Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I think I have a very difficult situation. I firmly believe

Customer Question
my wife has a psychiatric...
I think I have a very difficult situation. I firmly believe my wife has a psychiatric disorder. And I know she is an alcoholic. Can mental conditions be diagnosed at arm's length by symptoms alone? I'm sorry, I thought this would be an ongoing dialogue. I don't think we can do much without communication.
Submitted: 6 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 5 minutes by:
10/1/2011
Mental Health Professional: Dr. Olsen, Psychologist replied 6 years ago
Dr. Olsen
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2,336
Experience: PsyD Psychologist
Verified
Hi,
Thank you for writing in JustAnswer.
I'm sorry to hear about your wife's situation.
If she is alcoholic, she may have depression or other mood problems.
Let me ask you a few questions first.
Does she have any medical condition?
How long has she been alcoholic?
Has she exhibit depression or anxiety?
Is there a specific question I can assist you with?
Please let me know by clicking on “Reply” and I will then craft my response.
I look forward to hearing from you.
Warm Regards,
Ask Your Own Mental Health Question
Customer reply replied 6 years ago
I firmly believe she has borderline Personality Disorder. She has been an alcoholic for at least 20 years. The line was blurred for a long time between abuse and outright alcoholism. But she is definitely an alcoholic for the last 7 or 8 years. She has declined steadily.
Mental Health Professional: Dr. Olsen, Psychologist replied 6 years ago
Hi there,
Thank you for waiting.
I can imagine how sad, anxious and worried you must have felt about your wife's situation.
It sounds like she has alcohol abuse/dependence, depression, and possible Borderline personality disorder (BPD).
It's common for people with BPD to abuse alcohol or substance.
Borderline Personality disorder is emotional regulation problems. BPD is a pervasive pattern of instability in interpersonal relationships, self-image, affect, and marked impulsivity. A person with BPD is intensely fearful of abandonment and may engage in impulsive and extreme behaviors to keep other people with them. Disturbances in self-image are often manifested as frequent shifts in career goals and sexual identity, while impulsivity is reflected in unsafe sex practices, reckless driving, financial irresponsibility, and substance abuse.
As you are aware, she may need treatment - individual and group therapy and/or medication in addition to alcohol addiction treatment (working with a certified alcohol counselor) in inpatient or outpatient settings.
You may need help and support to associate with your wife. You may need to get support from a counselor/psychotherapist and/or your doctor. You may need to be patient with her behavior - angry outbursts and erratic behavior as she has this serious illness (depression and possible BPD). You may not overreact to any outbursts, emotional displays, or other behavior of her, as your overreaction may be an escalating factor in her behavior.
However, set limits with her behavior without high emotion. You may not change yourself to accommodate her behavior as she may try to manipulate you. Keep an honest perspective, especially in regard to your own needs. Develop friendships and social interactions with other people, making sure you are not sacrificing your own quality of life in your efforts to deal with her.
Again, she may need to work with a certified alcohol counselor.
In terms of her psychiatric illness, she may benefit from Dialectical-Behavior therapy (DBT) or Psychodynamic therapy.
There are good facilities for her across the U.S..
For example, The Menninger Clinic is a renowned treatment center for various mental health problems including Borderline Personality,
Depression, Self-Harming, Suicidal Ideation etc. They work with adolescents and adults. They provide long-term and short-term inpatient treatment.
Here is the info:
The Menninger Clinic *****
Houston, Texas 77080
Admissions Office
phone:(###) ###-####
fax:(###) ###-####
Website - http://www.menningerclinic.com/index.aspx
Other hospitals that offer DBT treatment to patients with BPD are:
Silver Hill Hospital *****
New Canaan, CT 06840
call 1-***-***-****
Community Hospital
Behavioral Health Center
5637 Marine Parkway
New Port Richey, FL 34652
The Zucker Hillside Hospital
75-59 263rd Street
Glen Oaks, NY 11004 (###) ###-####
St. Cloud hospital *****
St. Cloud, MN 56303 (###) ###-####
(800) 742-HELP toll-free
Forest View Hospital
1055 Medical Park Dr. SE
Grand Rapids, Michigan 49546
1-***-***-****
If she is dangerous to herself or the other OR is unable to take care of self due to mental disorder or alcohol addiction, ask her to go to an emergency room of a local hospital. If she does not, call A LOCAL MOBILE CRISIS TEAM or PSYCHIATRIC EMERGENCY RESPONSE TEAM designated by your city and county for psychiatric evaluation and involuntary hospitalization. If she is in crisis now, seek help immediately. Call 1-800-273-TALK (8255) to reach a 24 hour crisis center or dial 911 for immediate assistance.
