Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

155 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffered from anoxic brain injury in right frontal lobe and had bipolar. Can I get back to normal life?

Answered by
Dr. Preeti Parakh

Addiction Medicine Specialist

Practicing since :2002

Answered : 1486 Questions

Posted on Mon, 18 Nov 2013 in Bipolar Disorder
Question: My sister suffered an anoxic brain injury in 2011. Before this injury she was diagnosed as bipolar. She was on many different psychiatric drugs for over 15 years. Since the injury she only takes 10mg of Abilify a day, her bipolar symptoms seem to have disappeared. The injury to her brain is in the right frontal lobe - she now complains of hearing voices. Typically happy voices, but sometimes she will say she needs to go to a psychiatrist. Her speech is very hard to understand and she has 24 hour care. I'm struggling with getting her back on psych meds - she is typically happy, but seems to be affected a few days per month with the "voices she hears"? Advice anyone?
Answered by Dr. Preeti Parakh 1 hour later
Brief Answer:
Hiking Abilify may solve her problem.

Detailed Answer:

Welcome to Healthcare Magic!

The voices that she is hearing can be due to brain injury or due to an independent psychiatric disorder. Whatever the cause, treatment with antipsychotic medicines usually is effective. She is already taking one antipsychotic medicine, Abilify, which seems to be working for her to some extent. Therefore, I feel that just hiking the dose of Abilify is a good option for her to reduce the hallucinations. She also may be more willing to continue with Abilify rather than try a new medicine.

If you can get her to see a psychiatrist, it will certainly be good. But if you cannot, try asking her present doctor to consider an increase in the dose of Abilify to around 15 mg per day. Please also ensure that she is compliant and does not miss her doses.

Hope this helps you. Please feel free to ask if you need any clarifications.

Best wishes.

Dr Preeti Parakh
MD Psychiatry
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,   ,  
Medical Topics

Recent questions on  Hallucination

doctor1 MD

My 4 year old daughter is due to have an MRI in a week. Neurologist says she wants brain and spine due to her not being potty trained yet or even able to realize she has had a bowel movement....she has been to several docs and clinics and no firm diagnosis,... could the neurologist be thinking tethered cord??? She does have Sensory Processing Dissorder, Anxiety with panic attacks, major sleep disruption issues and hallucinations. They are doing a sleep deprived EEG to see if some of her myoclonis is seizure related. She is on meds: Risperidone and clonidine, with 3 mg. of melatonin as well. She has O.T. and P.T. once per week, with alot of motor control issues, gait , balance and ataxia. I feel she may have most definitely a chromosome deletion problem, genetic...somthing in that area. At one point they mentioned DiGeorge Syndrome, then didn t want to test. I had a Fragile X test started, and it came up negative. (my daughter also has alot of tantrums and inconsolable crying where she cannot stop. Where should I go if MRI and EEG come up with no answers...What next??? Her current psychiatrist suggests I stop looking for answers and work with what I have... I dont think that s a good idea...this is my daughter ...Please give me your opinion.... Thank You So Much, Michelle

