HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Remedy For Sever Headaches Along With Paranoid Behavior And Aggressiveness

default
Posted on Fri, 13 Mar 2015
Question: My brother-in-law has had a sudden onset in the last 4 months of personality changes. He has become aggressive, secretive, delusional, paranoid, severe headaches. He has spent a lot of his life savings and ran up credit cards with no reason or anything to show for it. A CT scan and MRI without contrast have showed nothing. He has now been put into a mental hospital. A possible diagnosis of bipolar disorder is considered by the doctors. This doesn't sound like a reasonable explanation to the sudden changes in this man. Something physical like exposure to some chemicals or toxic substances makes more since to me. I have read in the past of black mold exposure causing extreme mental changes in people. What is your opinion of his sudden personality change?
doctor
Answered by Dr. Dr. Chintan Solanki (25 minutes later)
Brief Answer:
prozac is responsible likely

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

From history you mentioned about your brother in law I guess he is suffering from bipolar disorder with current manic episode.Good thing is MRI CT normal.

Precipitation of this manic episode seems to be due to prozac. You have mentioned that he has been given prozac for depression. It is SSRI medicine. When depression occurs in bipolar disorder it should be treated with lithium lamotrigine or quetiapine not with antidepressant medicines. He was given prozac in stead which had precipitated episode of mania-mentioning symptoms you described.

There is no evidence that black mold can cause such manic sympotms. And if by chance it affects behaviour it can not last so long at all.

First and foremost thing is to stop prozac if not stopped yet. And suitable mood stabilizer drug must be added to treat him.

Hope I have answered your query, I will be happy to answer if more queries are there.

Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Psychiatrist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Remedy For Sever Headaches Along With Paranoid Behavior And Aggressiveness

Brief Answer: prozac is responsible likely Detailed Answer: Hello XXXXXXX Thanks for writing to us. From history you mentioned about your brother in law I guess he is suffering from bipolar disorder with current manic episode.Good thing is MRI CT normal. Precipitation of this manic episode seems to be due to prozac. You have mentioned that he has been given prozac for depression. It is SSRI medicine. When depression occurs in bipolar disorder it should be treated with lithium lamotrigine or quetiapine not with antidepressant medicines. He was given prozac in stead which had precipitated episode of mania-mentioning symptoms you described. There is no evidence that black mold can cause such manic sympotms. And if by chance it affects behaviour it can not last so long at all. First and foremost thing is to stop prozac if not stopped yet. And suitable mood stabilizer drug must be added to treat him. Hope I have answered your query, I will be happy to answer if more queries are there. Regards, Dr.Chintan Solanki.