Aggression, suspiciousness, and distrust are characteristics of paranoid personality disorder. Such people remain isolated, have difficulty forming relationships, jealousy, and angry. They believe that everyone tries to harm them in some way. They search for even small pieces of evidence that support their thought and words. They do not believe in loyalty and do not get intimate with anyone. This is a personality disorder and not a psychotic disorder. Drugs, alcohol, cocaine, cannabis, etc., enhance such thought processes.
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My husband is aggressive and has started to behave violently suddenly, despite taking medications. Why?
Query: Hello doctor, My husband has started to behave violently suddenly. Earlier, he had a high temper, but recently for about three to four months back, he has become very aggressive and started breaking things in the house. He does not like talking to anyone, and he might end up beating anyone in front ... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I see your husband has been on Eptoin in the past and is on Sodium Valproate currently, which shows that he is suffering from a seizure disorder or epilepsy. What is the dose of Sodium Valproate he is on? Whe... Read Full »
Query: Hi doctor, I do not know what is happening and I do not want to talk about it with anybody. I have a constant feeling of anger, and it feels like it is my baseline emotion. When I am not angry, I am just numb. I can still experience the joy and pleasure when it is out upon me or if I make an active ... Read Full »
Answer: Hi,Welcome to icliniq.com.Thank you for sharing your problem with me.You are 17 years old. At this age because of hormonal changes and increased testosterone levels, aggressiveness, anger outburst and easy irritability appears.But if you feel it is uncontrollable, I will suggest you to visit a psy... Read Full »
My son has social withdrawal and isolation. Yet, he refuses treatment. Please help.
Query: Hello doctor, The problem started in 2010. Social withdrawal, isolation, inability to continue at a job, negative talk, jealousy, lack of initiative, low self-esteem and fickle minded behavior. What could these point to? The prescriptions are lost in transit. No medicines are being taken. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. The symptoms of withdrawal from society, loneliness, difficulty in continuing the job, negative thoughts, lack of motivation, indecisiveness, etc could be due to some severe underlying mood disturbance. Since the symptoms are persistent a... Read Full »
How to keep my mother happy after the passing away of my father?
Query: Hello doctor,My dad expired one year back. My brother is elder and not interested to look after my mom. So, she stays with me. I am trying hard to make her happy, but it goes in vain. I need a suggestion on how to behave. Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, I would like to congratulate you for your dedication towards your mother. I really appreciate that you are looking after your mother. As you are her daughter, she is expecting that her son look after her. But, it is not possible in this case. So, she is really... Read Full »
Please suggest a medicine to control aggression in bipolar disorder.
Query: Hi doctor, My mother has been diagnosed with bipolar disorder, and no medicine help with her aggression. She is currently on Zolam and Clonafit. I have also attached her other prescription reports for your reference. My mother beats and abuses our maid. She defecates in the room whenever she wants ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and I understand your concern. First of all, I feel that she is developing dementia as defecating in the room is not a characteristic of bipolar disorder. I understand she punishes other family members, especially maid, but this is not someth... Read Full »
How to help a cannabis addict?
Query: Hi doctor, A patient who is Chars(hashish) addict and suffering from severe anger, aggressiveness is thinking that his mother and sister are against him. Doctor suggested a capsule Co-Depricap (olanzapine-fluoxetine) for him to take once every night. But the patient is not cooperating. He took medi... Read Full »
Answer: Hello, Welcome to icliniq.com. These are symptoms of acute psychosis, which leads to suspiciousness, hallucinations, and delusions. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased, and medicines will help reduce the level a... Read Full »
Can bipolar disorder cause aggressive and destructive behavior?
Query: Hi doctor, My father abuses me a lot and eats a lot. He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder. What should I do? Read Full »
Answer: Hi, Welcome to icliniq.com. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Does he... Read Full »
Can Strattera affect kids' behavior?
Query: Hi doctor, My son is 6 years old and has been diagnosed with ADHD, ODD and sensory integration disorder. He had Adderall XR 5 mg for a while and recently was changed to Strattera 27 mg. My son has been experiencing major insomnia, high aggressive behaviors which involved throwing objects at people, ... Read Full »
Answer: Hello, Welcome to icliniq.com. I would suggest not to discontinue Strattera (Atomoxetine) abruptly without supervision. However, I do think that your son is having side effects due to Strattera (insomnia, high aggressive behavior). Please discuss it with his psychiatrist as soon as possible and disc... Read Full »
Is the behavioral changes in my child due to antiepileptic drugs?
Query: Hi doctor, My son is 3 years 9 months now. He has been diagnosed with benign childhood epilepsy. He is taking Clobazam 15 mg at night and Topiramate 100 mg per day for last four months. His seizures are under control and he attends LKG. The issue is that he is not able to concentrate in his studies... Read Full »
Answer: Hi Welcome to icliniq.com. I have read your question in detail. The initial dose of Topiramate is 1 mg/kg/day which is gradually increased to 5-10 mg/kg/day. Your child is getting 100 mg Topiramate which is around 6 mg/kg/day. So, the dosage of Topiramate is correct. There are some side effects ... Read Full »