35 year old male brought involuntarily by parents with compl
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Dr. Saleem PK
35 year old male brought involuntarily by parents with complaints of not taking responsibility in his business or family instead going to a relegious leader nearby. Time spend in relation with the leader increased recently so that he comes late at night everyday, travelling to religious places with the leader without informing his spouse, distributing leaflets praising the leader to neighbours etc. Now he is very strict in his rituals related to his relegian and asking his family members to follow that too. Nearly five lakhs debts occured due to this that includes giving his car to the same leader. Lack of emotional concern to his parents , spouse, kids also noticed.

Past history revealed occasionally expressing infidelity ideas to wife since marriage that took place five years back, rarely wife noticed he is not able to maintain the thread of conversation and find difficulties to express his ideas that links to the topic of discussion. Last two years this is visible to other people who interact with him.
Three months back he was showing excessive concern for cleanliness, reduced sleep, restless, and an unusual behaviour that he was keeping all lights of his entire home switched on at night without apparently expressing any reason for that.Family members also noticed he cleverly interchanging the served food plates at home.All this problems subsided in two months without taking any treatment.

There is no substance use, MSE revealed no abnormalities except overvalued ideas in relation to relegious leader and rituals. Very rarely while was trying to explain some topics it seems that his ideas in relation to topic of conversation not getting logically linked to the theme in hand. Investigation revealed tiny infarct in left thalamus.
what can be the possibilities ? Patient is not willing for treatment and family may get seperated if you not treat him ..and in this scenario what will be the best course of action?
Dr. s●●●i s●●h and 8 others like this
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Dr. S●●●a A●●a
Dr. S●●●a A●●a Psychiatry
Any episodes of seizures?
Jun 17, 2017Like
Dr. S●●●●m PK
Dr. S●●●●m PK Psychiatry
No seizures
Jun 23, 2017Like
Dr. S●●●a A●●a
Dr. S●●●a A●●a Psychiatry
Patient should be admitted and observed for his symptoms he shows affective symptoms.
Jun 23, 2017Like