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Suggest Treatment For Anxiety And High Blood Pressure

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Posted on Thu, 9 Oct 2014
Question: Hi,
What would be your reaction if your wife says :
- you are lazy when you do not wash one dish straight away after an exhausting week ?
- do not listen to you when you say she should not sleep in the same bed as your older boy age 16 ?
Then, you told your son not to tell her that your best friend just got a baby as for various reasons she did not have another one ( high blood pressure, overweighted,no peace at home ...) and you do not want to make her sad.
Of course, he tells her. Then she gets back to you yelling you : why do you threaten my boy ? will you kill him ? and then I will never forgive you until my death that I did not have another child. Never . Never until my last breathing.
When I tell her that we seek advice or she seeks advice : she will say never, never.
What can I do on my side ? It feels like a big burden. And it has of course an impact on my work and my daily activities.It may also impact my health if not solved urgently : I have a little headache ( tension headache?) .
I could go on and on but let's focus on those three.
All feed back is appreciated.
Best regards,
XXXX.

doctor
Answered by Dr. Ravi Soni (1 hour later)
Brief Answer:
you should take professional advice

Detailed Answer:
hi..thanks for writing.
welcome to HCM

i have read your query and your previous queries also..you seem very mucj troubled with your wife..
i should say here that these symptoms are started recently only and she is in her menopause.
these can be related to her hormonal changes. the mood fluctuations, weakness, laziness, irritability and inappropriate anger and suspiciousness and threatening all can be related to hormonal changes at this age.. in between she has also asked for money and she is not concerned about family budget..that is very disappointing for a husband after 20 years of marriage..

you have been writing to HCM for long and getting help. in my opinion you should consult a psychiatrist alone [dont take her with you] and discuss the problems and raise the issue of menopause also. he will suggest you what can be done for best interest of her?

she needs hospitalization but she is not willing for treatment, in that case he will give you or suggest you some medications that can be given her without her knowledge and when she s\would show some improvement in her thoughts and anger..these medications come with transparent solution or mouth dissolving tablets..

i think i have tried my best to help you..now its your time to seek professional help face to face..
wishing you luck..
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Ravi Soni (14 minutes later)
Is it possible to seek professional help it on a chat with HCM ?
doctor
Answered by Dr. Ravi Soni (9 minutes later)
Brief Answer:
online chat is not inperson discussion

Detailed Answer:
Hi..thanks for writing again.
What i have said previously was about psychiatrist in your city. This doctor should be professional psychiatrist and can give you advice for management..
Ihere can not say for her management because i am from the different part of the worls having different rule and regulations in our community.
I am not aware of mental health services in your country and city.
All of these is very omportant in betterment of patient.the doctor from your community will do better for her then us..
We can give advice about drugs that can be given without her knowledge, but what if she develops side effects or any emergency?
These all shud be taken into consideration..
Visit a paychiatrist in your city or senctioned under your health insurance if you have it..it would be better..
Everybody knows psychiatrically ill patient denies treatment that does not mean s/he shudnt get any..it shud be given forcefully for her interest...

I think this will suffice..if you have further query feel free to ask..
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Ravi Soni (19 minutes later)
I understand. But meanwhile what would be the first action steps ?
doctor
Answered by Dr. Ravi Soni (2 hours later)
Brief Answer:
talk to her calmly and try to persuade her

Detailed Answer:
Hi thanks for writing again..
You shud talk to her calmly and attend to her every talk ..do not run away from her.
try to persuade her and be attentive.
show that you care for her, spend extra time with her.
meanwhile you shud not argue with her when she is angry or irritable.
you can divert conversation by distracting her to another topic..you can bring topics of her interest..
you shud not confront her..
Then consult a psychiatrist..apart from solutions and mouth dissolving tablets there are antipsychotic long acting depot injections are also available..which can be given her every 15 or 21 days..when she has improved she will start taking medications..

i jope this will suffice ....if you have further query feel free to ask..
wishing you best luck

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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Suggest Treatment For Anxiety And High Blood Pressure

Brief Answer: you should take professional advice Detailed Answer: hi..thanks for writing. welcome to HCM i have read your query and your previous queries also..you seem very mucj troubled with your wife.. i should say here that these symptoms are started recently only and she is in her menopause. these can be related to her hormonal changes. the mood fluctuations, weakness, laziness, irritability and inappropriate anger and suspiciousness and threatening all can be related to hormonal changes at this age.. in between she has also asked for money and she is not concerned about family budget..that is very disappointing for a husband after 20 years of marriage.. you have been writing to HCM for long and getting help. in my opinion you should consult a psychiatrist alone [dont take her with you] and discuss the problems and raise the issue of menopause also. he will suggest you what can be done for best interest of her? she needs hospitalization but she is not willing for treatment, in that case he will give you or suggest you some medications that can be given her without her knowledge and when she s\would show some improvement in her thoughts and anger..these medications come with transparent solution or mouth dissolving tablets.. i think i have tried my best to help you..now its your time to seek professional help face to face.. wishing you luck..