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Psychosis Questions

How to treat cabergoline induced psychosis a women 44 years taking cabergoline since 3 week once in a week also she have past history of psychiatric disorder but was normal since 8 month not taking any medication pls help.

Dr.Prof. Jagadeesan M.S. 97% (12742ratings)
MD - Psychiatry
Psychiatrist, Chennai
How to treat cabergoline induced psychosis a women 44 years taking cabergoline since 3 week once in a week also she h...
It may not be carbegoline induced. Psychosis can relapse after few months, if medications are stopped. She needs to be treated again with antipsychotics and if carbegoline is essential, continued along with it. Good luck
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Hello, my sister is suffering from psychosis and little aggressive and the psychiatrist has prescribed oliza 5 mg for few weeks. Problem is we can't give her the medicine directly as she will surely refuse it. Is it ok to crush the tablet and mix with food? Will this affect the working of the medicine? Also, after how many days/week can I expect to see her manic symptom go away? Thanks.

Ms.Rachna Mishra 93% (340ratings)
M.A.(H)Psychology, PG Diploma in Child Guidance and Family Therapy
Psychologist, Noida
Hello, my sister is suffering from psychosis and little aggressive and the psychiatrist has prescribed oliza 5 mg for...
Rage is contagious. When you have a temper, it may be difficult to admit there's a problem. You find yourself going from zero to 100. You were calm, and then your partner (or someone else) said something that triggered you. You snap, say something incredibly hurtful, and feel guilty. Before we know it, we go from being the adult in charge to the child having an emotional meltdown. I used to have the same issues. I was always an aggressive child. I was considered a very hot-headed person. I used to get angry at very small things and I used to lose control and use to hurt people in a way or other, sometimes I used to hurt myself too like I used to punch a wall and once I punched it soo hard that I fractured my own hand. Aggression used to eat me up from inside out. Anger is one of the most divisive and destructive forces on the planet and I knew that and I really wanted to change myself. Anger is an emotion and you can’t escape from it but how you handle is what it matters. I finally decided to control my aggression, I tried a lot of courses, read books on aggression management. There are extensive anger management resources for mental health and aggression management techniques are a dime a dozen. But those have generally proven to be quite ineffective for me. I searched on the internet about how can I control my aggression and I read many articles and watched many videos but nothing seemed convincing to me except one article that was posted by teal swan. That article talked about why do I get angry and gave me some tips to make my anger productive or how can I control it. The article made me feel good about myself. Whenever I used to get angry I used to ask myself one question- ‘what about that hurt me so bad?’. I started following her suggestions and I could see a change within myself. I could feel better. I constantly focused on things that would help me lower down my aggression. I do get angry, you cannot escape from emotion but I do know now how to handle my emotion of aggression, how to manage my aggression. After knowing the mantra to handle my anger everything seems beautiful.
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Hi, 60+ year old woman is suffering from auditory hallucinations since march. She has been taking 'olimelt 10 mg' for 3 months now (along with zapiz 0.25 mg-1 month, ativan 1 mg-last 2 months) as per psychiatric doctor suggestion (psychosis). Liver test, blood test have been taken, its normal. Earlier she used to hear in the day time also, but nowadays only at night time she is hearing that too when she is about to sleep or early morning/if she wakes up at mid-night. Some of the other symptoms are, - suddenly crying at times (politely) - lack of concentration/focus - not speaking with anyone freely. Just 2/3 words, thats it - mild forgetfulness (small things like at times forget to switch off gas stove.) - mood swing like sometimes feel low/depressed -> can judge by looking at her face need experts advise on the below please. - all of the above are symptoms of psychosis? Any other medical test recommended for further analysis as per your experience? - can she take both psychiatric tablet and ayurveda/homeo medicines (saraswatharistam, manasamithira vadagam) together, bec. She wanted to reduce allopathy tablet intake for long run? - any other suggestion for faster recovery (like food habits, yoga, meditation, oil bath. Etc) any insight would be greatly appreciated. Thanks in advance!

