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Suicidal thoughts and need for cognitive behavioural therapy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   i have a habit of talkin to myself all alone..irespective of the fact...if m present in publiv or not
Doctor :   Hi
Doctor :   How can I help you?
User :   hello doctor
User :   well doctor i hac been into the habit
User :   of takin to myself
User :   be it in public or alone in a room
Doctor :   May I know your age and gender?
User :   i am 23 yrs
User :   and female
Doctor :   Since when are you having these symptoms?
User :   i never realised it myself...but as far as i can mom noticed it wen i was 6
Doctor :   Ok
Doctor :   How frequent are these spells?
Doctor :   I mean do they happen every time or only on particular opinion?
User :   very frequent....infact its more when m alone
User :   everytime
Doctor :   Ok
Doctor :   When you start speaking, do you speak to another voice?
User :   no its times .. iimagine to be width sumone i kno..particularly ...sumone i like to be with...
Doctor :   Who's is this voice? Is it yours itself or a different one?
User :   my self
Doctor :   Does this voice command you to do things?
User :   yes at times it does
Doctor :   Do you follow its command?
User :   i do
User :   most of the time wen i ma in distressed i tells me to harm myself
Doctor :   To what extent have your symptoms affected your life?
User :   i have tried to commit sucide a number of times
User :   my left wrist is full of cuts
Doctor :   Does your mother know about the seriousness of the issue?
User :   no ....i stay away from my family
User :   my room mates do
Doctor :   Do you have any other abnormal behaviour apart from this?
User :   no i dont...but wen m tensed i have lack of sleep....
Doctor :   Ok.}
User :   its like i want to sllep but my brain wants me to stay awake n talk to myself
Doctor :   Do you notice any abnormal visions?
User :   no i dont
Doctor :   May I know about your occupation?
User :   i am an engineering student
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes/hypertension?
Doctor :   Are your periods regular?
User :   my periods are very regular
User :   no i don really have ne other illness
Doctor :   Have you seen a doctor earlier for these symptoms?
User :   but at times i do get hyper
User :   no i havent
Doctor :   Does any one else in your family have symptoms similar to yours?
User :   my mother was mentally ill wen i was very young
User :   she got strokes
Doctor :   Do you use illicit drugs?
User :   no i dont
Doctor :   Do you smoke or consume alcohol?
User :   no
Doctor :   Ok.
Doctor :   Let me explain it to you.
Doctor :   Some of your symptoms, infact most of your symptoms are similar to ones with psychosis.
Doctor :   Probably a treatable form of schizophrenia.
Doctor :   Since you have suicidal thoughts,
Doctor :   I would suggest you to see a psychiatrist for a Cognitive behavioural therapy and you may need medications along.
Doctor :   I would suggest you to first inform your family as a familial support and support from friends are very essential.
Doctor :   This is my personal opinion though.
Doctor :   But I really wish that you start of with the treatment as early as possible.
Doctor :   Since your symptoms are not profound, early intervention can treat the condition better.
Doctor :   Do you follow with what I am saying?
User :   i needed to ask something
Doctor :   Yes, proceed.
User :   lately i have been getting very agressive unnecesarily
Doctor :   Ok
User :   without any reason i react in a negitive manner with people around me
User :   does this hav to do sumthin wid my illness
Doctor :   Since this is a psychological illness, your symptoms can be part of the same.
User :   wat stage is my illness at
User :   cause i have been sufferin for a long tym
User :   i also forgot to mention my mother did undergo for shock treatment prior to my birth
Doctor :   The progress probably has been slower, but there must have been a few stressors that may have aggravated these symptoms.
Doctor :   Probably it is in much earlier stages and can be treated with professional help.
Doctor :   Do you follow with what I am saying?
User :   yes i do...
Doctor :   My opinion is based on your history alone.
User :   well can u sugest a way by whoch i can divert my sucidal tendency
Doctor :   I can suggest a plenty of things on chat, but that may not be very effective.
Doctor :   The best way things can be done to prevent these thoughts are with a face to face councelling
Doctor :   and if needed the medical drugs.
Doctor :   They are very effective in preventing the suicidal thoughts.
Doctor :   So I would suggest you not to delay further.
Doctor :   Get to a psychiatrist as early as possible for assessment and starting the treatment.
Doctor :   Do you follow?
User :   i ll do tat immediately
User :   thank you so much
User :   for your time n advice
Doctor :   Do you have any other query?
Doctor :   Please fill the feed back form.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   no
User :   thank you
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