My brother had distorted thoughts and was in a depressing state last month and we consulted the psychiatrist. She diagnosed him to be suffering from psychotic disorder but thankfully this is at a very initial stage. She also prescribed medicines risnia and dicorate for a week initially and then eventually for a month once a day. With medicines he became fine. Cud also have sound sleep and remained happy. Our parents and I supported him throughout, also took him out every other day for movies or dining out, etc. She also advised us to consult a psychologist for counselling. However within 2-3 sessions we found that the counselling was a waste of time since this psychologist was only giving general knowledge to my brother. Though one month of medicine is over. My brother has continuously been complaining of mild pain in his head, especially in his temple area. Do we need to again visit the psychiatrist or should we consult a neurosurgeon? We at home are confused right now, what to do?

Dr. Anjendra TargePsychiatrist7yrs exp

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Hi there, you must continue the psychiatric consultation. Do not stop the medicines without consulting your prescribing psychiatrist. Even if your brother feels much better, the treatment must be continued for at least 6-9 months if it's a first episode. Follow your psychiatrist's advice. 

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Dr. Neha GuptaPsychologist11yrs exp

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Hello it must be painful for your brother and family to deal with his helplessness. As you hv referred to psychiatrist for d medicines. Please continue to follow up to see the stability in your brother mental state. Please refer the therapist to deal with his distorted thoughts. All d best. 

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Dr. Megha SharmaPsychologist2yrs exp

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1. Consult a psychiatrist on a regular basis and get all investigations including medical, neurological etc. So that in future to avoid any kind of relapse if it occurs. 2. A clinical psychologist's role in such cases is generally to psycho educate patient or family members (as you said psychologist was just giving general knowledge) as psychotic disorders are considered chronic mental illness therefore medications are the first line of prescriptions to deal with this. 3. As part of your role and other family members is more crucial here and I appreciate that you have supported him and this is good way to overcome and better management of his problem. 4. Consult a neurologist for headache and get all investigations done for this. 

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