Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

My best friends wife has recently been ommitted to a

psychiatric ward for her abnormal...
My best friends wife has recently been ommitted to a psychiatric ward for her abnormal behavior, and I am trying to understand what might be wrong with her. My thoughts are that she migh have schizophrenia. I just wanted to know if someone would be able to give me their thoughts as to what may have caused her to act out the way that she has been the last 3 weeks, more so in the last 4-5 days?
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 8 minutes by:
6/4/2013
RealSupport
RealSupport, Psychotherapist
Category: Mental Health
Satisfied Customers: 3,191
Experience: MHT-MHRS-MS-MA Integral Psychotherapist & Life Coach
Verified
Rafael M.T.Therapist :

Hello, I am Rafael. Thanks for asking your question - I'm here to support you. (Information posted here is not private or confidential but public).

Rafael M.T.Therapist :

I am truly sorry to know about your friend's situation. It seems truly overwhelming for you as a close friend, apparently more shocking because of how suddenly these changes happened.

Rafael M.T.Therapist :

Could you please tell me about what happened for me to better understand her situation?

Customer:

Yes, I was hoping to be able to given the situation

Customer:

I wish there was some way to attach an image of a letter that she had written when asked to write down what was on her mind a few days ago

Customer:

Rafael M.T.Therapist :

Let me see it.

Customer:

she has gone the last 4 days without sleeping according to her husband, she has almost a routine where she is very agressinve and upset, then once she is threatened with something like having the cops called she usually will appear to know that she did something wrong and remorse over it while talking to their two dogs, then she will get up and kiss her husband and say everything will be alright and that she loves him. Only to begin rambling to herself or about something.

Rafael M.T.Therapist :

I see.

Rafael M.T.Therapist :

You said she started presenting similar behavior but not that severe for the past 3-4 weeks, and it got to the point where she was just to unstable and was hospitalized, right?

Customer:

Yes she was ommitted earlier this week when her husband called the cops. When he was on the phone with dispatch she began violently screamin g that he was raping and abusing her. Her husband video recorded hours of these instances and showed them to the officer when he arrived and he took her to a psych ward close by. She has been to one before and has a habit of masking everything around people other than her husband and they released her the next day.

Rafael M.T.Therapist :

It's truly sad and concerning, since her thought process seems to show poor insight about reality, a lot of confusion, fear, delusions and other symptoms present durnig psychotic episodes.

Customer:

I made the trip down to their place this past weekend for support and when I got there she was at home and I could tell she was off but was trying to hide it from me.

Customer:

She was also prescribed adderall for a little while and stopped taking it, only to then begin to smoke marijuana on a regular basis. Her husband also informed me that she had an eating disorder a little while back where she was throwing everything up, and that when she started to smoke marijuanna that all stopped

Rafael M.T.Therapist :

Cannabis is a powerful drug, it is addictive and can cause or trigger anxiety, depressive and psychotic symptoms and disorders. She mentions religious concerns and speculations around her faith, reading and identification with such religious concepts - symbols, which she takes in very literal ways, with poor insight. It's a priority for mental health professionals to identify the origin of this psychotic episode, the triggers and its nature, since there are multiple possible roots for it, from medical conditions, to drugs or psychological trauma. Treatment must be based on the nature of her disorder and an accurate diagnosis.

Customer:

Her husband has hours of video and voice recording of her, one in particular that I was shown of her sitting in front of a computer typing and talking with a almost dead stare, but what blew me away was that the screen was black and the computer was turned off

Customer:

He has not shown the videos or letters to anyone until showing them to me this weekend. I told him that he needed to share them with a doctor or someone that is evaluating her because like I said she tries to mask it all when she is outside of what I call her "safe zone"

Rafael M.T.Therapist :

Then she could be experiencing hallucinations too, which are core symptoms of psychotic disorders. If she was already suffering of an eating disorder, then I could imagine that she already had depressive and anxiety related problems, which got worse by the use of drugs and possibly by not having necessary psychological support to cope with these overwhelming experiences-symptoms, and the disorders she already had.

Customer:

I was also just informed by her husband that she has just been handcuffed at the hospital for what he says "beating the shit out of him and her dad" and has been ommitted once again to the psych ward.

Customer:

her husband also informed me last weekend that she has a medication to help bring her down off of these type of instances or help her go to sleep and she consumed one and a half pills and never slowed down or fell asleep.

Rafael M.T.Therapist :

That could show she is suffering or paranoia too, since willingly trying to manipulate people's awareness of her situation. She is obviously feeling terrified, that's the core feeling she expresses in her letter, thus it seems obvious she is suffering of a psychotic episode. Only after complete evaluations, professionals should be able to get an accurate diagnosis.

