Mental Health

Have mental health questions? Ask a psychiatrist online

Ask an Expert,
Get an Answer ASAP!

My stepson 18 yrs old talks to himself and giggles a lot.

Customer Question
My stepson 18 yrs...

My stepson 18 yrs old talks to himself and giggles a lot. Even when we are in a discussion or in public he tunes out and starts this monologue. If I ask him about it he just says he's thinking of something. He seems very out of touch with the world around him and can't complete simple tasks. He wasn't always like this

Doctor's Assistant: How is your mood? Are you experiencing regular sleep disturbances (e.g. trouble falling asleep, waking up early)?

His mood?

Doctor's Assistant: Anything else in your medical history you think the Psychologist should know?

This is about my step son. He has had some paranoid delusions but was told that he is not psychotic. He has been diagnosed with borderline personality disorder but I don't see these symptoms there

Submitted: 3 months ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 6 hours by:
12/27/2017
Mental Health Professional: Dr. Kaushik, Psychiatrist replied 3 months ago
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,756
Experience: MD Psychiatry
Verified
Greetings.
Welcome to the site.
I am a Psychiatrist and I believe that I can help you with your query.
Well, from his symptoms such as muttering to self, giggling or grimacing without any apparent reason, being lost on his own world, not being able to complete tasks assigned to him , loosing objectivity and clarity for a person of his age and maturity regarding life, delusional and Paranoid behaviour etc of these are suggestive of a high possibility of him having a Paranoid Psychosis as a explanatory diagnosis for his behavioral attributes. His behavior is too bizarre and inexplicable to be found within the realms of borderline personality disorder, so may be his previous evaluator got all wrong about his diagnosis or he / she was not subjected to his present behavioral traits.
I reckon that he needs to be promptly seen and formally diagnosed by a Psychiatrist and subsequently started on a drug regime comprising of an anti psychotic medication such as zyprexa or Risperdal or abilify besides using a mood stabilizer such as depakote or depakene.
You see if his this condition is not immediately catered to then there is a risk of this condition getting blown out of proportion and it may even become a long standing disorder like schizophrenia.
I hope this makes sense and gives you an insight into the whole issue surrounding your stepson. The faster he gets the meds the better prognosis aka outcome of his diagnosis shall be.
Wish your stepson all the best.
Please kindly leave a POSITIVE RATING if you are satisfied with the answer so that I can be credited for my service.
Regards
Ask Your Own Mental Health Question
Was this answer helpful?
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,756
4,756 Satisfied Customers
Experience: MD Psychiatry

Dr. Kaushik 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

4,021 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 son has been in an out of a psychiatric hospital for
My son has been in an out of a psychiatric hospital for suicidal ideation, major depression (4 times). He now claims that he hears voices (never heard them before) they are also considering borderline… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
944 satisfied customers
I have a son that is treatment resist and has schizophrenia.
I have a son that is treatment resist and has schizophrenia … read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,756 satisfied customers
I think I have borderline personality disorder. I feel it's
I think I have borderline personality disorder. I feel it's consistent with my childhood and adult patterns and history. I also have adhd (diagnosed). I've brought up bpd to my psychiatrist and therap… read more
Linda D.
Linda D.
Master\u0027s Degree
853 satisfied customers
My daughtsr has schizophrenia and is hallucinating precense
My daughtsr has schizophrenia and is hallucinating precense of neighbors we used to have that has taken over her life. She is yelling and screaming and in different voices and personalities. She takes… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,756 satisfied customers
I have schizophrenia and I'm 29 years old I'm looking for a
please. I have schizophrenia and I'm 29 years old I'm looking for a supplement that will take away the flatness of thought and emotion … read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,756 satisfied customers
My husband was diagnosed with late onset schizophrenia last
My husband was diagnosed with late onset schizophrenia last yr. He has been off the med but a bad head pain like a headache which pandol and neufron can not get rid of it. why does he have these head … read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,756 satisfied customers
I have a question about schizophrenia: I have been told it
Hi I have a question about schizophrenia: I have been told it burns itself out in your fifties, is that True?… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
944 satisfied customers
My dghtr just turned 30yrs and has had psychosis demetia
My dghtr just turned 30yrs and has had psychosis demetia like symptoms for 7yrs; seems like it started when she was prescribed antipsychotics. Have had difficulty because she would get angry n violent… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 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
2,746 satisfied customers
I had been taking risperidone for psychosis (brain injury)
Greetings. I had been taking risperidone for psychosis (brain injury) since 2009 and my condition was great. I was able to drink coffee green and black tea, though i drank decaf coffee only, i could s… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,169 satisfied customers
One year ago I suffered from drug induced psychosis and was
.one year ago I suffered from drug induced psychosis and was hospitalised for two months. The drug that caused the psychosis was dexamphetamine, taken for ADHD. Since then I have continued to suffer w… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
I was diagnosed with traumatic brain injury and psychosis
Hi. I was diagnosed with traumatic brain injury and psychosis not otherwise specified about 8 years ago. I have been symptom free for these 8 years while on 3 and then 4 mg of risperidone. up until la… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,756 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
853 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
1,006 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
I'm not sure if I'm experiencing psychosis and want to ask
I'm not sure if I'm experiencing psychosis and want to ask about it … read more
Dr. Z
Dr. Z
Psychologist
Doctoral Degree
1,006 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
12 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