Suggest Treatment For Muscular Degeneration
she is having bipolar effective disorder.
Detailed Answer:
Thanks for giving such a nice and well detailed clear history.
You are right she is having narcissistic personality trait, self centered and bipolar effective disorder.
frequent mood swings with manic episodes, excessive money expenditures.
How to manage it....
1. Her age is 81 and she is not cooperative. so better to go for cognitive behavioral therapies and group therapies first, as she will refuse to take drugs.
2. tab olanzapine if she agrees to take, if not than you can mix it with food.
she is also needed mood stabilizers like divalproex sodium but after the subsiding of manic episodes.
Do not worry. her illness is curable.
visit a nearby doctor to prescribe these drugs.
hope i have answered your query.
if you are having other queries you are free to ask.
I wish you and your mother healthy happy life.
Take care
Regards
Dr Awadhesh p XXXXXXX solanki
MD neuropsychiatrist
bipolar affective disorder
Detailed Answer:
Hi,
I can understand your situation. But it is necessary to start medication and behavioral therapy. You can talk to her family / primary physician .
If same situation comes in my clinic i generally used to send a social health worker to patient's home for evaluation and for implantation of insight into the patient mind.
I think it will be better to visit her physician and tell her to prescribe above mentioned drugs..
you can also visit a local psychiatrist for more help.
take care