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How To Deal With Aggressive Behaviour And Mood Swings In A Person?
Question: I've been married to my husband for 16 years and at least twice a year he will start getting very picky and find fault with what I do. We'll be talking quietly about an issue or the issues and he'll snap, scream in my face, blame me for everything that is wrong and then not talk to me for days. He hasn't talked to me since Monday. He sees a psychologist and we both go to couples counseling and I've just started going to personal counseling. My friend has a son who is bi-polar and thought maybe he's bi-polar. Last year he drove from SC to Minnesota. Just ran out with a bag and took off. The Dr. put him on a anti-depressant. He is such an angry man so much and his thinking many times is so intense.
Brief Answer:
I think he needs further assessment to rule out mood disorder.
Detailed Answer:
Hello
Thanks for writing to health care magic!
I have read your question carefully and I feel that there is a srtrong element of mood component which gets disturbed in your husband.
There is a past history of him being on antidepressant as well. Which further adds to this possibility if him having some mood problem again.
At present he is getting angry and irritable over trivial issues and is difficult to talk to. As per your history there is marital problems going on and you are under regular therapy session.
In a psychiatric illness proper assessment is very necessary which is done by a psychiatrist. I feel that only councelling sessions will not bring any big effective change jn him right now till the illness is not handled. He would need proper medications.
The history is reflective of mood issues in your husband, but at the same time many details are missing to diagnose it correctly.
1.I would like to know his predominant mood these days and other times of the year? Anger can be present in both depressive and manic state...so, asking the person gives the most accurate answer to this.
2. His nature of sleep now and when he is supposidely ok as per you.
3. Is he suspicious of you without any relevant reason ...suspects your behaviour or character? Suspecst others as well? at present.
4. Do you find him more energetic or more active/over social/ spending more than his usual self now a days?
5. Is he becoming more conscious of his attire and looks these days?
These questiosn will help in deciding if it is mania or depression. And later we can think of suitable drug.
I think if he is ok taking councelling sessions with a psychologist, he would cooperate to meet a psychiatrist as well. You can encourage him for this
or just tell me the details properly and we can have a clear understanding of the case.
Pease donot feel hopeless, I can understand it is very difficult for you right now...but if it is not under his control( if there is actually a mood disorder behind all this anger) then he needs you more...he needs to get well..
--These kinds of people respond very nicely to treatment.
I hope the reply is useful for you.
Feel free to ask more questions for clarification.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
I think he needs further assessment to rule out mood disorder.
Detailed Answer:
Hello
Thanks for writing to health care magic!
I have read your question carefully and I feel that there is a srtrong element of mood component which gets disturbed in your husband.
There is a past history of him being on antidepressant as well. Which further adds to this possibility if him having some mood problem again.
At present he is getting angry and irritable over trivial issues and is difficult to talk to. As per your history there is marital problems going on and you are under regular therapy session.
In a psychiatric illness proper assessment is very necessary which is done by a psychiatrist. I feel that only councelling sessions will not bring any big effective change jn him right now till the illness is not handled. He would need proper medications.
The history is reflective of mood issues in your husband, but at the same time many details are missing to diagnose it correctly.
1.I would like to know his predominant mood these days and other times of the year? Anger can be present in both depressive and manic state...so, asking the person gives the most accurate answer to this.
2. His nature of sleep now and when he is supposidely ok as per you.
3. Is he suspicious of you without any relevant reason ...suspects your behaviour or character? Suspecst others as well? at present.
4. Do you find him more energetic or more active/over social/ spending more than his usual self now a days?
5. Is he becoming more conscious of his attire and looks these days?
These questiosn will help in deciding if it is mania or depression. And later we can think of suitable drug.
I think if he is ok taking councelling sessions with a psychologist, he would cooperate to meet a psychiatrist as well. You can encourage him for this
or just tell me the details properly and we can have a clear understanding of the case.
Pease donot feel hopeless, I can understand it is very difficult for you right now...but if it is not under his control( if there is actually a mood disorder behind all this anger) then he needs you more...he needs to get well..
--These kinds of people respond very nicely to treatment.
I hope the reply is useful for you.
Feel free to ask more questions for clarification.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
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Above answer was peer-reviewed by :
Dr. Deepak
Answered by
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