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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Manic Attack In Case Of Bipolar Disorder

My wife has been diagnose 4 years ago with bi-polar and anxiety. After a few months of being out of the clinic she quit taking her meds.She is having a manic attack attack she is saying she is touched that voices or she can see what went on. She is telling lies saying I m having affair,says I m a heroin addict, having sex with my 19 year old daughter which hasn t been home because she is in trouble for drugs. She called a lawyer to get a divorced but 2 days later stopped it, she is very touchy to talk to she gets mad very quickly she will spend a night up all night. I want her to go to get check out she hasn t seen a doctor for 4 years. I called social services and they said as long as she not talking suicide nothing they can do. I am lost and don t know what to do I love her but she treating me like stay your distance. I need some advice
Wed, 9 Jul 2014
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Psychiatrist,  's  Response
Hi
Thanks for using healthcare magic

In that condition, she needs immediate care. You can give her medication in food or drinks. That way she would get some medications and with medications, she would be in control. You can also take help of psychiatrist and put her on long acting antipsychotic drugs like risperidone or haloperidol. In case, you need further help, you can ask.

Thanks
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Psychiatrist,  Dr. Abhishek Kapoor's  Response
Hi
Thanks for using healthcare magic

I think, she is in psychosis. In that case, she needs antipsychotic drugs. That would help her to come back into normal life. Better to consult a psychiatrist and start giving her treatment at home. You can add medicine in her food. With that, she would improve in few days. In case, you feel she needs in patient care, you can get her admitted. If you need further help, you can ask.

Thanks
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Psychiatrist,  Dr. Vishal Garala's  Response
hiiiiii


for manic episode there are two modalities

1st is acute control of symptoms and behavior
for this anti psychotic medicines like olanzapine , quitiapine has major role
it can be given through injection if symptoms are disturbing

2nd is to control hyper mood
require mood stabilizer
sod valproate is the choice if she is more irritable manic symptoms

dose is depend s upon severity and duration

consult psychiatric hospital and get admit if not able to manage at home

she will start responding within 2 or 3 week after proper treatment
thank u
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Suggest Treatment For Manic Attack In Case Of Bipolar Disorder

Hi Thanks for using healthcare magic In that condition, she needs immediate care. You can give her medication in food or drinks. That way she would get some medications and with medications, she would be in control. You can also take help of psychiatrist and put her on long acting antipsychotic drugs like risperidone or haloperidol. In case, you need further help, you can ask. Thanks