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Suggest Treatment For Delusion
Question: Hi... my boyfriend is bi-polar, schitzphrenic, off prescirbed meds for years and now taking meth... he had a persecutory delusion that started about 10 days ago... it is calming down now, but he ran through the woods for days "escaping" looked pretty beaten up and may have gotten a concussion. The police dont consider him a danger, he is not my husband and no family will have him committed and he won't see a doctor because this is not in his head, of course. At first he thought it was, but now he knows it isn't. My approach has been to try to gain his trust in the hopes that he will stabablize enough to say -- "hey, shouldn't we see a doctor about your bi-polar meds?" but i don't know if that is the right thing to do or not.... I think the best thing I can do for him right now is to keep him from trying to "disappear" and "run" from these people.
I would appreciate any advice I can get until I can get him to a doctor, which pretty much needs to be on his terms at this point, unless he comes after me with a knife or something -- which I really don't think he will do.
I would appreciate any advice I can get until I can get him to a doctor, which pretty much needs to be on his terms at this point, unless he comes after me with a knife or something -- which I really don't think he will do.
Brief Answer:
be safe, stop his meth and maintain sleep
Detailed Answer:
Hello,
Best approach under such circumastances are-
1. he must stay away from meth - as this is a possible trigger of present delusions..
2. dont counter him directly over anything, espically when you two are alone..he might get very angry and harm you
3. get him ready for some basic blood tests- complete blood counts, liver and kidney function tests, thyroid profile. These will be helpful in deciding the line of managment.
4. If you can arrange for his previous prescription, you may talk to a doctor about them. Ususally, when a patient is not ready to accept drugs - liquid formulations are used- like of resperidone/ or haloperidol , which is mixed in food and given to the patients.
If his previous symptoms were like these- it is highly possible that he was on similar drugs initially.
5. he must eat food properly and sleep for 5-7 hours at night.
Should ideally not sleep in day time and work ( may be just help in house hold works : if not in a proper job).
so, you may try the above methods for now..
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
be safe, stop his meth and maintain sleep
Detailed Answer:
Hello,
Best approach under such circumastances are-
1. he must stay away from meth - as this is a possible trigger of present delusions..
2. dont counter him directly over anything, espically when you two are alone..he might get very angry and harm you
3. get him ready for some basic blood tests- complete blood counts, liver and kidney function tests, thyroid profile. These will be helpful in deciding the line of managment.
4. If you can arrange for his previous prescription, you may talk to a doctor about them. Ususally, when a patient is not ready to accept drugs - liquid formulations are used- like of resperidone/ or haloperidol , which is mixed in food and given to the patients.
If his previous symptoms were like these- it is highly possible that he was on similar drugs initially.
5. he must eat food properly and sleep for 5-7 hours at night.
Should ideally not sleep in day time and work ( may be just help in house hold works : if not in a proper job).
so, you may try the above methods for now..
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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