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Do you think that she appears sad, irritable, complain of fatigue, poor concentration etc?
Has she become paranoid, doubt the motives of other person, family members?
Has rapid mood swings?
any past history of psychiatric illness / medical illness?
any past history of psychiatric illness in family?
Hello Dr. Vikas, thank you for your questions. Yes, she often is irritable and complaining of fatigue. I don't think she has poor concentration. She is slightly paranoid, not really doubting motives of other but is definitely critical of others. Yes, mood swings are rapid. One minute she will tell a joke next minute she will yell at someone. No past history of illness, just her father was known to be very controlling and anxious person.
On second thought, she sometimes does doubt the motives of others.
thanks for your reply
and what is her view about these observations by other family members?
is she aware of these symptoms or her annoying behavior?
she is more critical of others more than anything else
no she does not seem to have much self awareness, even though we bring it up with her
On the basis of symptoms you have mentioned her symptoms are not fitting in any particular diagnosis.
most common diagnosis at this age are depression, mood disorders and occasionally paranoia
dementia also start at this age
in her case, symptomatic treatment can be a possibility
what is that?
For example, antidepressant specially Fluoxetine can be tried
do you think that she is verbally aggressive
or aggression is there?
she can be
verbally aggressive sometimes.
big talks, demanding behavior?
inflated self esteem?
right now there is more stress in the family as my dad is battling colon cancer and my cousin has advanced kidney cancer
OH, sorry to hear about that
that may be contributing....but these symptons were there before all of this
so there is significant stressor present
that is contributing...but like i said her behaivor was there before
what about demanding behavior, irritability, increased self esteem, rapid mood swings, insomnia?
we have asked her to see a health professional but she is stubborn and does not think anything is wrong with her. also, she is a physician from indian origin and for cultural reasons does not want to see anybody
I can understand that.
yes very demanding behaivor...when she wants something done like a minor task she wants everyone to stop what they are doing and do it for her
yes i can tell by your name..are you from india as well?
OK, so there is a possibility of mood disorder or depression
but the treatment is totally different
nice it helps to have someone from the same backgrond to understand
for depression, Fluoxetine can be a good option while for mood disorder Aripiprazole (Abilify) can be a better option
even a Physician can prescribe her these medicines
ok, how can you tell which one is betteR?
you can also ask her to try some online screening tests if she is willing to try
my dad is a physician he can prescibe her
do you think that she will try an online screening test if you ask her to do so?
i can try to get her to do a screening test...not guranteed she will comply. do you have a link to a good one?
it is above
this screening quiz can help in ruling out depression or mood disorders
ok got it..that is for bipolar. will that help distinguish between mood disorder and depression/
at least will give an idea
ok can i email you the results if she does comply?
no need, you can see the scores and the possible diagnosis
but you are most welcome to do so
ok great, thank you so much for your help
You are most welcome.
do you have any other question to ask?
excellent service, no I am good thanks.
thanks for coming to JA
have a great night!