Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
Suggest Management Of Tourette S Syndrome With Compulsive Behavior
Need help regarding mental disorder. I had been trying to figure out how to help my daughter s mental illness. When she was 10 yrs old, she was diagnosed w/ Torette Syndrome. Now she is 23 yrs old and she has compulsive behavior and other things which are more severe. She has so many routines and complex actions - example jumping/spitting at the same time and repeating this 5 to 6 or 10 times (or more)until it felt right. She ask us to say sorry many many times at the right tempo and sometimes could be 20x of repetition until she is satisfied. She will spill her drinks on the carpet intentionally or put the food in the garbage because it s dirty. If we don t follow her instruction, she will screem and will start crying. Making her feel better could take sometimes more She is intelligent and finished her Bachelor s Degree and will be soon starting her graduate school. to hours and very exhausting for her and for both my husband. Help, we;re very tire and worried. She refused to go to the doctor.
I appreciate your query on health care magic. After going through the history i would suggest the following: 1. Tourette's syndrome and obsessive compulsive disorder are difficult conditions to deal with and it is important to educate both the patient and the family members regarding the disease. 2. You need to adjust your expectations regarding the outcome, it is difficult situation that you are dealing with but upto 50% patients improve with proper treatment. 3. Treatment in the form of medicines and psychotherapy should be started as soon as possible. 4. Selective serotonin reuptake inhibitors or clomipramine are helpful together with cognitive behavioral therapy and exposure and response prevention treatment upto 50% of the patients improve. 5. If she is not taking treatment you can give medicine in liquid form in some drinks. I hope you find this helpful.
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Suggest Management Of Tourette S Syndrome With Compulsive Behavior
I appreciate your query on health care magic. After going through the history i would suggest the following: 1. Tourette s syndrome and obsessive compulsive disorder are difficult conditions to deal with and it is important to educate both the patient and the family members regarding the disease. 2. You need to adjust your expectations regarding the outcome, it is difficult situation that you are dealing with but upto 50% patients improve with proper treatment. 3. Treatment in the form of medicines and psychotherapy should be started as soon as possible. 4. Selective serotonin reuptake inhibitors or clomipramine are helpful together with cognitive behavioral therapy and exposure and response prevention treatment upto 50% of the patients improve. 5. If she is not taking treatment you can give medicine in liquid form in some drinks. I hope you find this helpful.