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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Clinical Depression With Psychosis

Mother diagnosed: clinical depression with psychosis, severe anxiety d/o. Sleeps maybe 3-4 hrs a night. 70 lb wt loss over past two yrs ( since death of spouse). i am daughter and a nurse. Have taken to neuropsychologist, psychiatrists and brief in house treatment ( she left after two days). Daily negativity related to EVERYTHING. Accepts no responsibility for actions, very delusional related to current situations. Lack of ability to have absract thinking. Refuses to admit anything wrong even w professional dx. Term mental illness just provokes anger and immediate deflection to people around her. She refuses treatment and I am at the end of my rope. How do I get her to admit problem and seek tx?
Mon, 6 Oct 2014
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Psychiatrist 's  Response
hi,
Many people go through this kind of problem. You have different options
1. Take psychiatrists or legal help and admit her on involuntary admission and once she improves she will gain insight
2. Give medicines prescribed to her without her knowledge covertly in food or drinks. depends on the law of your land -It is considered illegal and arguably unethical, in some parts of the world.
3. Don't argue or confront
direct conversations in such a way that she comes out with her inabilities and enumerate her problems. Can use non mental models like explaining physical problems or weakness as reason to the inabilities and take treatment for same.
4. Take help of psychologist for insight oriented psychotherapy
5.Talk about the stigma and motivate to get rid of stigma.
Choose any but keep the first option aways open. Hope your effort succeeds.
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Suggest Treatment For Clinical Depression With Psychosis

hi, Many people go through this kind of problem. You have different options 1. Take psychiatrists or legal help and admit her on involuntary admission and once she improves she will gain insight 2. Give medicines prescribed to her without her knowledge covertly in food or drinks. depends on the law of your land -It is considered illegal and arguably unethical, in some parts of the world. 3. Don t argue or confront direct conversations in such a way that she comes out with her inabilities and enumerate her problems. Can use non mental models like explaining physical problems or weakness as reason to the inabilities and take treatment for same. 4. Take help of psychologist for insight oriented psychotherapy 5.Talk about the stigma and motivate to get rid of stigma. Choose any but keep the first option aways open. Hope your effort succeeds.