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What Would Cause A Relapse Of Severe Depression And Abnormal Behavior Despite Diagnosing It At An Early Stage?
Question: Doctor
My wife 36 yrs old was very normal and lovable person. Last March 2016 suddenly went to depression and hospitalised due to unusual behaviour. Within a week she was ok returned to normal after taking oleanz. Then may 2016 she was on depression mood so she was on c pram 10 mg along with 2.5 mg oleanz. Then she was normal as before, we had a good enjoyable moments for almost 2 years, we have two children one is 15 yrs and other one 9 yrs, we went to foreign country tours happily, suddenly last Wednesday she lost her sleep and immediately we took clonotril 50 mg 2 times as per doctor advice, we did not find a single point or symptoms in this regard,
After that doctor suggested to take quitipin 50 mg ngight. She slept well on Saturday and Sunday night. But yesterday night she lost her sleep and had arguments and she was not normal. As per our doctor advice she took 100mg in the morning and it will be twice daily, doctor said as we met him on early stage of this episode, she will be normal within 5 days
Pl guide me for
1. Why this happened befor 2 years
2. Without any symptoms how it relapsed again even though she was happy just one day before the occurrence,
3. Quitipin is a good drug
4 how long it will take to stabilise the thoughts
5 is it safe drug
6 are we in right track
We are upset and worried my self and children
Pl advice and guide me to proceed
My wife 36 yrs old was very normal and lovable person. Last March 2016 suddenly went to depression and hospitalised due to unusual behaviour. Within a week she was ok returned to normal after taking oleanz. Then may 2016 she was on depression mood so she was on c pram 10 mg along with 2.5 mg oleanz. Then she was normal as before, we had a good enjoyable moments for almost 2 years, we have two children one is 15 yrs and other one 9 yrs, we went to foreign country tours happily, suddenly last Wednesday she lost her sleep and immediately we took clonotril 50 mg 2 times as per doctor advice, we did not find a single point or symptoms in this regard,
After that doctor suggested to take quitipin 50 mg ngight. She slept well on Saturday and Sunday night. But yesterday night she lost her sleep and had arguments and she was not normal. As per our doctor advice she took 100mg in the morning and it will be twice daily, doctor said as we met him on early stage of this episode, she will be normal within 5 days
Pl guide me for
1. Why this happened befor 2 years
2. Without any symptoms how it relapsed again even though she was happy just one day before the occurrence,
3. Quitipin is a good drug
4 how long it will take to stabilise the thoughts
5 is it safe drug
6 are we in right track
We are upset and worried my self and children
Pl advice and guide me to proceed
Brief Answer:
My suggestion.
Detailed Answer:
Hi,
It might happen to anyone, at anytime, either with stressor or without stressor.
It would happen suddenly due to relapse either due to incomplete course of treatment in the first time.
Yes, Quetiapine is a good drug and safe drug, it would take around 2 -4 weeks to respond effectively.
Hope this information would help you. Let me know if I can assist you further.
Regards,
Dr. Soujanya
Psychiatrist
My suggestion.
Detailed Answer:
Hi,
It might happen to anyone, at anytime, either with stressor or without stressor.
It would happen suddenly due to relapse either due to incomplete course of treatment in the first time.
Yes, Quetiapine is a good drug and safe drug, it would take around 2 -4 weeks to respond effectively.
Hope this information would help you. Let me know if I can assist you further.
Regards,
Dr. Soujanya
Psychiatrist
Above answer was peer-reviewed by :
Dr. Remy Koshy
Doctor
Thanks for your response
Doctor said, within 5 to 7 days she will be ok then we need to continue for some period
How long it takes for her calmness
Once she is able to sleep well, is it ok
Is there any supplementary therapy like yoga hypno acupuncture options available
We have school going children that bothers lot
Kindly advice
Thanks for your response
Doctor said, within 5 to 7 days she will be ok then we need to continue for some period
How long it takes for her calmness
Once she is able to sleep well, is it ok
Is there any supplementary therapy like yoga hypno acupuncture options available
We have school going children that bothers lot
Kindly advice
Brief Answer:
My suggestion.
Detailed Answer:
Hello,
She will become stable in 2-3 days, but it might take around 2 -4 weeks for complete response like if she has any other psychotic symptoms, like suspicion.
Once, she is stabilized, she can practice meditation for a better way of life.
Hope this information would help you. Let me know if I can assist you further.
Thank you.
Regards,
Dr. Soujanya
Psychiatrist
My suggestion.
Detailed Answer:
Hello,
She will become stable in 2-3 days, but it might take around 2 -4 weeks for complete response like if she has any other psychotic symptoms, like suspicion.
Once, she is stabilized, she can practice meditation for a better way of life.
Hope this information would help you. Let me know if I can assist you further.
Thank you.
Regards,
Dr. Soujanya
Psychiatrist
Above answer was peer-reviewed by :
Dr. Remy Koshy
Doctor
After taking quitipin 100 mg in the yesterday morning she slept well till evening and she was normal in the night seeing tv,
But in the early morning around 3 am her sleep disturbed
She is saying somebody disturbed her thoughts and crying
By 8 am she took quitipin 100mg again
Pl help me in
Whether the treatment is ok
Or we need to change
For immediate recovery from theee thoughts is there any option
Hospitalisation is required?
Entire family get disturbed and upset
Any other complication thoughts will disturb her
Pl advice
After taking quitipin 100 mg in the yesterday morning she slept well till evening and she was normal in the night seeing tv,
But in the early morning around 3 am her sleep disturbed
She is saying somebody disturbed her thoughts and crying
By 8 am she took quitipin 100mg again
Pl help me in
Whether the treatment is ok
Or we need to change
For immediate recovery from theee thoughts is there any option
Hospitalisation is required?
Entire family get disturbed and upset
Any other complication thoughts will disturb her
Pl advice
Brief Answer:
My suggestion.
Detailed Answer:
Hi,
I would like to advise you to start antidepressants like Escitalopram along with Quetiapine.
I would suspect that she might have some anxiety symptoms along with it.
Please look for dis-inhibited behavior, irritability, aggressiveness, excitement and over talkativeness.
If these symptoms are present, it might be related to mood disorder and needs to be stabilized with mood stabilizers like Sodium valproate.
Please provide these details to help you.
Hope this information would help you.
Regards,
Dr. Soujanya
Psychiatrist
My suggestion.
Detailed Answer:
Hi,
I would like to advise you to start antidepressants like Escitalopram along with Quetiapine.
I would suspect that she might have some anxiety symptoms along with it.
Please look for dis-inhibited behavior, irritability, aggressiveness, excitement and over talkativeness.
If these symptoms are present, it might be related to mood disorder and needs to be stabilized with mood stabilizers like Sodium valproate.
Please provide these details to help you.
Hope this information would help you.
Regards,
Dr. Soujanya
Psychiatrist
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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