Customer:

He said that he took a half of one of those pills and was out for 12 hours

Customer:

I am terrified for her and love her as much as I do family, and her husband is beside himself not knowing what to do ... No one has really said anything as to what might be wrong with her and if she will eventually come out of it like she has in the past

Customer:

Also, her husband said that she was diagnossed with bipolar disease a little while ago and refuses to take her medication for that, which sadly I didnt not find hard to believe considering another good friend of mine years ago also would refuse to take his medication for the bipolar disease

Rafael M.T.Therapist :

What about psychological treatment? it seems she has been suffering of different serious disorders. People with an eating disorder, most times suffer of depression and anxiety, many times of personality disorders too and other addictions, in her case we know about the cannabis, then it seems she was already having a tough time in her life facing all these disorders, which overwhelmed her to the point of presenting this psychotic episode. Numbing a person does not help, unless adequate intensive psychological treatment is provided.

Customer:

She her husband is an athletic personal trainer, and according to him he said that she only began to have an eating disorder when he got a management job running a gym as she was constantly worried that her body was inadequate for that of a personal trainer, so my friend gave up his career in personal training to try and diminish her eating disorder.

Rafael M.T.Therapist :

I see, then this is a very complex case, you see, bipolar disorder is a chronic mental illness, sh has also an eating disorder, plus drug addiction, inconsistent medication support and apparently no sound and effective regular psychotherapeutic treatment, then it makes sense why she has got to the present point. Most people with bipolar disorder do require medication to avoid hospitalization, controlling new intense manic -depressive episodes and worsening leading to psychotic symptoms. But medication does not cure nor solve core issues with this disorder, for that only regular psychoptherapy could help, and taking not account she has been suffering of these other chronic mental illnesses-conditions, its not uncommon to behold such level of deterioration in the present.

Customer:

I guess I am trying to figure out from a professional such as yourself, if providing the doctors evaluating her with the written, verbal, and video documentation of her episodes would help expenentially given her tendency to mask everything?

Rafael M.T.Therapist :

This person has a long history of multiple and serious mental health disorders, all chronic conditions, which have been reinforcing and worsening each other to the present point. For adequate and accurate diagnosis and treatment, current professionals should have all previous clinical history from clinical records, all the information husband could provide about the beginning and evolution of each one of these conditions and symptoms, and provide every piece of data that could help professionals to support her. For sure writings, and any multimedia recording would be very valuable next to the other core information.

Rafael M.T.Therapist :

Based on your words I would say that this could be a case of a person suffering of multiple mental health disorders, whose bipolar got to develop psychotic symptoms due to lack of adequate psychiatric and psychotherapeutic treatment, pushed by eating disorder and drug abuse-addiction.

Rafael M.T.Therapist :

She needs to be treated for each one of these disorders, understanding that these are chronic diseases, there is no cure, but rehabilitation is possible as long as she receives all necessary and effective support from psychiatrist, psychotherapist and other mental health professionals, support that should include intense inpatient individual, group and family therapy once she gets more stable, followed by aftercare program, and intensive outpatient support, including regular medication, individual psychotherapy and at least a support group.

Rafael M.T.Therapist :

Does it make sense?

Customer:

Also within her family I know that her brother was a severe substance abuse case and highly addicted to drugs, I am unaware what drugs he was addicted to but it is in the family

Customer:

I guess I just do not understand how for the entire 6 years I have known her that I have never seen any of this, from the eating disorder, mental break downs, aggresiveness, I feel as though maybe I missed something and being able to reach out to her and Kris

Rafael M.T.Therapist :

Makes sense, most times, people suffering of a mental disorder or disease, do have relatives presenting mental health issues too, and many times there are serious past experiences related to neglect, abuse or dysfunction n families leading to the development of these disorders.

Customer:

All of what you have said makes sense to me, and I would agree to support groups, taking the right medications regularly, and so on and so forth, but how do you get someone that refuses to take stuff to see that it is hurting not only her but the people around her that love and adore her more than she could ever imagine?

Rafael M.T.Therapist :

Mental disorders-diseases do not happen in isolation, it is the person's very support system which require intervention, since these conditions could get triggered by any stressful life event, or develop from concrete and long term painful life experiences, but they would evolve depending on how healthy or dysfunctional her support system happen to be. Denial, avoidance, repression, secrecy, manipulation and codependency -a core addiction here- are main symptoms of most of these disorders, and it is her loved ones, who need to work on becoming much more assertive supporting and promoting her rehabilitation, otherwise it would be hopeless. They need to learn to set health and solid limits and boundaries, eradicate any form of codependency and enabling, hoping she would commit to her rehabilitation process once she finds that there is no other way but to to take responsibility for her actions and rehabilitation.

Rafael M.T.Therapist :

This is why treatment must take into account not only the patient but the whole system, including spouse, children, and close adults - friends present in her life.

Rafael M.T.Therapist :

I am very sorry but I must leave now, we have been close to an hour and I have a client schedule for a session in two minutes. If you have any further questions about it, please feel free to post them, and I will reply as soon as I return from this other session in around two hours. Thank you for your understanding and trust.

Customer:

I think that I got everything I was looking to get, and I appreciate your words. Thank you so much

Rafael M.T.Therapist :

You're very welcome. I hope your friend and her family get the support they need and deserve to get back their lives. Thanks.

