system
How to treat odd behaviour?
human
Query for Dr. J. Clive Spiegel Psychiatrist greetings, I have to discuss the case of my daughter who is now 25 years old is elder among all. her name is X. she Is not like a complete normal child. I have three other children, 1 son and 2 more daughters who all are very intelligent and good. X is very aggressive, left studies, don't care about her personal hygiene, don't know how to react and how to be like in a gathering, she shouts and gets angry over pity nothing. she is hormonally ok and C.T scan was also normal we had her checkups with psychiatrists but each time condition gets worsened. she talks to herself in her room or even in public, she is too fat also. doesn't care about herself. fights with her siblings and also with me a lot even pinches and hurt us all and my other children. she has developed a habit of collecting things from a needle to even a food items, after having her own she even takes other's things she has habit of stealing and hiding things. shouts a lot and sometimes love isolation but sometimes wish to sit with all but when she does so she keeps on murmuring in public.well there is little background behind all this, as my husband is a great Father and husband but initially and even now we always had clashes regarding our relatives and in-laws. before her birth while I was expecting her I was under extreme stressful conditions. I had a forceps delivery of her which seemed to be normal. it took her some minutes to breathe for first time. until she was 5 years old she was or seemed to be all normal but suddenly I started I realized she was a little different from other children of her  age. her father is very short tempered and she was also a victim to it. her father don't allowed me to have regular terms with my family so in this way our  social circle got reduced. she loved to visit her relatives of both side mine and my husband but only my husband relatives used to came and stay with us and eventually her performance in school got poor and she failed in 2nd grade. I used to respect and serve my in-laws a lot but everytime there was something which my husband took as a cause of fight with me after his relatives are gone. my first baby i.e. X is witness of our many fights while with birth of my other children time changed and my husband's temper improved. I don't mean to say he is bad person as I said he loves his children a lot and is extra-ordinary caring but is too aggressive as well but reacts un relevantly in situations when there is no need of scold in way that he does but he do and sometimes he need to scold but doesn't. he loves me too but don't likes my family and the case is my children loves my family and this is always cause of conflict in our home. he don't allow much to weddings and parties of my family although my children wishes to and my daughter X also wished to and now the situation is she is a little clever in a way that she know in front of whom she can react like differently and in front of whom she have to react in normal manner. as in our home her father is the only person she fears of and when he asks her not to shout etc she obeys him but reacts oppositely to me and my children. because of her we all are very disturbed. my two children are medical students and one is engineer student. we kept on getting her chekups but we have got no visible results. on the advice of a psychiatrist we had given X Aripiprazole but this drug made her a bit slow and sleepy although her mood developed and her habit of collecting things was also removed but then as she became too slow we left the drug after consulting the same doctor. we don't know what to do now as she is too old now marriage seems an impossible for her and I am worried what will she do or what will happen to her after us. I saw you here so with a hope of betterment I am writti ng this to you. please reply soon.
gpt
HiThanks for using healthcare magicI think, she has schizo-obsessive disorder and in that case, she needs continuous dose of antipsychotic with anti-obsessional drugs. I would prefer olanzapine fluoxetine combination for her. It would help to control both psychotic and obsessional symptoms. In case, you need further help, you can ask.Thanks