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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Scary Thoughts Be Due To Past Head Injury And Is Talking To Them Through Gestures Normal?

My son who is 33 had a closed head injury at 18 years old. He was doing good except for short term memory and some impulsiveness. Lately he told me he was having scaring, racing thoughts and has started as if he is arguing with the thoughts. He doesn't talk out loud to them but has the gestures as if talking to them. I tell him they aren't real and he says, I know mom. I'm scared for him.
Thu, 27 Mar 2014
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Psychiatrist,  's  Response
Hello
The symptoms of your son can.be due to two things going together - he.needs an MRI Brain and EEG and if there is anythng neurological then start anti epileptics. Along with that - for his racing random and irrelevant provoking thought he should be given an antipsychotic like- olanzapine 2.5- 5 mg at night.

Get his blood tests - liver and kidney tests, lipid profile and sugar levels.

He will get better with meds but the drugs must continue for sometime even after he is ok. Stay in touch with both his neruologist and psychiatrist regularly. He will be fine , his presentation is quite a common one.

Dr. Manisha Gopal
MD Psychiatry

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Could Scary Thoughts Be Due To Past Head Injury And Is Talking To Them Through Gestures Normal?

Hello The symptoms of your son can.be due to two things going together - he.needs an MRI Brain and EEG and if there is anythng neurological then start anti epileptics. Along with that - for his racing random and irrelevant provoking thought he should be given an antipsychotic like- olanzapine 2.5- 5 mg at night. Get his blood tests - liver and kidney tests, lipid profile and sugar levels. He will get better with meds but the drugs must continue for sometime even after he is ok. Stay in touch with both his neruologist and psychiatrist regularly. He will be fine , his presentation is quite a common one. Dr. Manisha Gopal MD Psychiatry