Dr.Aishwariya George 90% (23ratings)
Psychiatrist, Kozhikode
Hi,
60+ year old woman is suffering from auditory hallucinations since march. She has been taking 'olimelt 10 mg' for...
Dear madam, it looks like the psychosis (hallucinations) are responding to aliment, but some of the symptoms you mentioned are suggestive of depressive disorder. I would suggest that you bring them to the notice o the treating psychiatrist. Psychosis can occur as part of a major depressive episode too and sometimes, it takes a few visits to get a clear picture. If she has no health issues like diabetes, hypertension, then no other tests would be required to evaluate the mental condition. I would advise not to take allopathy and ayurvedic medicines together. Since there is some improvement with olimelt, it is better to continue under the guidance of your psychiatrist till the condition fully resolves.
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My 79 year old father has severe hallucinations and fear psychosis .he believes in imaginary things and is not ready to listen to anyone. Gets so angry and shouts on everyone.

Dr.Abhinav Joshi 87% (20ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma in Mental Health (PGDMH), Diploma in Clinical Psychiatry, (DCP), Member of College of Psychiatrists,Ireland, (MCPsychI), Master of Psychiatry (M.Psych)
Psychiatrist, Dehradun
My 79 year old father has severe hallucinations and fear psychosis .he believes in imaginary things and is not ready ...
Given your father's current age, there are various possibilities, but most likely it is a physical condition rather than purely psychiatric. I would advice you to consult a psychiatrist dealing with geriatric/old patients, which I happen to be one. For further discussions and advice, do message me here on Lybrate.
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Hi, one of my close friend's mom is suffering from auditory hallucinations for the more than a week. Most of her talks/hearings are somewhat related to past conflict. Monday they met homeopathy/ayurveda and they suggested for ayurveda tablets/syrup (saraswatharistam and manasamithira vadagam). She was taking ayurveda tablets for 2 days. Since its getting worst and her health would not allow her to wait for few more days to see the response for homeopathy/ayurveda tablets, wednesday night they met psychiatric in chennai. Doctor suggested (psychosis) for a tablet 'olimelt 5 mg' at night (8-8: 30 pm) for 20 days. If she is not getting sleep still, then they suggested to take 'zolfresh 5 mg' at around 11: 30 pm. 1st day (wed night): took olimelt 5 mg around 10 pm, slept around 1 am and woke up around 8 am. 2nd day (thurs night): thursday day time slept for 30 mins. Took olimelt around 8: 45 pm, did not get sleep till 10: 10, started blaberring/crying after that. So gave zolfresh 5 mg, then slept from 12 am-8 am. 3rd dy (friday night-yesterday): friday day time didn't sleep, took her outside. Took olimelt around 8 pm, had meditation for 45 mins, slept around 10: 15 pm. Woke up by 12 am, and blaberring for an hour. So gave zolfresh 5 mg by 1 am, then slept from 2 am till 8: 30 am. Would like to request experts opinion on the below. - can she take both psychiatric tablet and ayurveda medicines together? Would it help for faster recovery? - any other suggestion for faster recovery (like food habits, yoga, meditation, oil bath. Etc)? - in google, its mentioned that "zolfresh 5 mg" has a side effect of hallucinations. Understand this tablet is for deep sleep, but have a fear about this side effect bec. Our main problem is itself hallucinations only - we are trying our level best to divert her, but sometimes it works, most of the times don't. What to do for that - based on above day by day things, are we in a positive direction or we need to speed up the treatment by getting second opinion? How long her body/brain will take to respond for these tablets? When can we expect the slight positive change on this health issue? - there are other suggestions like consulting neurologist, siddha (parallel treatment), acupuncture. Do you recommend any of those at this point of time or wait for sometime to see the response for current medicines? - which treatment would be the best one for this kind of health issue? Any prompt response would be highly appreciated. Thanks in advance!

