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Dr. Andrew Rynne

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Hearing Unbearable, Loud Voices After Having A Blow To The Back Of Head. Diagnosed As Schizophrenia. What Else Could This Be?

Nine years ago I had a severe fall on the ice, fracturing four neck vertebrae (later having surgery), slamming the back of my head on a brick ledge before hitting the ice. I began hearing voices right after the surgery and was immediately diagnosed by my father-in-law with schizophrenia , although an excellent psychiatrist later diagnosed me with TBI due to the blow to the back of my head. I was on Zyprexa for years, terrible side effects, then later put on Risperdone with the psychiatrist. I still hear voices, sometimes unbearable and loud. I laugh at movies, funny things, normal relations, and do not fit the schizo diagnosis according to many and the psychiatrist. Is there anything else I can take or do to get rid of these voices? Anything discovered with TBI to help this? I just can t cope with this any longer.
Thu, 3 Jan 2013
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Psychiatrist 's  Response
Hi,



Welcome to HealthcareMagic Public Forum



Hearing voices is a serious symptoms and lead to significant distress to patient. It occur in schizophrenia and organic psychosis (may be due to TBI in your case).



As head injury occur years before, then irrespective of cause and diagnosis, your current treatment will not change much. So it is better to continue current medicines and inform your psychiatrist about existence of voices as medicine or its doses may need to be changed.



I hope this information has been both informative and helpful for you.

Wish you Good Health.



Regards,

Dr. Ashish Mittal

www.99doctor.com
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello......
Thanks for your query. I understand your concern with the symptoms you report of. Traumatic brain injury (TBI) can be followed by symptoms similar to what you report of. We refer to them as "Organic hallucinosis" (hearing voices) and "Organic personality changes" (mood lability, silly laughter etc). We generally prefer low dosage of anti-psychotics (risperidone/olanzapine) to manage the same since patients who have underwent TBI are extremely sensitive to anti-psychotics and develop side-effects (as you say terrible side-effects with zyprexa/olanzapine). Hope i have explained your query.
Regards
Dr Sundar Gnanavel
Psychiatrist
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Ayurveda Specialist Dr. Sourabh Jaiswal's  Response
no its not a schizophenia symptoms,it has been wrong dignosed.i thing u should go to other psychiatrist.i thik after ur read ur que thqt u has wright this u r not a kind of schizofrenia

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Hearing Unbearable, Loud Voices After Having A Blow To The Back Of Head. Diagnosed As Schizophrenia. What Else Could This Be?

Hi, Welcome to HealthcareMagic Public Forum Hearing voices is a serious symptoms and lead to significant distress to patient. It occur in schizophrenia and organic psychosis (may be due to TBI in your case). As head injury occur years before, then irrespective of cause and diagnosis, your current treatment will not change much. So it is better to continue current medicines and inform your psychiatrist about existence of voices as medicine or its doses may need to be changed. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com