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Suggest Treatment For Severe Depression And OCD

Posted on Fri, 10 Jun 2016

Question: What's my mothers issue or condition? Does it go beyond OCD here? Please help with discussion.

Answered by Dr. Dr. Chintan Solanki (1 hour later)

Brief Answer:
please narrate details

Detailed Answer:
Hello,

Thanks for writing to us.

I am Dr. Chintan Solanki, Psychiatrist. I will be happy to help you and discuss case of your mother. Please describe her history with details of symptoms and medications and the questions of which you want answers.

Regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Chintan Solanki (44 hours later)

Hi
Small issues become large. Example, neighbor has car in front of house and she won't stop going on about it thinking it is done on purpose (when it's hard for them to park else where). Falls out with people when something happens or is said and cannot re-form relationship unless the other person apologizes.
Small things can bother massively, such as this car thing. Wants to move, get revenge, this and that.
Has switched between doctors, gets my dad to fight her 'somewhat delusional battles'. Has rages (rarer now) when things don't go her way.
When growing up I've seen a variety of things. Such as been in the back of the car when she was wrestling over the steering wheel trying to trash the car (with me inside).
She has been to psychatrists (i've not heard what they've said), but as usual, they've been a fault so has been to many. One gave her a diagnosis of OCD. I have no idea what was said or if another diagnosis was given by others.
Some OCD features exist, but I dont know about these other features such as the aggressive approach and the seemingly lack of compassion for others.

What does it sound like?

Answered by Dr. Dr. Chintan Solanki (6 hours later)

Brief Answer:
it can be depression with/without personality problem

Detailed Answer:
Hi,

Thanks for information.

Frequent quarrels, anger outbursts and stubbornness can be part of agitated depression. This may be bipolar depression also. Other differential diagnosis is personality problem. Considering her symptoms there is possibility of cluster B personality and possibility of having Narcissistic Personality traits. Depression and agitation are common occurrence in personas with cluster b personality traits.
However of curse it is more than the OCD.

This type of anger outbursts can be treated with mood stabilizer drugs like sodium valproate or lithium.

You are welcome to clear your doubts further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Chintan Solanki (10 hours later)

Hi thanks for reply.
Can we discuss it more to find out what this is?
Thanks

Answered by Dr. Dr. Chintan Solanki (13 minutes later)

Brief Answer:
it needs lost of history and mental status examination of patient

Detailed Answer:
Hi,

Thanks for follow up.

For further discussion I need detail history since her childhood. Her brought up, education, work details, behavior as a wife, mother and friend and many other details needed. And also there is need of examination and mental status evaluation of patient in person by a psychiatrist. If you feel you can write these may lots of details, you are welcome.

You can post me all details and her medical records on

http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.
Regards and take care.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar