Dear s user,
thank you for writing to lybrate. I understand your concern about treatment of your wife.
Elevated mood, grandiosity (claiming power, wealth, supreme identity, knowledge), diminished need for sleep, excessive talking or pressured speech, racing thoughts or flight of ideas in mind, clear evidence of distractibility, increased level of goal-focused activity at home, excessive pleasurable activities or spending too much often with painful consequences all are symptoms of manic episode of bipolar mood disorder, severe with psychotic symptoms. I suggest you to consult a psychiatrist who has indoor treatment facility. She requires hospitalization and indoor management.
When patients with severe mania with psychotic symptoms are brought to my hospital, I hospitalize them. I give them medications like lithium carbonate, olanzapine and lorazepam.
With availability of latest brief pulse and ultra brief pulse ect devices, electroconvulsive therapy (ect) is a safe and effective biological treatment which improves mania rapidly. I also recommend ect for her.
She will definitely improve with treatment. I recommend treatment earliest.
Warm regards.