system
Suggest treatment for depression and aggressive behaiour
human
Dear Doctor ,  from last 10months, i have been noticing my mother aged 48 ,behaving very abnormal, aggressive,voilient. She underwent 2 surgeries this year Jan 10 ( abdominal hernia , utres removal). She was going to meno pause stage as per Gynecologist. She gets into depression, feels lonley, unnoticed, un appreciated through the family mebers love her a lot and treat her good. She points out mistakes in every family member, never agrees to what other person say. get voilent and goes to an extent of suicidal attempt or threatening to kill herself to punish the other person ( my dad & my wife). She shouts and ill treats my father complaning that he isnt paying enough attention towards her health though he gives her the best care and love. But again she get frustrated for his ignorance. i understood these are syntoms of PAPD Passive-aggressive (negativistic) disorder, as per few studies on google. She is having diabities, high BP, improper sleeps at night. please advise me how to address this issue.
gpt
This does not appears to me as PAPD. There are few possibilities like depression with psychotic features, rapid cycling bipolar affective disorder or a psychotic spectrum diasrder. She would need treatment with a mood stabiliser and antipsychotic drug. Also get her thyroid function test done because thyroid problem can occur alongwith these mental problems.