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Forum Name: Psychiatric Topics

Question: psychological problem: Is it heredity?


 championjava - Tue Jul 20, 2010 2:17 pm

My wife(age 26) is suffering from some psychological problem. She becomes angry sometimes during day. She says everybody is against her, and everybody playing games with her. She didn't get sleep for 3 days continuesly and started saying some mad words like somebody did black magic on her which is making her mad. She remember everything like she can identify the persons, she knows what she studied, she knows where things are there in home etc...

Doc gave her Epilex chrono 500, Ativan , paranil and olanz for 10 days. So she become normal for some time in a day and stopped believing in black magic etc... After that doc contnued Eplilex chrono 500mg, olanz 100mg, parnil and gave one more Qutipur inplace of ativan for 30 days. She is slowly recovering, but sometimes she shows the same symptoms of anger and says some mad words.

Her parents told me that she suffered from similar situation for several months 7 years back. Her grandmother is a memory lost patient. Even her maternal uncle's daughter also suffering from some psychological problem(she is very shy and sont want to go outside)What is the problem here? Is it heredity problem? How to cure this problem ?Anybody has information?
 Faye Lang, RN, MSW - Wed Jul 21, 2010 4:54 pm

Hello, championjava,

The symptoms and medications that you describe indicate that your wife is struggling with Bipolar Disorder (BPD). There are 3 types of this disorder: Type I, which has the most severe symptoms and mood swings between major depression and pronounced mania; Type II, which has mood swings between depression and hypomania, or less severe manic symptoms; and cyclothymia, which has less severe mood swings and less severe symptoms. The manic phase can include racing thoughts, impaired judgment, inability to concentrate, grandiose thoughts, feelings of unreality, paranoia, and psychotic thinking. Bipolar Disorder is more common in people who have a blood relative (sister, brother, parent) with the condition, but it also occurs with no known prior history in the family. Researchers have found that there appears to be physical changes in the brain of a person with BPD. Other contributing factors may be an imbalance in the neurotransmitter hormones in the brain, other hormone imbalances, stress and/or abuse, traumatic experiences, or drug or alcohol abuse. These may be triggers rather than causes of BPD. The condition most often develops in people between the ages of 15 and 30. The symptoms you describe for the other family member suggests an anxiety disorder, which can only be evaluated and confirmed by a psychiatrist or psychologist. Her grandmother's loss of memory could be totally unrelated to your wife's condition, as there are several conditions that can occur in elderly persons that result in memory loss or dementia.

Treatment of BPD includes the medications such as your wife is taking, and may include supportive talk therapy. It is essential that medications be taken consistently and as they are prescribed. Many persons with BPD prefer the feeling of being "up" and are very tempted to stop taking the medication as prescribed, and then rapidly swing into a manic phase, which is disruptive to them and to those around them. It is not a curable disease; rather, it is a manageable disease. With medication and treatment and the cooperation of the person in taking medications as prescribed, stability can be maintained most of the time. Sometimes other illnesses, such as flu or infections, can alter the effect of medications and can trigger a change in mood. It's often very helpful to maintain a daily record of symptoms, when they happen, how long they last, what was happening when or just before the symptom began, and any other information the person feels is important. Taking the record to all medical and therapy appointments can help give the doctor or therapist a clear view of how the person is doing.

I hope this information is helpful to you. Good luck to you and your family.

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