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Change in behavioural pattern at a particular season in a year, insomniac, unstable mind. Reason?

Hi Doctor, I m from India. my mother is suffering from some psychological problem. her behavior is normal throughout the year except one particular period and this transition of state is very fast. It has got some religious (in particularly sect change) background. which she undergone some 6-7 years before. from then every year in this particular season she behaves quite differently 1. she becomes insomniac 2. her mind becomes very much unstable 3. every now & then her thoughts changes..
Asked On : Tue, 31 Jul 2012
Answers:  2 Views:  35
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Psychiatrist 's  Response
Thanks for your query.
Seasonal changes in mood and behavior are a well documented entity.Seasonal Affective Disorder is a kind of mental disorder characterized by recurrent episodes of mood changes occurring yearly during specific seasons.
The description by you points towards SAD. The changes are usually those of depression but in your mother's case it is more likely of what we call Recurrent Unipolar Mania as evident from the symptoms of racing thoughts and unpredictable behaviors in the background of hyper religiosity.
SAD is thought of as being due to changes in the levels of certain hormones and neurotransmitters.
It is imperative that your mother be seen by a Psychiatrist who will evaluate the seasonality
(whether these episodes occur during summer or winter),presence of depressive/other symptoms during other seasons of the year and the nature and intensity of symptoms.
SAD can be treated effectively by appropriate medications and it is also essential for her to maintain her biological rhythms such as her sleep as disruption of these are likely to trigger/worsen episodes.
Do remember that mental disorders like any other disorders are amenable to treatment
Wishing her the best in life and health.
Answered: Tue, 31 Jul 2012
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Psychiatrist Dr. Simmi Kumari's  Response
Hi according to the information provided , there appear two diagnosis. Either it is a seasonal affective disorder which occur only in a particular season but the profile of symptoms is not available in detail .
Also the detail of the religious context also required as it may change the diagnosis. Other diagnosis can be an anniversary reaction to a stressor , which may be related to her religious practice and has pathological reaction to a stressor.
All you have to do is consult a psychiatrist and get her evaluated . She may be prescribed some SSRI or just sessions of psychotherapy
Take care
Answered: Wed, 1 Aug 2012
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