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Suggest Treatment For Sleeplessness, Aggressive Behavior And Mood Swings

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Posted on Tue, 20 Dec 2016
Question: hi sir , my husband age 31, is facing some problem. he sleeps less. gets angry v soon. he does some awkward actions with making different faces(may be tics) for 1 min or so 2-3 times a day.or speaks 1 or 2 words with it(ghunna ,nahi sunta). talks to himself when angry nd thinks a lot. plz tell me what is this disease nd how can it be treated .

i want to tell u more about him, we r newly married, only 10 months. i m observing this beviour since starting, but tht happens rarely, now it is v frequent. he speaks some kind of sound like of laughing or so with awkward facial movement while watching tv or when alone, nd he never does in front of any another person except me. nd he does some hand movement also . it seems like se is thinking too much all the time. nd he accepts tht i goes in past memories which are not gud .
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (52 minutes later)
Brief Answer:
It could be anxiety disorder

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

As per the available description he is having

Occasional anger outburst
Abnormal facial movements
Mumbling
Talking to self
Gestures
Abnormal laughing

Although it is not possible to make a diagnosis without seeing patient but there is high possibility of anxiety disorder. The second possibility is mood disorder.

In my view you should see a psychiatrist without delay as there is progression over the last 10 months.

I understand it is not easy decision but there is nothing wrong in seeking opinion.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (3 hours later)
thnkew so much sir. i want to share today experience. As he is not happy with my parents (his in laws) for monetry issues. Today morning, when he heard that they want to come home, he started staring to the walls of room for few mins . nd when i changed the topic to change his mood , he answer little nd somewhat anxious. then i left the room, he started talking to himself (abuse language)for 5 mins with doing some actions. then he went for execise on trendmill as per schedule, closed his door nd switch on the tv. i can clearly hear he is talking to himself v loudly , mostly using abusing language continously for 15 mins while exercising on trendmill. After 15 mins, he came outside with normal mood, had his breakfast nd went to shop normally like nothing had happened.till evening he is normal , busy in his work , as i chat on whatsapp.

i want to tell one most horrible event happend,Two months back, i was not at home. he came from morning walk, nd started blaming to his parents about not given car in marriage, while doing breakfast, he broke the cup, then came in our room broke the led on wall (pick nd throw), goes in another room thrown table, again tv , table fan,etc . he got v angry(reason as he himself told of not getting the car). i want to tell tht he had not taken alchohol for last 15 days, as per his own decision. then at night, he drinks badly , nd came normal at home, nd behaves normally like nothing had happened.

i want to tell, he use to blame everything like for career, marriage nd work ,his own parents tht they didnt give proper attention or so. nd he speaks , it will end from few mins to 2 hrs . mostly says the same thing, same story.

He dinks alchohol , usually thrice a weak, or 5 days. nd says tht it gives him extream relaxation nd sleep. he never gets angry after dinking nd never did hand movements or gestures.

he uses abuse language when he is v angry , nd surprisingly nobody uses such kind of words in family.

i mostly noticed tht while sitting normally like reading newspaper, he just stares to the walls or corners of room for a min or so , or until i should speak to divert his mind. nd then he becomes so normal tht nothing had happened.

nd he make facial moments nd voices when he is relaxed almost daily nd never do infront of others.

now, he himself is not aware tht somthing is wrong with him, nd he dnt want to discuss. nd only i m facing nd observing this problem of facial moments nd repetion of a word. how can i make him realize this ? nd one doctor here is saying tht it is OCD or bipolar. plz tell me what it is nd what should i do to cure the disease . Thanks
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (21 minutes later)
Brief Answer:
I do not think it is bipolar or OCD

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I have gone through the additional details regarding events which took place in past and today.

I strongly opine that this is not obsessive compulsive disorder as the criteria does not meet for this. I also opine that possibility of bipolar disorder is very low if any. Although I must acknowledge that no opinion is complete without seeing the patient in person with one to one communication.

If you happen to be from western XXXXXXX you can meet me in person along with your husband. I can see that in addition to anxiety issues there are some unmet demands mostly related to dowry and his upbringing in the childhood. It is possible that with appropriate counselling we can achieve a good range of success in his wellbeing.