I hope your wife seeks treatment. You may need ongoing support and advice from a psychotherapist, your doctor and/or a support group.
A support group is available via NAMI organization (website: www.nami.org).
Please let me know if I have overlooked any or you have more questions. Warm regards, ***** remember to click the green ACCEPT button. You do not get charged twice; I will continue to answer your question whenever I am back online; my goal is to get you the best answers possible. If I can be of further help with any issue, just put "for Dr. Olsen" in the front of your new question. All the best, ***** *****
Dr. Olsen
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2,336
Experience: PsyD Psychologist
Verified
Dr. Olsen and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Olsen Your Own Question
Dr. Olsen
Dr. Olsen
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2,336
2,336 Satisfied Customers
Experience: PsyD Psychologist

Dr. Olsen is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
What would you recommend to someone with a bad anxiety
Hi, what would you recommend to someone with a bad anxiety disorder, 25 years old, 134 lbs, who keeps worrying about fainting if he doens't... eat yet another meal? Driving and walking has become hard… read more
Nancy
Nancy
Psychotherapist
MS, PhD can.
492 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
OKMH1212211 I have an extreme medically diagnosed anxiety
OKMH1212211 Hello. I have an extreme medically diagnosed anxiety disorder. Recently, it's been getting worse. Everything makes me anxious and I have panic attacks regularly. I am allergic to all SSRIs… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I feel this feeling of guilt and sadness and I'm not sure
I feel this feeling of guilt and sadness and I'm not sure why Would you happen to have an explanation for that … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
720 satisfied customers
OKMH115211 My daughter struggles with anxiety depression
OKMH115211 My daughter struggles with anxiety depression OCD. She has tried numerous medications without any luck. She is at a new inpatient facility and her psychiatrist put her on zyprexa and Prozac… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I feel sad so much I need help dealing with how I feel
I feel sad so much I need help dealing with how I feel because it's affecting with my relationship with my boyfriend and my happiness in general… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
167 satisfied customers
I struggle with severe anxiety and depression and self love
i struggle with severe anxiety and depression and self love and self esteem and self confidene issues. i need help … read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,908 satisfied customers
My father has an alcoholic abuse for more than 5 years. How
my father has an alcoholic abuse for more than 5 years. How does family should behave to overcome this problem? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
720 satisfied customers
I've been experiencing a lot of depression and anxiety after
second opinion] Hello!I've been experiencing a lot of depression and anxiety after a health diagnosis. I am constantly paranoid that something else more serious may be wrong with me. Constantly readin… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,908 satisfied customers
Second opinion] OKMH98-130 I've been very sad and in a bad
second opinion] OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. Loss of interest in daily activities. I p… read more
Juliet Cooper
Juliet Cooper
Doctorate of Psychology
29 satisfied customers
OKMH98-130 I've been very sad and in a bad state of mind
OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. I've been sad often. I noticed my mood is better when I'm… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I am so sad and exhausted. My baby brother dies April 2015,
I am so sad and exhausted. My baby brother dies April 2015, 18 months later i list my Mom. I had been her caterer … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
167 satisfied customers
I think I have Borderline Personality Disorder, but this is
I think I have Borderline Personality Disorder, but this is just self-diagnosis. How will I know if I really do have it and what are the ways to cope up?… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I have borderline personality disorder and anxiety attacks
I live with borderline personality disorder and since I lost my job I started to have quite bad anxiety attacks and I wake up at night from nightmares and shake and cry. The level of anxiety is so hig… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x