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This is truly frustrating for anybody in yoru shoes.
Who has prescribed these drugs to your mother and based on what diagnoses?
it is obvious to me that your mother does not exclusively present hypervigilence
but that she is paranoid and delusional as you mentioned.
What is not very common is how she does "not present any true symptoms at the doctor's offive".
It would be necessary to clarify that, once a person with a psychotic disorder in an active phase remains experiencing delusions, hallucination and other symptoms most of the time.
they could hide them out of fear but not to the extent a doctor would not notice.
Sadly most people get psychiatric drugs from primary care physicians instead of psychiatrist, who are the ones who truly know about those drugs much better.
And even in such cases, drugs would not heal a person with psychosis but mainly numb in some ways their symptoms. it is counseling and psychotherapy what could mitigate then and help with coping and improving awareness, mood and functioning.
It is very concerning that even when you sent those emails and phone messages with the very content of her ideas-behaviors, they disregard it.
You need to be very careful and monitor how things evolve. First to get a psychological evaluation, then treatment. if she is open to family support, they you all need to work on an action plan on how to take her to be willing to get psychological support.
You're right, I think she continues to get the delusions while with the doctor but is clever with hiding them...and
This is a very frustrating and sad scenario once you cannot do a lot of what would help her if she happen to be willing.
defencive. I will call the doctor before our next appointment (as I go with her) to make sure he understands what happens outside of the office.
That's why CBT and other cognitive-behavioral approaches work with the person's delusional ideation and family in order to get their cooperation and improve from there.
Who lives with her?
You have reassured me that it is delusional disorder like I thought and I'll keep prioviding the evidence to the doctor...even though that won't really change the fact she doesn't want to see a mental health specialist. She totally refuses to see a counsellor. But I've noticed that when we are supportive that eases her agitation. She lives alone.
For how long has she been like this?
We called crisis team out last weekend as she was preoccupied with death
That is not good, because we are talking about psychotic disorder here, so monitoring and close support are necessary
couple of years I think..but stopped respiredon for a month so worsened during that time
Necessary to find out how it started and what caused or triggered it.
thankfully the new GP she met today gained her trust somewhat and persuaded her to come see her again next week so I agree with you close monitoring is key
Drugs could control symptoms but cannot touch the core issues creating-feeding the disorder.
i know the triggers (benefits office, building work) i recognise the signs now but i don't think i'll find out what caused it..i think she's predesposed to the illness
I will make sure she sees the GP regularly, even if we don't get her to see mental health specialist
Thank you that's reassured me....
Absolutely, and again, only psychiatrists and in some places psychologists are the specialist about psychiatric drugs. it's like a female patient getting gynecological treatment-drugs by a general physician.
Not the best choice even more when it is about a serious condition like psychosis.
That's right, respiredon wasn't reviewed for 2 years...and crisis team said there are 6 other newer drugs she could be on...so I will when she settles see how we can progress onto that
You're very welcome. Please keep close support of her.
I will do, thank you again, goodnight