especially women, say sex feels like an obligation. What does that signal to you as a doctor?

A: It’s a red flag – not that the person is broken, but that something important is missing. sex should be about connection, pleasure, and mutual choice. when it becomes a duty, I look for:

Emotional disconnection or resentment.

Fear of conflict or abandonment if they say no.

Lack of felt safety or freedom to express preferences.

The solution is not to “force yourself more.” It is to rebuild emotional safety, renegotiate consent and expectations, and often to have very honest conversations about what feels missing or painful.

Q: If you could leave couples with a few key messages about desire and connection, what would they be?

A: I’d highlight four truths:

Desire and emotional intimacy are deeply connected. When you feel safe, loved, and seen, desire has space to grow.

Desire changes across life and relationship stages. That’s normal, not evidence of failure.

Safety is the foundation. without trust and a calm nervous system, no technique or position will fix desire.

You have agency. Through communication, intentional connection, and sometimes professional help, it is possible to revive and reshape your sexual relationship. If you are reading this and thinking, “This sounds like us,” my invitation is simple: start with one honest conversation. Ask your partner, “Where do you naturally enter the cycle -through emotions, touch, or arousal? What helps you feel desire? What do you need from me to feel safe and wanted?”

Those questions, asked with kindness and curiosity, can quietly change the entire trajectory of a relationship.

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Ramazan spirit comes alive at ‘Marhaba’

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The committee driving excellence

At Muslim Ladies College

The spirit of Ramadan came alive at the Muslim Ladies as the much-awaited pre-Ramadan sale “Marabha” organised by MLC PPA unfolded at SLEC the event drew students, parents and old girls to a colourful celebration filled with the aromas of traditional delicacies and the buzz of excitement from the buzzling stalls

Behind the seamless flow and refined presentation were Feroza Muzzamil and Zamani Nazeem. Whose dedication and eye for detail elevated the entire occasion. Their work reflected not only efficiency but a deep understanding of the institution’s values. It was an event, reflected teamwork, vision and a shared commitment to doing things so beautifully. The shoppers were treated to an exquisite selection of Abayas, hijabs and modern fashion essentials, carefully curated to blend contemporary trends with classic elegance. Each stall offered unique piece from intricately embroidered dresses to chic modern designs. The event also highlighted local entrepreneurs a chance to support homegrown talent. Traditional Ramazan goods and refreshment added a delighted touch, making it as much a cultural celebration as a shopping experience.

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