Hi.. these could be sequel of tuberculosis infection. However will need further history regarding the same to advise appropriately. Medicines can help. Consult online for treatment

Hello, The symptoms described- sudden laughing/shouting, hitting, running around, loss of understanding of clothes and toilet use, unawareness of surroundings, and a long period of silence earlier- point toward a severe neurological or psychiatric condition that requires a detailed in-person evaluation. Given her history of severe headache during TB treatment, prolonged silent phase, and then a complete behavioural change over the last two years, this could be related to: Residual effects of TB involving the brain (e.g., TB meningitis sequelae) - Seizure-related behavioural changes - A severe chronic psychiatric illness causing disorganisation and loss of functioning - Cognitive decline due to a neurological condition None of these can be confirmed online, but her symptoms are medical, not intentional, and they do not automatically mean she needs to be admitted permanently, nor that she can never improve.

Hello The symptoms you mentioned can be part of psychotic disorder or neurological disorder , A thorough history taking and complete physical assessment and mental state assessment is required for diagnosis and further management! Kindly visit an institution ,you will be guided regarding further line of management whether an admission is required or not! Thank you!

Hi, I understand it can be very distressing to see a loved one going through the symptoms you mentioned . Her symptoms seem to be that of disorganised behaviour, inability to understand social cues- which can be seen in psychosis, or mood disorders with psychosis- or some neurological conditions as well. That being said, in such cases,medical opinion is urgently needed. She needs urgent hospitalization and care - please do not hesitate to take her to the nearest possible government hospital where they have a psychiatry department. In government hospitals with psychiatry, a lot of the medications are available free of cost.

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I can understand your distress Symptoms that you have described are suggestive of psychotic disorders in which such symptoms of undressing, irritability, absconding tendency, sleep disturbances are seen. You are resident of Bangalore, you can visit yourself at Nimhans it's a Government hospital mainly concerned for psychiatric and neuro patients, one of the apex centre in India If you are not able to bring your sister you can go alone and discuss conditions with doctor Treatment inform of medications, injection also available if pt not agree to take Medications in occult form are given Injection at affordable price for treating these symptoms monthly or 15 days available

Need to start with medicine urgently. You can take her to some govt hospital in psychiatry department. You can consult psychiatrist online . Without seeing her cant tell what exactly problem she is having. You should start treatment as soon as possible

I’m really sorry to hear what your family is going through. I will explain in simple words. From what you described — • she suddenly laughs, shouts, hits • runs around • doesn’t understand clothes or toilet • doesn’t know what is happening around her • her behaviour changed completely in the last 2 years This shows that her brain and mind are not working normally right now. This can happen because of different reasons. Possible reasons (in simple words): 1. Serious mental illness Sometimes people lose touch with reality. They may act strange, talk or laugh suddenly, not understand daily activities. This can be treated with medicines. 2. Medical problem in the brain or body Infections, hormone problems, fits (epilepsy), vitamin problems, or any brain issue can cause this kind of behaviour. These problems can be found with simple tests. Very important: This does NOT mean she has to be admitted to a mental hospital permanently. With the right treatment, many people improve a lot.

She needs immediate medical attention