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Suggest Treatment For Grandiose Delusion
Question: My mother XXXXXXX XXXX is suffering from psychological disorder science2002 and continuing her treatment from Shantiniketan Hospital XXXXXXX Till now she is not getting well. Her mental condition is stable and behaving as a normal person but in her mind there is a deep believe that she is a sacret leady like God and want to go to XXXXXXX where a so called doctor god is present whom she thought the god. And after union of both she thought the XXXXXXX Yuga is going to be finished.
Brief Answer:
Following steps will help
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress for mother.
Important aspects of your query are:
• 52 year old female
• Known case of Psychological problem for 14 years
• Partially better with treatment: Sulpitac 300mg, Dicorate 500mg, Lonazep 2mg
• Complaints of: Grandiose delusion (Like she is somehow related to god, and have capability to end Kaliyug after union with god)
From the history you provided it appears that your mother is suffering from Psychosis. Her treatment appears in right direction, as she is improving partially with current treatment.
Following steps may be useful to improve her further (Should be followed under supervision of treating psychiatrist only):
-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done
-Checking compliance to treatment: Ensure that she takes medicine regularly
-Increase the dose of current medicines: Like gradually increasing dose of dose of sulpitac to 500-600mg under inperson supervision of treating psychiatrist.
-Addition of other medicine: Like low dose haloperidol under inperson supervision of treating psychiatrist.
Request her current treating psychiatrist to change treatment (if possible) according to above recommendation.
I hope this information has been both informative and helpful for you.
Wish you good health.
Regards,
Following steps will help
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress for mother.
Important aspects of your query are:
• 52 year old female
• Known case of Psychological problem for 14 years
• Partially better with treatment: Sulpitac 300mg, Dicorate 500mg, Lonazep 2mg
• Complaints of: Grandiose delusion (Like she is somehow related to god, and have capability to end Kaliyug after union with god)
From the history you provided it appears that your mother is suffering from Psychosis. Her treatment appears in right direction, as she is improving partially with current treatment.
Following steps may be useful to improve her further (Should be followed under supervision of treating psychiatrist only):
-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done
-Checking compliance to treatment: Ensure that she takes medicine regularly
-Increase the dose of current medicines: Like gradually increasing dose of dose of sulpitac to 500-600mg under inperson supervision of treating psychiatrist.
-Addition of other medicine: Like low dose haloperidol under inperson supervision of treating psychiatrist.
Request her current treating psychiatrist to change treatment (if possible) according to above recommendation.
I hope this information has been both informative and helpful for you.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Sir please give me a detail prescription containing new medicines.
By which she can forgot her above thought permanently and get well.
As now she is asking us for train ticket to go to XXXXXXX
By which she can forgot her above thought permanently and get well.
As now she is asking us for train ticket to go to XXXXXXX
Brief Answer:
I need to see patient atleast once.
Detailed Answer:
Hello,
Thanks for follow up,
For issuing prescription I need to see patient atleast once to confirm finding. You can show her to me in future.
As she is already seeing Psychiatrist, you can request nearby psychiatrist to follow above mentioned steps and issue prescription after confirming findings.
Wishing her good health.
Regards,
I need to see patient atleast once.
Detailed Answer:
Hello,
Thanks for follow up,
For issuing prescription I need to see patient atleast once to confirm finding. You can show her to me in future.
As she is already seeing Psychiatrist, you can request nearby psychiatrist to follow above mentioned steps and issue prescription after confirming findings.
Wishing her good health.
Regards,
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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