Dr.R.N.Chaturvedi 89% (1309ratings)
PhD - Psychology
Psychologist, Patna
Hi,
one of my close friend's mom is suffering from auditory hallucinations for the more than a week.
Most of her talk...
Any type of hallucinations can be removed by psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication you can contact me for this on Lybrate website thank you.
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Thank you doctor jagadeesan for your valuable reply regarding my father's auditory hallucinations & delusion but as my father was started on zaporil 45 days back, right now he is taking zaporil 50 mg, vertin 8 mg, oleanz rt 15 mg, pacitane 2 mg 3 tablets per day so my query is, what are the side effects it causes & whether these 3 tablets are necessary for him because my father is feeling very tired & is having body pain also & dry mouth.& also please tell me why he is having these hallucinations, delusion, because already he is having dystonia problem (neck pulling backwards and tremors & stiffness in right hand) from 2 yrs.

Dr.Sartaj Deepak 91% (217ratings)
M.B.B.S, MD - Psychiatry
Psychiatrist, Ghaziabad
Thank you doctor jagadeesan for your valuable reply regarding my father's auditory hallucinations & delusion but as m...
Hi lybrate-user, dystonia is a psychiatric emergency, please consult a nearby psychiatrist in-person or visit any medical emergency. The psychiatrist will also be able to explain you the causation and mechanism of hallucination and delusion along with potential side effects of the medicines. Whether he needs 1/2/3 medicines will be best decided by examining the patient, going through the previous medical records and past response to medications. Thanks & regards.
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My wife had a first episode psychosis during a very stressful period and was taken to a psychiatrist her symptoms improved within one day of treatment and was diagnosed as of not having any mental illness and prescribed risperidone for 10 days .as she was also found pregnant when test were done she refused to take medications and changed hospital. No further symptoms appeared but just after delivery which was c-section baby had some complications and was admitted to nicu. She stopped sleeping and delusions started to appear they consulted a psychiatrist oleanz was prescribed symptoms went away and we went home. But she stopped the medication again and not sleeping cause baby have to be fed symptoms. symptoms re appeared and was taken to a psychiatrist again they gave a diagnosis as bipolar type 1 and put oleanz 5 mg and symptoms went away. She has been asymptomatic for 1 years and on oleanz 2.5 now. Just want to know if the diagnosis is correct or should we change doctor?

Dr.K V Anand 93% (34418ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
My wife had a first episode psychosis during a very stressful period and was taken to a psychiatrist her symptoms imp...
Dear user. I can understand. Please don't be panic but be serious about the symptoms. Consult your psychiatrist for physical investigation. Please provide more information so that we can start the diagnosis process and the treatment. I am here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. I will help you in overcoming your problems certainly. Take care.
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What can be the probable reason for psychosis that reoccurs within 5-6 months in a women of 49 years or age? And how can psychosis be cured.

Dr.K V Anand 93% (34418ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
What can be the probable reason for psychosis that reoccurs within 5-6 months in a women of 49 years or age? And how ...
Dear user. I can understand. Please don't be panic but be serious about the symptoms. Consult your psychiatrist for physical investigation. Please provide more information so that we can start the diagnosis process and the treatment. I am here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. I will help you in overcoming your problems certainly. Take care.
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How good are modafinil (cns stimulant), piracetam, citicoline and creatine as nootropics?, is modafinil bad enough to cause psychosis and on how long usage does it cause a psychotic episode with auditory hallucinations, any side effects as such associated with these above mentioned drugs, I hope most of them r really safe and have no major side effects with normal population, so how bad r those ?and how potent r they as nootropics?

