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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Psychosis, Bizarre Behavior, Hallucinations With Lack Of Orientation Be Treated?

My mother (53 y,o.) has always been emotional, but lately her emtional irregularity has been very extreme. Last night after a heated arguement with the family, she burst into tears and began expressioning symptoms of psychosis. Bizarre behavior (not understanding what the function of furniture was, blank expressions), and then she may have had a hallucination of her deceased mother. When she snapped out of it, she could not remember what happened, but just remembers that she felt she was in darkness with voices around her. 30 minutes later I assesed to see if she oriented x3, but she failed. An hour later she was oriented x3, and was slowly returning to baseline. She currently is doing better, but not 100% herself. She may be in the early stages of menopause, and has no other psychiatric history. Is this common in menopausal women?
Mon, 10 Nov 2014
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Psychiatrist 's  Response
Hello Welcome to HCM

She is 53 years old and after a major argument she has developed abnormal behaviour, expressionless face, complaints of seeing her dead mother, forgetfulness. She was not responding to interactions.

As per my opinion though acute psychosis can be possibility, but she might be having severe anxiety and acute stress reaction. There is positive history of major fight at home which was followed by symptoms. She has not shown other behaviours of psychosis like suspiciousness, fearfulness, irrelevant talking.

In severe anxiety or in dissociative disorder individuals may stop to interact, may show abnormal behaviour. I would advise you to consult a Psychiatrist to differentiate between these complaints. Medicines like low dose benzodiazepine can be given in her situation to calm her. Clonazepam, Lorazepam are commonly used.

Visit a psychiatrist for proper diagnosis.

Thanks
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How Can Psychosis, Bizarre Behavior, Hallucinations With Lack Of Orientation Be Treated?

Hello Welcome to HCM She is 53 years old and after a major argument she has developed abnormal behaviour, expressionless face, complaints of seeing her dead mother, forgetfulness. She was not responding to interactions. As per my opinion though acute psychosis can be possibility, but she might be having severe anxiety and acute stress reaction. There is positive history of major fight at home which was followed by symptoms. She has not shown other behaviours of psychosis like suspiciousness, fearfulness, irrelevant talking. In severe anxiety or in dissociative disorder individuals may stop to interact, may show abnormal behaviour. I would advise you to consult a Psychiatrist to differentiate between these complaints. Medicines like low dose benzodiazepine can be given in her situation to calm her. Clonazepam, Lorazepam are commonly used. Visit a psychiatrist for proper diagnosis. Thanks