Hi doctor my brother is 31 year old married for 4.5 years. From last one day he is behaving very strange and not sleeping well. He has also developed such conditions previously .so diagnosed by some neurologist and this is the 4th time when the same situation arises. Same happened in 2003,2007,2010,2014 and now .all the time we have consulted with some good neurologist but this is happening repeatedly. Now he is in delhi so I need permanent solution for this problem. H e is very good at study was topper at school and clear jee get 2000 rank all India. Studied well in engineering and got placed in good PSU company and he also has a daughter of 3 years and good wife and a life without any tension or problems. Then what could be the reason for such situation.
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Dear lybrate-user, Your brother may suffering from a Bipolar disorder or Recurrent major depressive disorder. These disorders affect anyone. It keeps coming back repeatedly, every 3 - 4 years in your brother's condition. Though it is self limiting, it is better to prevent these episodes with a mood stabiliser all through. Bipolar Disorder is like fits, epilepsy. It comes and goes. Still we need to give tablets every day. Unlike fits, bipolar disorder is a chemical illness, comes and goes slowly and the person loses only social consciousness. Most antiepilepsy drugs are used as mood stabilisers. Instead of the neurologist, take the help of a psychiatrist to prevent next episode when he is normal itself. Bipolar disorder can occur without any obvious or with very minor external problem because it is the brain chemical imbalance that causes it. It needs to be treated chemically.
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