doctor1 MD

Please help by giving me your expert advice! I had a biopsy done on my left breast Friday, March 14, 2014, due to a 2D screening digital mammography with 3D tomosynthesis. Besides the mammogram, I had an ultrasound to show that the three masses were not cysts. The three masses were 1 cm., .7 cm., and .3 cm. very close to each other and appeared to be joined and superficial or close to skin - the radiologist called the shape similar to a barbell. The report says that the breast parenchyma is composed of scattered fibroglandular densities...there is a new nodularity in the upper central left breast...coarse calcifications are again suspicious cluster of microcalcifications is seen. HISTORY: December 20, 2011 - 6-7 hour surgery for removal of ruptured silicone breast implants in both right breast (1998) mastectomy and left breast implant to match breasts. Left breast reconstructed without implant and right breast insertion of silicone implant. December 21, 2011 - blood clot in left lung nearly 24 hours after surgery; taken to emergency (different hospital); due to focus on blood clot and hiatal hernia that bled, antibiotics not taken for breast surgeries. Severe reaction to gaseous anesthetic (hallucinations). January 9, 2012 - emergency visit to hospital due to infected right breast (skin had been radiated in 1988, was thin, and unhealthy). Right breast implant removed; severe infection with 5-day hospital stay. January 9-August 28, 2012 - on Coumadin. September 21, 2012 - a 6-7 hour surgery on right breast to attempt reconstruction of implant to right breast. In addition, muscle/skin flap taken from back to replace old tissue resulting from prior radiation. Due to use of gaseous anesthetic (even though doctor told not to use gaseous due to prior hallucinations), I suffered severe reaction after post-op and as a result tore stitches within right breast. Three day stay in hospital. October 16, 2012 - Removal of right breast implant after three weeks on antibiotics. Note: I continued to teach part-time online graduate university students and mentor PhD students ONLINE. 1988 Original breast cancer in right breast found as microcalcifications (very tiny - too small then for diagnosis) right lymph nodes removed and breast cancer had not spread. Radiation followed. I was 39 and the first mammogram ever had. 1998 Recurring breast cancer in right breast (even smaller) on mammogram. Right breast mastectomy and left breast implant to match right (far too large an implant - replace on two occasions within first few months after reconstruction of right with little success). Right breast reconstructed and no sign of possible cancer until last mammogram March 10. Right breast reconstruction: I have a reconstruction planned for my right breast (pouch to inject saline) on March 25, 2014 in Orange County, CA, due to my plastic surgeon s place of work. I moved to Phoenix summer 2013. NOW, with result of mammogram/ultrasound received March 10 and left breast biopsy of three masses on March 14 (results not until Tuesday, March 18 or 19 at latest), I am uncertain what to do about my right breast reconstruction? My plastic surgeon knows that Tuesday I ll find out the biopsy and that until then, I m on hold about coming from Phoenix to OC for reconstruction. QUESTION: Does the shape of the masses indicate possible cancer? I asked the radiologist whether edges were unsmooth and she said they were smooth. I know I have to wait but have you had any experience with this odd shape being cancer? QUESTION: I asked the breast surgeon in Phoenix if the masses could be silicone left over from the surgery removal of the ruptured implant in December 2011. She said silicone usually shows up very bright on the mammogram. QUESTION: Is there any possibility the odd shapes could be old silicone? QUESTION: If the masses are cancerous, my plan would be to have a mastectomy and never have to worry again about cancer. What is the recovery time after a mastectomy? Before, I was on a break in my PhD program and returned within 2 weeks to take a reduced PhD program - 3 instead of 4 courses. The second time, it was Christmas time and I took a 3-week break before looking for new work which I started right away. QUESTION: If I have to have chemotherapy (did not before) and/or radiation, how long does it take typically to be mentally alert to return to work - my PhD mentees - a small class I could simply not take on this term online? Lots of questions, I know. If you can give me any help, please let me know. Once again, the biopsy results are not known. But hearing from you to get more information depending upon the results would be so very helpful. Please help. Wendy Zender, PhD YYYY@YYYY

doctor1 MD

My husband has had an onset of the following starting in late July: Difficulty choosing words / difficulty speaking. Lack of depth perception/misjudging motions with hands and feet. Started out with him telling me when he closes his eyes...

doctor1 MD

I recently changed from Atenolol 100mg taken daily to Metoprolol Succ Er 100mg daily. I am experiencing difficulty making decisions, mood swings and depression . By depression I mean I am not finding XXXXXXX in the usual things I enjoy doing, such...

doctor1 MD

My son is currently taking atomoxetine 80 mg and serttaline 50 mg and has been experiencing hallucinations and paranoyia. He went to the ER last night and they discharged him this morning. Should he continue taking this medication? Can he skip the...

doctor1 MD

hello i am a uk national living in the philippines, yesterday approx 6 hours after eating some tinned corned beef for breakfast i started to experience acute pain in my lower right abdomen. This got steadily worse and was followed by a brief period of extremely bad smelling vomiting last night. I have been unable to sleep due to the pain and have not experienced diarrhea - in fact i have only passed one bowel movement today after taking some herbal bowel clear tablets. I am 32 years old slightly overweight but with a good constitution. During the night and today the pain in my right abdomen continues and i am experiencing fatigue along with minor visual hallucinations. I fell nausea but do not vomit, can only consume liquids and continue to feel fatigue and acute abdominal pain, I am concerned if i have either bad food poisoning or problems with my appendix. Your opinion is greatly valued - thank you

doctor1 MD

My brother in-law was diagnosed with cirrhosis and hepatitis he has had hallucinations and blood coming out both ends. His stomach is bloated also. He only has a very small part of his liver left according to the doctor. The gastrologist refused to scope him because his liver is to far gone. He is in the hospital and I was wondering if there was anything we could do for him.