D. N. B. PSYCHIATRY, MBBS
Psychiatrist, Hyderabad
How good are modafinil (cns stimulant), piracetam, citicoline and creatine as nootropics?, is modafinil bad enough to...
Dear lybrate-user, nootropics are used for improving cognitive functioning. Though literature tells about psychotic symptoms with cns stimulants, I have not seen much in my practice, pls meet a psychiatrist in person to discuss your condition and the requirements for nootropics. Hope this helps.
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I am a 20 year old female. This last june, the homeopathic remedies that helped me with my psychosis for the previous 2 1/2 years stopped working. I had two very terrible psychotic episodes in june, and then I was fine for 9 weeks, and then the psychotic episodes became frequent. I have had very terrible hallucinations, and also very beautiful hallucinations. They are mostly visual and auditory, and rarely olfactory and tactile. Also starting in june, every time I get my menstrual period I get very suicidal. In addition (also starting in june) I began to have severe nerve pain on the skin of my entire back, which has now spread to my entire torso. In the past I wore a flannel shirt backwards and unbuttoned, because the pain was intensified by anything touching it. Now on bad days I cannot wear a shirt at all. One thing I found out recently is that if I focus my energy on being intensely happy, the pain goes away- but it is really difficult to be intensely happy all the time. Starting in the last 2 months, every time I get stressed out I feel nauseous and get head aches. A few times I have vomited, and one time I had my first migraine. In june I did not have any injuries or surgeries, nothing out of the ordinary happened. The doctor I went to today told me to make an appointment with my psychiatrist. I have been seeing a psychiatrist for 5+ years and the medications prescribed by them have rarely worked- the best thing that worked was the homeopathic remedies- until june. I do not have a mental health diagnosis because my insurance company won't pay for the assessment I need to find out what my diagnosis is. My doctors have not given me a diagnosis for my nerve pain. For my mental health, my medications have been changing very frequently, as none of them have been working as far as I can tell. Right now I am on welbutrin, geodon and effexor. I also take gabapentin and meloxicam for the nerve pain, which do not seem to do anything. I need to know what would cause the three symptoms- medication not working for psychosis, severe nerve pain, and feeling suicidal while menstruating- and also what I need to do/take before my next menstrual cycle. I just looked up ayurveda medicine so I will give it a try. My diet is pretty awful because I have an eating disorder, before I would go back and forth between eating very little and eating a lot, but now that I take the geodon I have to eat 500 calories twice a day, so I am pretty good about eating three meals a day now- but it is not very much healthy food. I have been eating things like peanut butter and jelly waffles, dried mangos, yogurt with jelly, french bread with butter, beans. I am vegetarian and extremely picky, so that combined with the eating disorder makes it difficult to both eat and find food to eat. I try to stay very hydrated, but don't do it very well, so my pee is usually a clear color or very very yellow. I am extremely constipated. My friend tells me I have piercing eyes. I am also tired all the time, but have a difficult time sleeping. In july I ran away from my parents house, because I was very paranoid of them for no good reason. Also they do not agree with my lifestyle. I have been unstably housed since. I have spent nights in the psychiatric hospital, friend's couches, a housing program, in my car, and one night on the street. Because of my severe depression I rarely exercise, and I am currently not employed. I have many good friends. I am currently living with two very good friends who deeply care about me. I try not to talk to my parents but that is difficult because they pay for my medical expenses and they struggle with animal neglect, and I worry about my pets that I left behind. Again, nothing out of the ordinary happened in june. If this all started in july when I moved out that might have made sense.

Ms.Harsharan Kaur Randhawa 90% (76ratings)
MA Guidance and Counseling, Pursuing PG Diploma in Counseling and Family Therapy (PGDCFT) , Post Graduate diploma in counseling and Family Therapy
Psychologist, Noida
I am a 20 year old female. This last june, the homeopathic remedies that helped me with my psychosis for the previous...
lybrate-user you are really having a tough time with so many problems. All the physical problems that you are facing like headache (migraine), vomiting, nausea, even hallucinations are due to the side effects of the antidepressants that you are taking. If you are taking the medicines as prescribed or not, is not known and they have stopped affecting you. Suicidal thoughts during periods is due to pms (pre menstrual syndrome). Your eating habits are also very disturbed. There is only one solution for all your problems, you urgently should go for counseling. Don't waste more time. The counselor will go deeper into your problems and will guide you to cope up with them in a positive. Medicines will only give you side effects, counseling will guide you through your problems so that you can lead a normal life. Go for counseling without wasting any time. You need to change your lifestyle totally. Think about your parents, how worried they would be.
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