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What Causes Intermittent Rage, Excessive Negative Thoughts And Crude Behavior?

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Posted on Thu, 9 Feb 2017
Question: I am looking to discuss with an online therapist my mother's behavior and figuring out which condition she has (PPD, OCD, BPD or even narcism). I understand it isn't easy to do online diagnosis, but it is the only way - since it isn't possible for me and her to both attend therapist - although she has seen many and OCD was the given diagnosis (but she didn't mention areas of importance as I've listed below:

SYMPTOMS:

- Speciousness - Example, neighbour brings bin around to help, she thinks it is being done on purpose for the neighbour to make a point. Another time, pet rabbit died at her mothers, she had a biopsy as she believed her mother purposely killed it somehow. Etc.

- Magical Thinking (think she can predict future events)

- Rages (manipulation anger, rare, but I've seen multiple times)

- Grudges (will not let things go, and cannot accept blame)

- No friends and no relation with family anymore.

- OCD - Obsessive with food and cleaning.

- Can't accept much criticism - can lead to rage over little small things.

- Everyone else is to blame, not her.

- Controlling

- Crude - says things that most wouldn't (I wish she would die soon, then our plans will be better with the money she is leaving)

- Low empathy



EXAMPLES

I’ve witnessed rages growing up. She has smashed a gaming console up that my dad purchased because she hated the size of it. I’ve seen her attempt to grab the steering wheel when I was a passenger in the back – she was raging about something.

Raging has been something I’ve seen, but many others haven’t. My dad has a weak personality and was unable to control the behaviour. She was an alcoholic when younger, but quit after I was born. She has eventually fallen out with her family and blames them for her problems. She doesn’t have any friends. She finds it extremely hard to forgive people, expects them to apologise, but she never can – everyone else is at fault – never her.

When she rages, she turns into a monster who manipulates, is nasty, can name call, talks like a child, is aggressive, and totally nasty. The rage isn’t something I see often, but it is normally sparked by her family or a subtle insult (I told her not to butt in when I was talking to my dad, which she did rudely last year) – She then left the room, the next day I said that I thought she might apologise – and that was it – RAGE. “How dear you!”, “Why does everyone blame me” etc. Only me and my father have truly witnessed a rage, although her mother has partly once too. Eyes glaring, she will reflect her behaviour on to me claiming it is me raging and hard eyes, even though I am standing saying next to nothing. She will come up to you, slam doors, etc. – she has never physically harmed me, but wants to provoke emotionally. All in all, rages don’t happen often, but when they do, they are explosive.

Revengeful – she is very revengeful once a grudge is formed on her part. I’ve heard her say things like if I had cancer id get a gun and kill her family (not me).

Suspiciousness. Her mother looked at the pets for a while and they were around the age to pass, but my mother believed her mother purposely harmed them, she had an autopsy. The neighbour didn’t send a Christmas card one year, so she must have been doing it on purpose. She went on the bus, and the bus driver was sharp with her “sounded like sarcasm to me”.

She lacks empathy and lives horror movies, I guess the two go hand in hand? Ha! Anyway, she will say things that are somewhat crude and heartless. For example, apparently, once when I was younger she said in front of me and my uncle that she preferred the pet dog. My dad’s mother is 92 and leaving money, my mother says she wishes she’d hurry up and pass.

Magical thinking – last night she was claiming she has had dreams and they are coming true. She went on to say either her, my dad or I would die this year and she is sure of it according to her dreams and that it will probably be her. She kept on about this yesterday and said she doesn’t normally mention this since people think she is crazy.

OCD – obsessive and controlling with her food (finds it hard to eat most foods) and struggles with calorie counting. Likes to clean too much and can’t rest when leaving the home and going on holiday.

She does not boast about achievements (that is more my dad), and doesn’t brag about herself. She actually is the opposite and makes out she hasn’t achieved much.

If this isn’t enough, be sure to ask me more questions, I’m happy to answer. I just want to understand the condition she has. I’ve discussed with her at times when possible, and she claims she is unhappy.

Thanks
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
Cognitive behavioural therapy is essential.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. Incidenatally, the diagnosis does not matter. What matters is that she has the conditions and needs to deal with them. This can be done through proper counselling which is just another way of an in depth evaluation of the problems along with her so that she can concretely understand what is out of place and how the problems can be dealt with. This form of therapy is called cognitive behavioural therapy through which she can be brought in terms with her condition and this will help her to cope better with her situation. Rational emotive behavior therapy (REBT), is another such method which comprises of comprehensive, active-directive, philosophically and empirically based psychotherapy focussing on resolving emotional and behavioral problems and disturbances and enabling people to lead happier and productive lives.

Incidentally this is not something that an online therapist can offer. You as well as she would have to sit with the therapist for at least 5-10 sessions face to face so that a methodical approach can be taken to define the problems and help her work out her way out from them.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes Intermittent Rage, Excessive Negative Thoughts And Crude Behavior?

Brief Answer: Cognitive behavioural therapy is essential. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. Incidenatally, the diagnosis does not matter. What matters is that she has the conditions and needs to deal with them. This can be done through proper counselling which is just another way of an in depth evaluation of the problems along with her so that she can concretely understand what is out of place and how the problems can be dealt with. This form of therapy is called cognitive behavioural therapy through which she can be brought in terms with her condition and this will help her to cope better with her situation. Rational emotive behavior therapy (REBT), is another such method which comprises of comprehensive, active-directive, philosophically and empirically based psychotherapy focussing on resolving emotional and behavioral problems and disturbances and enabling people to lead happier and productive lives. Incidentally this is not something that an online therapist can offer. You as well as she would have to sit with the therapist for at least 5-10 sessions face to face so that a methodical approach can be taken to define the problems and help her work out her way out from them. Regards