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Suggest Treatment For Neuropsychiatric Symptoms
Question: I would like to understand - of some of the symptons that I see in my husband of 2 years is a medical problem or an emotional problem.
Brief Answer:
Detailed evaluation and Consultation
Detailed Answer:
Thanks very much for your question.
Let me begin by saying this sounds like a complicated neuropsychiatric issue, and I think we would get more out of this exchange if you were to ask me at my private direct link below, so as to allow us more time to discuss this. But I will give you an appropriate answer for now below.
You say your husband experienced a stroke 4 years ago, and has since been exhibiting signs of possible personality changes, such as strict habits and strong stands, and wanting things a particular way or getting upset.
It is entirely possibly this is a neuropsychiatric manifestation of his stroke. Strokes, especially Frontal lobe strokes, can certainly be associated with personality changes. Often this manifests as disinhibition, or behaving inappropriately and more emotionally than usual.
It sounds like your husband wants things a particular way and reacts badly when they do not fit his liking. I'd like to see a copy of his MRI report if possible to localize his stroke, but to answer your question, yes it is possible this is caused by stroke.
The treatment is the same whether this is a psychiatric or neuropsychiatric issue -- he may benefit from a low-dose neuroleptic or antidepressant.
In the future, for continuity of care, I encourage you to contact me at my direct link below. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (XXXX). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: XXXX
Thanks, Regards
Dr Sheppe
Detailed evaluation and Consultation
Detailed Answer:
Thanks very much for your question.
Let me begin by saying this sounds like a complicated neuropsychiatric issue, and I think we would get more out of this exchange if you were to ask me at my private direct link below, so as to allow us more time to discuss this. But I will give you an appropriate answer for now below.
You say your husband experienced a stroke 4 years ago, and has since been exhibiting signs of possible personality changes, such as strict habits and strong stands, and wanting things a particular way or getting upset.
It is entirely possibly this is a neuropsychiatric manifestation of his stroke. Strokes, especially Frontal lobe strokes, can certainly be associated with personality changes. Often this manifests as disinhibition, or behaving inappropriately and more emotionally than usual.
It sounds like your husband wants things a particular way and reacts badly when they do not fit his liking. I'd like to see a copy of his MRI report if possible to localize his stroke, but to answer your question, yes it is possible this is caused by stroke.
The treatment is the same whether this is a psychiatric or neuropsychiatric issue -- he may benefit from a low-dose neuroleptic or antidepressant.
In the future, for continuity of care, I encourage you to contact me at my direct link below. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (XXXX). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: XXXX
Thanks, Regards
Dr Sheppe
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I just want to say "thank you". This makes so much sense to me. We are starting him with a new doctor, my physician, in January, as he has transferred his insurance from Keyser to the plan I am on.
It gives me an understanding to help not to get frustrated, and I will be keeping this information to share with his doctor. If I don't see he gets help, I will be contacting you. Bless you.
XXXX
It gives me an understanding to help not to get frustrated, and I will be keeping this information to share with his doctor. If I don't see he gets help, I will be contacting you. Bless you.
XXXX
Brief Answer:
Thanks
Detailed Answer:
Hello there, Welcome back to HCM.
It's so wonderful to hear from you. Thank you for the kind words.
I hope your husband gets the help he needs. You are a wonderful wife and caregiver for him.
Dr. Sheppe
In the future, for continuity of care, I encourage you to contact me at my direct link below. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (XXXX). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: XXXX
Thanks
Detailed Answer:
Hello there, Welcome back to HCM.
It's so wonderful to hear from you. Thank you for the kind words.
I hope your husband gets the help he needs. You are a wonderful wife and caregiver for him.
Dr. Sheppe
In the future, for continuity of care, I encourage you to contact me at my direct link below. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (XXXX). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: XXXX
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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