My sister is 30 years old and unmarried. She was a very good student in school time but later went into depression so could not do well after school, failed to crack competitive exams and later also could not do well in studies. Lately she fell for a guy in her office thinking that he also loved her ,but he soon got married to someone else. All this while she had got too much involved in worshipping and all and started to believe in too much superstition and fiction. She has declined to get married to somebody else and now isn't even willing to finish her studies. And feels very hopeless about life. Nowadays she has become very verbally violent with the family members and blames everyone over one thing or the other. And listens to almost nobody. And also not willing to go to a psychiatrist or a psychologist as she thinks that they won't be able to help her. Please advise on how to help her.
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When there is uncooperative patient, the head of the family has to take responsibility for her. He or she should tell her what every one thinks about her avoiding derogatory wards. Avoid hurting her ego and offer her choice to visit and cooperate with the family head or the head of family use physical force and carry her physically to a doctor against her wish. This will creat seen in the neighbourhood and she can avoid it by cooperating. If she threatens to run away or commit suicide, she should be told that we will report this to police then police will take your custody and send you to govt. Mental hospital where family can not be of any help to her. But if she consults private doctor her treatment can be controlled and supervised by family. If you delay her symptoms will become chronic and out come will be more negative then otherwise. Take command otherwise her life will be spoiled.
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Hi, Thanks for writing in, welcome to the forum. This is not an uncommon situation. It is clear that a psychiatric evaluation is warranted and will likely result in a diagnosis also. Very often, people do not want to visit a psychiatrist because of various assumptions - I can not be helped; I will be admitted; I will not be treated with respect; I will be given medicines with side effects; I will have to take medicines for life etc. But when they do meet a good psychiatrist, many of these assumptions turn out to be false and the person becomes willing to visit again. Therefore, I think what needs to be done here is to ask her to meet a psychiatrist once and see how things go. She can be reassured that no medicines/ admission / procedure will be done without her consent and if she does not like the interaction, she need not come again. Very often, this approach is very effective. Hope that answers the question. Take care!
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