FROM UR HISTORY, IT APPEARS THAT SHE MAY BE SUFFERING FROM A
MOOD DISORDER, IN PARTICULAR, BIPOLAR AFFECTIVE DISORDER, WITH MANIC OR HYPO-MANIC EPISODES. HER LACK OF CONCENTRATION, DISORGANIZATION, FRENZIED ACTIVITY, ANGER OUTBURSTS AT BEING CAUGHT WHILE ON THE GUITAR, AND LACK OF INSIGHT, ALL POINT TOWARDS THIS DIAGNOSIS, RATHER THAN
ADHD. THIS DISORDER CAN RUN IN FAMILIES.
HER SYMPTOMS CAN BE CONTROLLED WELL WITH MOOD-STABILIZERS. U CAN GIVE TAB
VALPROATE 500 MG BD, LATER IT CAN BE REDUCED TO 300 MG BD. NO NEED OF ANTI-DEPRASSANTS AS THEY CAN WORSEN HER CONDITION
SHE MAY ALSO NEED A SMALL DOSE OF ANTI-PSYCHOTICS, MAINLY TO CONTROL HER BEHAVIORAL PROBLEMS AND ANGER OUTBURSTS. U CAN START TAB RESPERIDONE 2MG AT NIGHT
KINDLY LET ME KNOW HER BODY WEIGHT
DR SMRITHI