Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Delusional Behavior And Sporadic Emotional Turmoil
Question: Hello Doctor XXXXXXX
I am the one that asked a question about my 23 yr old daughter that has been diagnosed with manic depression. She has had 3 hospitalizations. the 1st lasted 14 days,the second lasted 12 days, the 3rd lasted 12 days.
The last hospitalization she was discharged with 450mg of trileptal 2 x a day. 20mg prosac. 160mg Latuda at bedtime with benedrill. she seem to be improving even though she needs a medcine that will calm her down and prevent panic & to prevent anger, Little things trigars her. she got in an argument with Dad today before her appointment at the hospital. Was loud but OK. For some reason she got agitated I did not know the best medication to give to calm her down even though she was not aggressive. She was very loud after noticing 3 days improvement. I am confused as to why she is still restless, loose things cannot remember where she put them or make irrational decision.
The hospitals have been given her Haldol, Geodion and Thorozine when ever she is aggressive. My problem is that Haldol ,Gedion and thorazine have serious side effects. The hospital will not listen when ever I tell them not to give these harsh medications. She now put her hands forward like she could not let down for more than 5 minutes. She was in colledge, had a job in the past.
She is being treated with different meds.even though I gave them the medications that helped her. They put her on thorozine 50mg for aggressiveness My daughter was a healthy child ,never on any psychotic medications . The first episode happened at 19 when she took diet pills to loose weight. The recovery was 4 weeks. She was good for a year. Was discharged with lithium and amplify which she only took for a week.
Second episode wasn't as severe as this episode because he is delusional and hallucinating,
Was admitted and discharged on the medications above. slept for the whole time she was at home .
Rukhaiya wanted a program she attended 2 yrs ago where the hospital picked her up for group and counseling for 4 weeks. Yesterday she called the hospital for the program. They recommended that she should be admitted as an inpatient. My concern is I do not want her to start allover experimenting with different meds again.She just got back from another hospital 4 days ago.
My fear is the PRN injection that have caused some side effect .
WHAT SHOULD I DO? I NEED HELP!!! Please.
What she should be on with little side effects.
why they injected her Thorazine again. She was throwing chairs at staff. She are making her very mad. We are like back to beginning again
I am the one that asked a question about my 23 yr old daughter that has been diagnosed with manic depression. She has had 3 hospitalizations. the 1st lasted 14 days,the second lasted 12 days, the 3rd lasted 12 days.
The last hospitalization she was discharged with 450mg of trileptal 2 x a day. 20mg prosac. 160mg Latuda at bedtime with benedrill. she seem to be improving even though she needs a medcine that will calm her down and prevent panic & to prevent anger, Little things trigars her. she got in an argument with Dad today before her appointment at the hospital. Was loud but OK. For some reason she got agitated I did not know the best medication to give to calm her down even though she was not aggressive. She was very loud after noticing 3 days improvement. I am confused as to why she is still restless, loose things cannot remember where she put them or make irrational decision.
The hospitals have been given her Haldol, Geodion and Thorozine when ever she is aggressive. My problem is that Haldol ,Gedion and thorazine have serious side effects. The hospital will not listen when ever I tell them not to give these harsh medications. She now put her hands forward like she could not let down for more than 5 minutes. She was in colledge, had a job in the past.
She is being treated with different meds.even though I gave them the medications that helped her. They put her on thorozine 50mg for aggressiveness My daughter was a healthy child ,never on any psychotic medications . The first episode happened at 19 when she took diet pills to loose weight. The recovery was 4 weeks. She was good for a year. Was discharged with lithium and amplify which she only took for a week.
Second episode wasn't as severe as this episode because he is delusional and hallucinating,
Was admitted and discharged on the medications above. slept for the whole time she was at home .
Rukhaiya wanted a program she attended 2 yrs ago where the hospital picked her up for group and counseling for 4 weeks. Yesterday she called the hospital for the program. They recommended that she should be admitted as an inpatient. My concern is I do not want her to start allover experimenting with different meds again.She just got back from another hospital 4 days ago.
My fear is the PRN injection that have caused some side effect .
WHAT SHOULD I DO? I NEED HELP!!! Please.
What she should be on with little side effects.
why they injected her Thorazine again. She was throwing chairs at staff. She are making her very mad. We are like back to beginning again
Brief Answer:
Non pharmacological approach is best strategy
Detailed Answer:
Dear XXXXXXX
Thanks again for posting back to me.
Although ideally a conversation with patient is best thing before I can advice you conclusively but I will suggest following things when there is aggression or agitation.
1. When she becomes/starts becoming out of control or abusive try to distract her from the process. She may be engaged in some other activity or may be called for a cup of coffee or some sweet which is favourite for her.
2. When ever there is disagreement ask her what is right? She may suggest one or two things and then discuss the best right thing. This is strategy to help her in thinking process and decrease restlessness.
3. Value of morning walk or physical exercise can not be underestimated once you have bipolar disorder. I think this need to make a routine part of her life. One part is stress management and other is discharge of excess energy due to bipolar disorder. Third to help in restlessness and many other things.
In my option keep these medications as part of her treatment.
Tab Trileptal 450 mg twice a day
Tab Lithium 300 mg one in morning, one in afternoon and one in evening
Than serum lithium concentration on day 7 and if this comes below 0.6 increase to 1200 mg per day.
Tablet Ativan 2 mg for sleep at night and 1 mg on PRN basis for restless XXXXXXX
I must inform you that occasional behavioural problem or episodic aggression need to mange non pharmacologically and medications are not everything for management of patient.
I need to inform here than looted need to be stopped slowly. Although your doctor will discuss this in detail but roughly you can go down 20 mg per week thus taking eight weeks in total.
I hope this helps you in her management.
Thanks and regards.
Non pharmacological approach is best strategy
Detailed Answer:
Dear XXXXXXX
Thanks again for posting back to me.
Although ideally a conversation with patient is best thing before I can advice you conclusively but I will suggest following things when there is aggression or agitation.
1. When she becomes/starts becoming out of control or abusive try to distract her from the process. She may be engaged in some other activity or may be called for a cup of coffee or some sweet which is favourite for her.
2. When ever there is disagreement ask her what is right? She may suggest one or two things and then discuss the best right thing. This is strategy to help her in thinking process and decrease restlessness.
3. Value of morning walk or physical exercise can not be underestimated once you have bipolar disorder. I think this need to make a routine part of her life. One part is stress management and other is discharge of excess energy due to bipolar disorder. Third to help in restlessness and many other things.
In my option keep these medications as part of her treatment.
Tab Trileptal 450 mg twice a day
Tab Lithium 300 mg one in morning, one in afternoon and one in evening
Than serum lithium concentration on day 7 and if this comes below 0.6 increase to 1200 mg per day.
Tablet Ativan 2 mg for sleep at night and 1 mg on PRN basis for restless XXXXXXX
I must inform you that occasional behavioural problem or episodic aggression need to mange non pharmacologically and medications are not everything for management of patient.
I need to inform here than looted need to be stopped slowly. Although your doctor will discuss this in detail but roughly you can go down 20 mg per week thus taking eight weeks in total.
I hope this helps you in her management.
Thanks and regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
