Suggest Treatment For Post-traumatic Stress Disorder After An Accident
Consultation
Detailed Answer:
Hello, and thanks very much for your premium question.
First, let me say that you are indeed right to be worried about this situation. Even with a negative MRI, what you are describing are very concerning symptoms. Traumas like this are called TBIs (traumatic brain injuries) and can be quite serious.
You describe two symptoms of complications of TBI. One is depression and withdrawal, which your daughter exhibits, especially with regard to the decline in her school attendance. Another problem is this twitching of her fingers. She may be having seizures.
She needs an urgent psychiatric evaluation for depression (she would beenfit from an antidepressant), and an urgent neurological evaluation for TBI and possibly seizures. The sooner you make an appointment, the better. You are doing all you can to help your daughter. Continue to show her support during this difficult time.
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
It is clear you love your daughter very much. You want to do everything you can to make her feel and be okay. You ask how to make her realize that she needs more help than she thinks she needs.
I think one possible solution to this, paradoxically, is to stop helping her when she gets into trouble. When you bail her out of situations like running through toll booths or getting parking tickets, she does not learn that there are negative consequences to her irresponsible actions. Sometimes it takes something bad happening for people to really realize that something is wrong.
In my experience, parents want to help their children as much as they can. But sometimes you have to step back and allow them to fail to learn from their mistakes?
Does this make sense? What are your thoughts?
Dr. Sheppe
Followup
Detailed Answer:
I would ask your daughter about the finger movements. If she denies that it's a problem, at least you brought it to her attention. You can then bring it up to her neurologist when you do see one, and let the neurologist use this information in their decision making. I think having a dialogue with your daughter about this issue is probably the best approach. Who knows, maybe she also notices the finger movements but is too afraid to talk about them.
Dr. Sheppe
Followup
Detailed Answer:
You are very welcome! I am happy to be of help. I wish you the very best of luck.
Again, in the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers