
What Causes Sudden Abnormal Behaviour In A Person?

please provide more detail
Detailed Answer:
Hello,
Thanks for writing to us.
The problem you mentioned can occur in following situations.
Person is known case of high blood pressure and had episode of transient ischemic attack.
she/he may be undiagnosed case of hypertension and sudden rise in blood pressure there.
,
Any infarct in brain may be chronic or recently developed.
Other causes of delirium(disorientation) like electrolyte disturbance , substance use, fever, any injury.. so on.
All above are direct physical causes.
There may be psychological causes:
Sever stressful situation, history of any psychotic disorder, following of any religious path in which searching for cause of life is there or person can imitate the same with or without any secondary gain.
I would like to know fro you following:
Who has suffered from this? Are you or someone else? Describe detail history in terms of personal, past, family, medical and substance related of the suffering person.
Detail about episode:
Since when , last for, any other symptoms during episode,frequency etc?
Want to hear from you soon,
Regards,
Dr.Chintan Solanki.


thanks for info but still some queries!
Detailed Answer:
hello,
Thanks for reply with info.
My first confusion is that you have mentioned in profile 42 year old male and you told your problem is started with second pregnancy! I am assuming right now that you are female.
Symptoms you mentioned are suggestive of anxiety disorder and pregnancy is the precipitating factor. In pregnancy, lot of hormonal and physiological changes occur. So pregnancy is a different stressful physiological state of body. Sometime due to drastic change in hormones woman feels anxiety and weird feeling like you felt. It will go away with counseling and relaxation or may be some anti anxiety medicine needed.
To help you more please provide following detail:
Since when are you pregnant?
In which month of pregnancy problem occurred?
The symptoms you have mentioned are occurring daily or intermittently or only once?
Send me your report of blood which you are talking about in which platelets are decreased.
regards,
Dr.Chintan Solanki.


You need consultation of a psychiatrist
Detailed Answer:
Hello ,
Thanks for follow up.
It's ok, I got the point. No need to apologize. You seem to be suffering from some kind of anxiety disorder. It may be generalized anxiety disorder, panic disorder, obsessive compulsive disorder or post traumatic disorder.
However as it is started in pregnancy, I would like to go for hormonal evaluation FSH and LH and Thyroid as well as MRI brain to rule out any organic factor, if I were your treating doctor.
For diagnosis, detail history in terms of personal, past, family and medical history; physical and neurological examination and mental status examination needed.
I am somewhat surprised that why are you not referred to psychiatrist yet by your doctor.
You can be treated with psychotherapy and/or medicines.
Psychotherapy: CBT- Cognitive Behavior Therapy would be specifically helpful.
Medicines: Anti anxiety medicine like clonazepam and SSRI(selective serotonin reuptake inhibitor) group of medicines like fluoxetine are quite helpful.
Hope you will find these helpful,
Regards,
Dr.Chintan Solanki.


yes it may be possible without medicine
Detailed Answer:
Hello Dear,
Thanks for writing back.
Sorry for mother and divorce. Because of these social circumstances you would be in more stress.
To judge whether you would be fine without medicine or not, require detail clinical evaluation by a psychiatrist.
Pyschodynamic psychotherapy and supportive psychotherapy would be helpful. And you may be cured without medicines.
But if your situation is so that you need to be relax for psychotherapy , some anti anxiety medicines may be needed.
And overall if it is not possible to move forward without medicines by chance, please do not hesitate to take as improvement and stability matters for healthy life.
All the best & Regards,
Dr.Chintan Solanki.

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