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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Anger And Aggressive Behaviour?

Hi, my 92 year old mother has been showing signs of being angry and aggressive toward the other residents in her assisted living facility. UTI has been ruled out and she was taking 25 mg of Zoloft for the last 2 years which has recently been increased to 50 mg because of her behavior. She does have some dementia with memory and cognitive issues. She really gets upset and difficult at just the mention of doctor visits or tests. What is the best way to proceed without putting her through a barrage of tests? Besides slightly high blood pressure, she is in relatively good health. Thank you
Mon, 16 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Zoloft can cause Akathisia in few patients. Akathisia may range in intensity from a mild sense of disquiet or anxiety (which may be easily overlooked) to a total inability to sit still, accompanied by overwhelming anxiety, malaise, and severe dysphoria (manifesting as an almost indescribable sense of terror and doom).

Hope I have answered your query.
Let me know if I can assist you further.

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What Causes Severe Anger And Aggressive Behaviour?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Zoloft can cause Akathisia in few patients. Akathisia may range in intensity from a mild sense of disquiet or anxiety (which may be easily overlooked) to a total inability to sit still, accompanied by overwhelming anxiety, malaise, and severe dysphoria (manifesting as an almost indescribable sense of terror and doom). Hope I have answered your query. Let me know if I can assist you further.