Sir/ma'am, my mother is suffering from schizophrenia from the past 2 years, she was under medication and for past 4 months she was absolutely fine without any medications. But in april again she started to hallucinate. She isn't agreeing to meet the doctor. I'm not able to understand what to do. The medicines she took was trapex and arpizol. Thank you.

Dr. Pankaj SinghPsychologist12yrs exp

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Hello, individuals diagnosed with a thought disorder can exhibit symptoms ranging from mild to bizarre delusions and hallucinations. Symptomatology indicative of psychoticism includes alteration in content of thought, alteration in the organization of thought, and disturbance of sensory input. First, do these things sensory-perceptual disturbance a. Identify the nature and etiology of delusions b. Rule out the presence of concomitant medical conditions as etiology of delusions c. Look for signs of the person withdrawing into self d. Keep stress and anxiety at a minimum and educate regarding the relationship between stress and anxiety to perceptual disturbance e. Increase awareness for patterns of talking or laughing to self f. Monitor for disorientation and disordered thought sequencing g. Confront distortions and misinterpretations with reality testing and encourage the person to define and test reality h. Intervene early to correct reality if a person is experiencing perceptual or sensory distortions i. Distract the person away from the perceptual disturbance by engaging him/her in another direction of thinking or activity j. Skill development for stress and anxiety management 1. Using progressive muscle relaxation 2. Listening to soft music 3. Walking or other appropriate activity 4. Utilizing support from others if you need more information contact or meet me at glowworm psychological service. 

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Dr. Saul PereiraPsychologist48yrs exp

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Schizophrenia is quite a debilitating disease and you should not attempt to regulate or discontinue the medication on your own. If after three years of regular use and without any relapses, it is possible to wean your mom off of the medication but that also in tiny doses. This should be completely managed by your doctor. She should also go for counseling parallely. If she is not cooperative you can ask your doctor for doses/medicines that can be administered through her food without her knowledge.  

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