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What Causes Talkativeness, Defiant Behaviour, Excessive Crying And Fear Of Getting Hurt?
Question: Dear Sir, my mother age 56 y is an diabetic patient, since 2nd September she was doing some abnormal behaviour like over talkative, does what she wants, crying, does not listen to other, sometime excited, fear that people will harm her, even suspect her daughter, doesn't recognise anybody including her both two daughters, on December 2014 the psychiatric was prescribed tab namely SZETALO PLUS and RISDONE MT 0.5 mg, and told not to stop the medicine till next he advised. However she stopped to having the medicine since last two months without informing anyone. on 3rd September 2015 she supposed to come her daughter home as the daughter was pregnant. but unfortunately she cant come as her brother in law expired on 2nd September 2015 evening. The same above mentioned problems are arised after that incident. Kindly refer the attached Prescription which we have received from 2nd September to till today.kindly suggest us what to do as this is very serious concern for us as a daughter.
Brief Answer:
Get some investigations and continue treatment
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Your mother is having diabetes , hypertension and hypothyroidism along with psychiatric problems.
The first step will be to rule any metabolic derangements and infection so following investigations should be done like serum sodium, potassium, urea, creatinine, automated count, thyroid profile, vitamin B12 levels.
The psychiatric illness needs to be discussed with treating psychiatrist. Possibility of depression with delusions are present.
In case all blood workup is normal then she should get proper treatment from psychiatrist. Drugs like duloxetine, mirtazipine, paroxitine, escitalopram can be given at adequate doses. Quetiapine can be given for sleep and inappropriate behaviour.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Get some investigations and continue treatment
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Your mother is having diabetes , hypertension and hypothyroidism along with psychiatric problems.
The first step will be to rule any metabolic derangements and infection so following investigations should be done like serum sodium, potassium, urea, creatinine, automated count, thyroid profile, vitamin B12 levels.
The psychiatric illness needs to be discussed with treating psychiatrist. Possibility of depression with delusions are present.
In case all blood workup is normal then she should get proper treatment from psychiatrist. Drugs like duloxetine, mirtazipine, paroxitine, escitalopram can be given at adequate doses. Quetiapine can be given for sleep and inappropriate behaviour.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear sir, we will do the above suggested tests by next week and get back to you with reports. Kindly confirm whether these tests can be done without prescription?
Brief Answer:
Get investigations and continue treatment
Detailed Answer:
Hello dear,
Yes these tests are routinely done by all good pathology centre. Other option may be to send Vitamin B12 and thyroid profile to some central labs via their collection centers like religare, lal, SRL.
Do get back with reports.
Is her diabetes under control?
Regards
Dr Neeraj Kumar
Neurologist
Get investigations and continue treatment
Detailed Answer:
Hello dear,
Yes these tests are routinely done by all good pathology centre. Other option may be to send Vitamin B12 and thyroid profile to some central labs via their collection centers like religare, lal, SRL.
Do get back with reports.
Is her diabetes under control?
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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