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Suggest Treatment For Cluster B Personality Disorder
Question: Hi,
I would like to ask question related to my 65 year old mother. She is sometimes very caring but sometimes she gets super angry and says very hurtful things. I am the only child (she had total 4 with 3 kids dead - 1 as recently as 7 years ago). She thinks she is always right and never admits mistakes and is always in conflict with 1 person or other.
She also thinks very highly of her uncles and sisters but all other people are looked down upon - including my wife (which causes conflicts). She is a heart patient, blood pressure, psorisis, asthma, border line diabetes.
Are these symptoms of any mental issue?
I would like to ask question related to my 65 year old mother. She is sometimes very caring but sometimes she gets super angry and says very hurtful things. I am the only child (she had total 4 with 3 kids dead - 1 as recently as 7 years ago). She thinks she is always right and never admits mistakes and is always in conflict with 1 person or other.
She also thinks very highly of her uncles and sisters but all other people are looked down upon - including my wife (which causes conflicts). She is a heart patient, blood pressure, psorisis, asthma, border line diabetes.
Are these symptoms of any mental issue?
Brief Answer:
Please provide more details
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
I request you to provide more details about her condition.
1. How long the family is facing the problem ? Whether it is recent or been present from her young age?
2. Whether the conflict is limited to your wife only or this includes neighbors, distant relatives and others?
3. Whether she admits her mistake on some occasion? May be like after days or weeks?
4. Whether she is able to function adequately like bathing, eating, cooking or other works? If no how long you are seeing deterioration?
5.Do you think she had more episodes of forgetfulness in recent past?
6. What about her sleep and appetite?
I will try to analyze with additional information and guide you appropriately.
Thanks and regards.
Please provide more details
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
I request you to provide more details about her condition.
1. How long the family is facing the problem ? Whether it is recent or been present from her young age?
2. Whether the conflict is limited to your wife only or this includes neighbors, distant relatives and others?
3. Whether she admits her mistake on some occasion? May be like after days or weeks?
4. Whether she is able to function adequately like bathing, eating, cooking or other works? If no how long you are seeing deterioration?
5.Do you think she had more episodes of forgetfulness in recent past?
6. What about her sleep and appetite?
I will try to analyze with additional information and guide you appropriately.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
This problem is faced by our family since atleast 25 years. According to my dad this started after giving birth to her first child - who passed aways 7 years ago.
This conflict is not just my wife, it is with my dad's sisters, her friends aswell (it starts from a innate superiority complex - driven from her family (boasting about her uncles, aunties, grand parents, sisters, brothers, parents).
She does sometimes admits but it is more like she is cornered and she says those words. Her feedback mechanism to avoid the same issue does not work it seems. She says hurtful things - when questioned she would first deny it, than get angry and start accusing people of what ever her fear is. She does not back down.
She functions perfectly. No detoriation in any function. She does get tired more frequently and once she is tired her anger increases and lashes out at even small things.
She sometimes forgets things - like calling someone etc. But not complete loss of memory. Her memory is good.
Her sleep patterns are bad. She is not able to sleep well wakes up early morning or sleeps late. Sometimes sleeps at odd hours. Total 5-6 hours sleep in a day. Her apetite is ok - no change.
This problem is faced by our family since atleast 25 years. According to my dad this started after giving birth to her first child - who passed aways 7 years ago.
This conflict is not just my wife, it is with my dad's sisters, her friends aswell (it starts from a innate superiority complex - driven from her family (boasting about her uncles, aunties, grand parents, sisters, brothers, parents).
She does sometimes admits but it is more like she is cornered and she says those words. Her feedback mechanism to avoid the same issue does not work it seems. She says hurtful things - when questioned she would first deny it, than get angry and start accusing people of what ever her fear is. She does not back down.
She functions perfectly. No detoriation in any function. She does get tired more frequently and once she is tired her anger increases and lashes out at even small things.
She sometimes forgets things - like calling someone etc. But not complete loss of memory. Her memory is good.
Her sleep patterns are bad. She is not able to sleep well wakes up early morning or sleeps late. Sometimes sleeps at odd hours. Total 5-6 hours sleep in a day. Her apetite is ok - no change.
Brief Answer:
Yes this is indication of mental illness
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for follow up.
Asper the provided details I feel there is enough factors indicating toward mental illness.
I feel she is suffering with Cluster B personality disorder which is characterized by dramatic pattern of behavior and impulsive nature. Among the cluster there is most likely hood of narcissistic personality disorder.
In recent past she may have developed depression which is not compatible for her personality traits and she may be behaving abnormally due to depression which is common with cluster personality disorder.
I must acknowledge that the opinion about her mental state is tentative and need to confirm with in person consultation which needs talking with patient for a length.
I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Yes this is indication of mental illness
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for follow up.
Asper the provided details I feel there is enough factors indicating toward mental illness.
I feel she is suffering with Cluster B personality disorder which is characterized by dramatic pattern of behavior and impulsive nature. Among the cluster there is most likely hood of narcissistic personality disorder.
In recent past she may have developed depression which is not compatible for her personality traits and she may be behaving abnormally due to depression which is common with cluster personality disorder.
I must acknowledge that the opinion about her mental state is tentative and need to confirm with in person consultation which needs talking with patient for a length.
I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is the medication that she can take for these two issues? This is not for prescriptive purposes rather to gauge the effectiveness of any future treatment.
Brief Answer:
There are multiple options
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
For the depression SSRI group of medications can be used which includes sertraline, fluoxetine, escitalopram. The other option is SNRI which includes desvenlafaxine, venlafaxine and duloxetine.
For the personality part the effective medications include mood stabilizers, antipsychotics as well as antidepressants.
I hope this assists you further.
Thanks and regards
There are multiple options
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
For the depression SSRI group of medications can be used which includes sertraline, fluoxetine, escitalopram. The other option is SNRI which includes desvenlafaxine, venlafaxine and duloxetine.
For the personality part the effective medications include mood stabilizers, antipsychotics as well as antidepressants.
I hope this assists you further.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
If this would be the definitive diagnosis which medicine should she take and for how long?
Which are the things that we need to look out for depression?
Which are the things that we need to look out for depression?
Brief Answer:
It can not be definitive diagnosis
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for reverting back to me.
No diagnosis is complete without interaction with patient. I do not think we can decide about diagnosis or drugs at this stage.
Please consult a psychiatrist in your city.
A detailed mental status examination is required for final diagnosis of patient and that can be done only by a psychiatrist.
I hope this clarifies.
Thanks and regards.
It can not be definitive diagnosis
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for reverting back to me.
No diagnosis is complete without interaction with patient. I do not think we can decide about diagnosis or drugs at this stage.
Please consult a psychiatrist in your city.
A detailed mental status examination is required for final diagnosis of patient and that can be done only by a psychiatrist.
I hope this clarifies.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much. This is most helpful.
Brief Answer:
You are always welcome
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for follow up.
I am glad to know that information was useful for you.
For continuity of care I request you to use my below mentioned link to post direct query to me when you need to post in future:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
This will ensure direct access to me and you will get rapid answer.
Thanks and regards.
You are always welcome
Detailed Answer:
Dear XXXXXXX XXXXXXX
Thanks for follow up.
I am glad to know that information was useful for you.
For continuity of care I request you to use my below mentioned link to post direct query to me when you need to post in future:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
This will ensure direct access to me and you will get rapid answer.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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