This is complex situation and I do not think you can handle it yourself. It is better to get the elders confidence that he is having a problem and a doctor opinion is required. Meantime I think it will be better to not to argue with him as there is no point in arguing with a person who have no knowledge of his abnormal behaviour.

It is also advisable to talk to him sympathetically and try to understand what he wants from his life.Once this is done talk how you can assist him in achieving particular goal.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (24 hours later)
hello sir, Thanks for understanding my situation. yes, it is true tht i nd my in law parentsr dealing with him in v polite manner with no arguments, try to fulfill all his needs.

i m frm XXXXXXX city,up. As i told before, my husband is not aware nd dnt wnt to meet any doctor, i m not getting how to make him ready for this.as only i spend most of the time with him, he does all his facial moments nd repetion of a word in front of me, this shows he has controlling power to hide from others. he behaves v normal infront of guest nd at shop.

plz tell me what this medicine closita plus is doing ? what r its side effects ?

can it be a tic disorder ?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)
Brief Answer:
The diagnosis of tic disorder possible

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I am happy to know that your parents in law are aware of the problem and doing needful along with you. I understand that he does not want to see a doctor but there is alternative. Pretend to be patient and ask him to accompany.

Most of us (psychiatrist) need a lengthy details from the attendant and by that way doctor may know that there is problem and he may suggest you the needful. In case he (doctor) does not say anything you can start a discussion about your husband. It is possible that your husband itself start communicating about the perceived problems.

The second alternative is online consultation. I must say this is last second line and not the first line. For video consultation you can contact me at icliniq.com/ashok.

Regarding closita plus it will better if you can tell me the contents as this medicine does not come from any of the standard pharmaceutical company.

I hope this helps you further.
Thanks and regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (14 hours later)
Thnks sir for replying me. closita plus contains Escitalopram Oxalate 10mg, nd Clonazepam 0.5mg. he is on this medicine since 12 aug ,1 tab daily at night. He felt v relieved nd sleeps well at night in the starting(till august only),his behaviour turns to be polite than before,works well at shop, but afterwards there is no effect of this medine , but he is taking just as a sleeping pill, not knowing about this.plz tell is it worth giving now ?or should i stop it. how it is working

i read on internet about Coprolalia (tourett syndrome). i m feeling tht he can be a pateint of it bec i m hearing daily a single word (jealousy, ghunna..etc) ,many times, while watching tv, when alone at room , while exersing etc(relaxing or while thinking). Also, smiling with no reason, making awkward facial momemts, making awkard sounds for less a minute,but2-3 times daily.

can a patient with Coprolalia (tourett syndrome), gets angry soon, or uses abuse language when he gets angry ?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (4 hours later)
Brief Answer:
The medicine is used for depression and anxiety

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

Any medicine used beyond the prescription does more harm than any benefit and I think same is applicable here. Although the escitalopram is an antidepreesant but used in almost 20 different disorders which includes anxiety, panic, phobic, PTSD and lot more. The other part of medicine (clonazepam) is used for sedation.

I think you should not continue the medication without talking to his doctor. It is possible that he may get some side effects, particularly erectile dysfunction, if the medication is used beyond the advice of the doctor. There is almost 30-40% chance of having problem in erection and difficulty in achieving orgasm.

Although I am not sure without seeing the patient but it is possible that he is having tic disorder. It is also possible that he is having obsessions although you did not mention anything related to obsessions.

There is no doubt that people with tourettes disorder have labile mood and do think things to make others startle or without any provocation.

I hope this helps you further.
In case you have more queries now or in future I will request you to use of my Url for posting query which is as follows

http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

This will give me instant access to your query and timely reply.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Sleeplessness, Aggressive Behavior And Mood Swings

Brief Answer: It could be anxiety disorder Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query and understand your concerns. As per the available description he is having Occasional anger outburst Abnormal facial movements Mumbling Talking to self Gestures Abnormal laughing Although it is not possible to make a diagnosis without seeing patient but there is high possibility of anxiety disorder. The second possibility is mood disorder. In my view you should see a psychiatrist without delay as there is progression over the last 10 months. I understand it is not easy decision but there is nothing wrong in seeking opinion. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.