RealSupport
RealSupport, Psychotherapist
Category: Mental Health
Satisfied Customers: 3,191
Experience: MHT-MHRS-MS-MA Integral Psychotherapist & Life Coach
Verified
RealSupport and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask RealSupport Your Own Question
RealSupport
RealSupport
RealSupport, Psychotherapist
Category: Mental Health
Satisfied Customers: 3,191
3,191 Satisfied Customers
Experience: MHT-MHRS-MS-MA Integral Psychotherapist & Life Coach

RealSupport 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
My girlfriend seems to suffer from schizophrenia. She can be
My girlfriend seems to suffer from schizophrenia. She can be the sweetest girl for weeks, but then she starts fussing at me for no obvious reason for two days, three days, four days or a week. When th… read more
Ralph LMHC
Ralph LMHC
Psychotherapist
Master\u0027s Degree
872 satisfied customers
What is psycofrenia? I think that's what it's called. It's
What is psycofrenia? I think that's what it's called. It's one step below bipolar but it's not bipolar. The symptoms are not in important.… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
After 1 year schizophrenia phase, my ego got disintegrated
HI. After 1 year long schizophrenia phase, my ego got disintegrated and now pieces of my personality is being slowly organized. I can feel that diffenence (like the feelings of sense of self, and ego … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,620 satisfied customers
I've been diagnosed with schizophrenia, and the voice has
I've been diagnosed with schizophrenia, and the voice has gone away with medication. If I have a relapse again will it be less severe? The voice less loud? Etc..… read more
Dr. Vikas
Dr. Vikas
Associate Professor
M.D (Psychiatry)
33 satisfied customers
I have been diagnosed 2 years ago with Schizophrenia, I am
I have been diagnosed 2 years ago with Schizophrenia, I am 31 now. Does Schizophrenia worsen as I age?… read more
Dr. Z
Dr. Z
Psychologist
Doctoral Degree
9,633 satisfied customers
I'm type 1 bipolar but I fear im developing schizophrenia
I'm type 1 bipolar but I fear im developing schizophrenia with dazed out episodes in the public , and episodes when im in crowded places and I get insecure . I constantly wipe out my fb friends n fami… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
We think our 20 yr son has schizophrenia. He has a the signs
We think our 20 yr son has schizophrenia. He has a the signs but He thinks we are eil and against him and we dont know what to do … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
166 satisfied customers
Paranoid schizophrenia runs in my family. My 11 year old
paranoid schizophrenia runs in my family. My 11 year old daughter seems to be a loner and will talk to herself a lot hours a day if I let her. She I have her seen?… read more
Dr. Keane
Dr. Keane
Therapist
Doctoral Degree
1,379 satisfied customers
I have schizophrenia symptom of hypersensitive/delusional
I have schizophrenia symptom of hypersensitive/delusional feelings about my ego or personality. I feel like my personality keeps changing and that I must check my personality so that it stays the way … read more
Alicia_MSW
Alicia_MSW
Psychotherapist
Master's Degree
221 satisfied customers
Can ECT cure Schizophrenia. Currently i am experiencing
Can ECT cure Schizophrenia. Currently i am experiencing delusions in which the medication isn't helping with. Can this be fixed by ECT?… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
After being cured from schizophrenia, I feel like I lost my
HI. After being cured from schizophrenia, I feel like I lost my previous personality. I feel immature, as if my ego develpment went back to a baby state. Does this happen with people who recovered fro… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
OKMH1123211 I had schizophrenia for about an year and and it
OKMH1123211 I had schizophrenia for about an year and and it has been kinda cured for about an year and half. I had no psychotic sympoms for quite some time. However, I always noticed that my personal… read more
khagihara
khagihara
Post-Doctoral Degree
5,119 satisfied customers
My son has what we have been told is paranoid schizophrenia
My son has what we have been told is paranoid schizophrenia he has been having a hard time the last few days and says he feels like he is losing touch with reality. He is not in a psychic episode but … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
How bad can schizophrenia get. I feel I am close to
How bad can schizophrenia get. I feel I am close to breakdown. Im starting having delusions about completely obvious things, like what people said. I cant tell if it happened or not. I really cant. Im… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
My son who is 26 years old, suffers from schizophrenia.
My son who is 26 years old, suffers from schizophrenia. However, he refuses to believe it, admitted to himself, and accept it. He refuses the visit to or from the psychiatrist I have went to and refus… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
I take abilify 10mg at bedtime for schizophrenia that i used
hi i take abilify 10mg at bedtime for schizophrenia that i used to have and i still take it because i just found out that schizophrenia is healed but i have not talked to my doctor about this yet (i w… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I have schizophrenia which has only started and have not
I have schizophrenia which has only started and have not heard any voices until the other day. The voice (God) as i call it spoke to me for at least 2 hours but then went away. I am currently taking m… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I have schizophrenia and I take Lorazepam. How is it
Hello, I have schizophrenia and I take Lorazepam. How is it possible to withdraw of this drug? My psychiatrist gave me paliperidone to combat the loss of efficiency of the lorazépam. Is it a good deci… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,620 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