Get E-Book on COVID-19

Q. My father is having negative thoughts and vivid dreams. Why?

Answered by
Dr. Vishal Anilkumar Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 14, 2018

Hi doctor,

My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during sleeping. He can identify people. But, he is unable to remember what happened before five minutes. He is completely confused by his dreams and reality.

These problems have started in my father after a traumatic event in which my father has lost his brother and two sons of his brother in an accident that happened before three months. He has a previous history of Bell's palsy, a little hearing loss, and was also diagnosed with a small lesion in the hypothalamus which is not cancerous. I want to know whether these traumatic events have played a part in these symptoms or its due to the lesion. The MRI of the brain shows the possibility of glioma. Please suggest.

#

Hi,

Welcome to icliniq.com.

Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can give him Sertraline 50 mg daily and Clonazepam 0.5 mg at night for the sleep. We need to re-evaluate him after 10 days and manage the dose. Your father has symptoms both due to the brain lesion and PTSD (family member loss). If your father starts to have psychotic symptoms due to gliomas, then you can give him a small dose of antipsychotic in the future.


Was this answer helpful?

 | 

Related Questions:
Is long-term use of Etizolam harmful?

If you have insomnia, you can discuss with your psychiatrist regarding adding short-term Clonazepam or Lorazepam ...   Read full

Can I take antidepressants only when needed and not continuously?

.. not mentioned the severity of your depression. If you have the first episode of depression. and you were stable on medication for more than six months then you can try to stop the medication. But if you have again depression then you need to take...   Read full

How can a person with PTSD, depression and anxiety be treated?

Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety ... If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they w...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can antidepressants cause low sex drive?

Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help.  Read Full »

Are depression, insomnia, and anxiety withdrawal symptoms of Xanax?

Query: Hello doctor, I have been taking 0.5 mg Xanax for sleeping most nights for the past 2 to 3 months. I bought it myself and took it to help me sleep. I have started trying to stop, or take less, and have noticed feelings of depression, insomnia, feeling anxious, and an aching neck and jaw and feeling...  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.