question-icon

How to get rid of mental agony due to traumatic past?

default
Posted on Sat, 19 Jul 2014
Question: Hi, I have a 22 year old son from a Russian orphanage who was raped by his parents and prostituted by them until age 2.5 yrs, raped in the orphanage by the kids there. He is in so much pain everyday & his anger is eating him up. We have been to 25 psych doctors in XXXXXXX in the last 15 years none of whom could reach him and others, the top psych did not want to as they said he would take to much of their time. He is a wonderful person but I do not have any options to work with, any ideas? He is also savant and some autism. He is naive and cannot understand how these people did this to him; he at times wants revenge as he talks to me about what happened to him; he will not talk to others.
doctor
Answered by Dr. Sunil Gupta (2 hours later)
Brief Answer:
Please see details below

Detailed Answer:
Dear XXXXXXX

I went through you query and can appreciate your concern regarding your son. Let me tell you at the start that I am deeply moved by what you have done. Its really commendable.

Coming to your son, he definitely had a very traumatic childhood. All the physical and emotional trauma has led to development of scars on his mind which is affecting his present and his current capacity to live happily and form relationships. all that anger within him must have been eating him up from inside.

He is just 22 right now. I am not sure he would have understood even regarding the nature of therapies earlier. You mentioned that the latest was CBT. I am not sure if he is undergoing it currently or already through that. But it definitely is a good choice. Another good option would be psychoanalysis. regarding medicines, it would help what all medications he has been tried on and if any has given him even slight benefit. Lexapro is a good option (Current dose??) and depending on earlier treatment details, other medications can be tried if it doesn't work.

More importantly, since you have mentioned that you are the only one he even talk to, you can become and cat as his therapist in your own right. You have to listen to him, start trying to let him vent out his anger and release his pent up emotions. The whole thing would be very gradual. You will just have to listen to him patiently and not try to stop him even if he talks about revenge. That just might help him.

I do hope that I was able to answer you. Please feel free to ask any further query that you might have.

Best wishes for you and your son,

Dr. Sunil Gupta
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sunil Gupta (43 hours later)
Thank you for your response. He is doing better as he is now on Latuda 80 mg and 20 of Lexapro. He asks for the Latuda so I won't forget it and he has started laughing more since this med started. Since he has so many medical problems ie
about 12 diagnosis from epilepsy to hearing problems, just getting these fixed has
made him a different person. I will take your advice as trying to find a new psych that can understand all of his other problems and not judge him has been difficult. He is a fetal alcohol child with no immune system but is getting IVIG bi-weekly which has made the difference. He wants to get a job and I believe this will divert his mind from what happened to him and the PTSD. Since he is considered disabled but is a whiz at cars, working in an environment that he will be praised for his savant abilities with cars, should start filling up the void in his own self esteem.

One thing I would like to ask, he keeps lately saying " I just don't care" when he
is sad. I try to point out all the good things but have not a good understanding here other than to give him big hugs which he likes to counteract this statement. He is on the 80 mg of Latuda with 20 mg Lexapro..is this enough? He was on Lexapro 50 mg but there were gaps...the Latuda works wells for him Thank you.
doctor
Answered by Dr. Sunil Gupta (32 minutes later)
Brief Answer:
Please see details below.

Detailed Answer:
Dear XXXXXXX

Thanks for following up. It is nice to know that your son is doing better with medications. He has been through a lot psychologically and with all the physical problems as well, I would say he is very lucky to have you as his mother. You seem to have a positive influence on him and definitely bring something to cheer bout in his life.

He is right in thinking about getting a job. That will keep him busy and like you said, will help him increase his self esteem. it will also give him chance to know new people and may be he will be able to make a few friends out of them which will help him considerably.

Regarding his saying I just don't care, thus might be a way of expressing his frustration. You just have to pursue with what you are doing, being a great mom and friend for him. Just try to make him speak out more so that he ventilates whatever inside. It will make him feel better gradually. Don't try to cut him off at the beginning. Just be a patient listener and it will really help him speak more.

Regarding his medications, I think that is sufficient as of now. Latuda (Lurasidone) can be increased further later on if required. 80 mg is a good dose for now. 20 mg of Lexapro (escitalopram) is adequate. It is the maximum dose recommended. 50 mg of escitalopram will frankly do no more good than 20 mg except for increasing the chances of side effects. So, my advice will be to keep him at the current dose of medications and hope for the best.

I do hope I have been of some help to you. Please don't hesitate to ask any further query that you might have. I will be glad if I can be of any more help. In case you don't have any more queries, you can close the discussion and please do rate the answer.

Best wishes,

Dr. Sunil Gupta




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sunil Gupta

Psychiatrist

Practicing since :2005

Answered : 637 Questions

premium_optimized

The User accepted the expert's answer

Share on
How to get rid of mental agony due to traumatic past?

Brief Answer: Please see details below Detailed Answer: Dear XXXXXXX I went through you query and can appreciate your concern regarding your son. Let me tell you at the start that I am deeply moved by what you have done. Its really commendable. Coming to your son, he definitely had a very traumatic childhood. All the physical and emotional trauma has led to development of scars on his mind which is affecting his present and his current capacity to live happily and form relationships. all that anger within him must have been eating him up from inside. He is just 22 right now. I am not sure he would have understood even regarding the nature of therapies earlier. You mentioned that the latest was CBT. I am not sure if he is undergoing it currently or already through that. But it definitely is a good choice. Another good option would be psychoanalysis. regarding medicines, it would help what all medications he has been tried on and if any has given him even slight benefit. Lexapro is a good option (Current dose??) and depending on earlier treatment details, other medications can be tried if it doesn't work. More importantly, since you have mentioned that you are the only one he even talk to, you can become and cat as his therapist in your own right. You have to listen to him, start trying to let him vent out his anger and release his pent up emotions. The whole thing would be very gradual. You will just have to listen to him patiently and not try to stop him even if he talks about revenge. That just might help him. I do hope that I was able to answer you. Please feel free to ask any further query that you might have. Best wishes for you and your son, Dr. Sunil Gupta