HomeAnswersPsychiatrybipolar disorderMy mother hurts and dislikes everyone around her. Is it a bipolar disorder?

My mother seems to have OCD or schizophrenia. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 11, 2021
Reviewed AtMarch 9, 2021

Patient's Query

Hi doctor,

My mother seems to have severe OCD or symptoms of schizophrenia. She hoards things and stopped bathing. She has chronic asthma and not taking medicines. She has attacked her sisters. She dislikes everyone and she has a feeling of running away. She used to listen only to me but now she avoids me. She began to attack me also. She is not eating and drinks unhealthy amounts of tea every day. She constantly picks her hair and facial skin. She has some suicidal thoughts. She is not willing to consult a psychiatrist and so I tried this one. Please help us.

Hi,

Welcome to icliniq.com.

Currently, your mother has symptoms of suicidal thoughts, poor self-care, episodes of violence and irritation, hoarding things, picking hair with compulsive symptoms and she is not ready to seek treatment for the illness present in her. Though she has some compulsive symptoms like hoarding and picking hair or skin, the overall diagnosis is psychosis. Please mention whether she has symptoms of hearing voices, paranoid beliefs, being fearful or suspicious of others. These symptoms suggest schizophrenia.

I would consider bipolar disorder as the differential diagnosis due to the history of mental illness and suicide. The current episode can be due to an episode of depression with psychotic features in the course of bipolar disorder. Please mention whether she has mood swings or sudden changes in her symptoms that range from depression to increased activity and talking. Please mention the duration of asthma and any other medical conditions present in her. Please mention the duration of these symptoms and any medication taken in the past and any exacerbation after childbirth. It is better to have online consultation soon to discuss in detail and a proper diagnosis can be reached. So effective treatments can be given to get control of the symptoms.

Investigations to be done

You need to investigate complete blood count, blood pressure, fasting, and postprandial blood sugar levels.

Differential diagnosis

Your mother can have obsessive-compulsive disorder or bipolar disorder.

Probable diagnosis

Your mother can have chronic paranoid schizophrenia.

Treatment plan

Detailed history and evaluation are necessary to provide proper treatment.

Regarding follow up

Have a follow up at any time.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saraswat Kumarshri Shriniwas
Dr. Saraswat Kumarshri Shriniwas

Psychiatry

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