Dear doctor,
My mother (80 years old) got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as she were in her twenties. Kindly diagnose.
Hi,
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Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own.
Silliness, childishness, and immature behaviors are consistent with mental regression that accompanies depression in elderly people. A prompt evaluation by a psychiatrist followed by antidepressant medication is recommended.
One other thing, caregivers of such stroke-afflicted depressed elderly patients are also prone to get depressed.
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