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Visual helusunation
My wife, 26F, developed severe depression, anger and shouting after her younger brother’s death. A few days later, she started having visual hallucinations (frightening man, child, woman etc.), auditory hallucinations and sometimes felt that the figures were touching her. We consulted a government psychiatrist who prescribed Olanzapine, Clonazepam, Amisulpride, Trihexyphenidyl Hydrochloride and Fludac (Fluoxetine). She has taken them for 2 months and improved significantly. Visual hallucinations have stopped, but occasional voices and confusion remain. Her psychiatrist has now been transferred and there is no psychiatrist at that hospital. Private treatment is unaffordable. Please advise whether she should continue the same medicines/doses, whether any change is needed, and whether a 30-day prescription is appropriate. We will not change or stop medicines without medical advice.
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A detailed clinical assessment is advised to understand the issue. For a personalised treatment plan, DM on insta: dr.abhinavtewari Dr. Abhinav Tewari MBBS(AIIMS, New Delhi), MD (AIIMS, New Delhi), DNB Ex-KGMU Lucknow Formerly at NHS England Ex-Faculty RMLIMS, Lko, and KSSSCI Whatsapp on Nine Four One Five Three Nine Four Three Seven Nine insta: dr.abhinavtewari
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Meditation. I meditate almost every day. It’s just good to decompress. It’s good to sit and think every once and a while because eventually, you run out of things to think about. When you do that, you actually start meditating. 10–30 minutes per day, every day possible. Start cutting out people that suck. I’ve alienated so many people in the past year. So many people. My inner circle is smaller, but also it’s stronger than it’s ever been. I have people in my life who actually look out for me. I have friends that love me. These people have helped me realize that I should never settle for less. Intense physical exercise. “Being active” is great for my physical health, but it doesn't actually make my anxiety go away. However, going to the gym and pushing myself as hard as I can (while not breaking my body) makes me completely free from anxiety—at least for a while. Reading. None of these “remedies” are secrets. There are no secrets here. If there was a magical remedy that got rid of anxiety and had no negative consequences, everyone would do it. Reading made me realize that I’m not alone in having anxiety. Studying other people’s thoughts makes me realize that my thoughts are not as weird as I thought. Doing scary shit. I’m not saying that you should start jumping out of airplanes, but seriously, stop holding back in your life because you have anxiety. Anxiety compounds over time. The longer you think about stuff, the scarier it gets. Sometimes, you just have to jump off the deep and end and see if you can swim. Talking to your friends. People have “friends”, but most of their friends don’t really know them. One of my friends and I sit in the sauna 3 days a week after Jiu-Jitsu training and talk about life. We’ve shared some pretty personal stuff during those talks. Frequent, unfiltered conversations will change your life. Writing. The main reason that I write so damn much is that writing makes my brain feel physically lighter. The act of putting my words onto a page helps me stop having to think so much. I publish them because sometimes they help people. However, private journaling can have the same mental benefits for people struggling with depression/anxiety. Eating healthier. When you eat like shit, you feel like shit. When you eat better, you feel better. While there is certainly more to taking care of your mental health than eating vegetables, eating better does help. I only drink alcohol a couple of times per year and I try to limit caffeine intake after my morning cup of coffee. I don’t smoke or do drugs. If you read my answer on derealization, you know why. Sleeping enough. Most people do not sleep enough. I don’t understand it. When I sleep less than 7 hours per night for more than a few days, I feel like I’m on a slippery slope to burnout, depression, anxiety, and losing my bloody mind. All these other remedies are great, but if you don’t sleep, you’re fighting a losing battle. Giving my all in everything I do. This seems like a cop-out, but how many people do you know who actually give their all? Putting everything I have into everything I deem worthy of my effort makes me feel like I have fewer regrets. It also makes me less anxious about outcomes, because I know I have done everything I can to influence said outcomes.
Next Steps
Consult Psychologist /Psychiatrist
Health Tips
do yoga, go for a walk
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Hi I’m very sorry for your wife’s loss and for everything your family is going through. The symptoms you describe severe depression, behavioural changes, hallucinations, voices, and confusion need continued psychiatric supervision. It is encouraging that she has improved, but the occasional voices and confusion mean that her treatment still needs to be reviewed. Please do not change the dose, stop, or add any of these medicines on your own. Medicines such as Olanzapine, Amisulpride, Clonazepam, Fluoxetine, and Trihexyphenidyl need to be managed carefully, and the appropriate treatment depends on her current symptoms, diagnosis, side effects, and medical history. If possible, try to consult another government psychiatrist, a medical college, district hospital, or a telepsychiatry service for an affordable follow-up and prescription renewal. Along with medication, grief-focused psychological support and therapy can help her process the loss and emotional distress. If her hallucinations worsen, she becomes severely confused, expresses thoughts of self-harm, becomes unable to care for herself, or shows significant behavioural changes, seek urgent psychiatric or emergency care. For psychological support and counseling, contact nine two six six seven two six zero six five.
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Hi, yes continue the medicines
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Continue with the Dr. And don't stop medicines at own - evem if she feels much better.
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"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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Hi Thanks for reaching out. I understand what you are going through. Take another opinion from a psychiatrist. A psychiatrist will be able to guide you on best course of treatment. It is a difficult time for you and your wife. It is not easy to cope with the loss of a sibling. Take another opinion from a psychiatrist and your wife will be under good care.. You are doing the best you can to take care of your wife. If you are feeling extremely anxious consult a psychologist for counselling sessions.
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Take another opinion from a psychiatrist for your sister. If you are feeling extremity anxious consult a psychologist for counselling sessions.
Health Tips
Contact me for counselling sessions. Along with counselling I can suggest natural foods to calm the mind.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.