Hi, 60+-year-old woman is suffering from auditory hallucinations since March. She has been taking 'olimelt 10 mg' for 3 months now (along with zapiz 0.25 mg-1 month, ativan 1 mg-last 2 months) as per the psychiatric doctor's suggestion (psychosis). Liver test, blood test have been taken, it's normal. Earlier she used to hear in the day time also, but nowadays only at night time, she is hearing that too when she is about to sleep or early morning/if she wakes up at mid-night. Some of the other symptoms are, - suddenly crying at times (politely) - lack of concentration/focus - not speaking with anyone freely. Just 2/3 words, that's it - mild forgetfulness (small things like at times forget to switch off the gas stove.) - mood swings like sometimes feeling low/depressed -> can judge by looking at her face need expert advise on the below, please. - all of the above are symptoms of psychosis? Any other medical test recommended for further analysis as per your experience? - can she take both psychiatric tablet and ayurveda/homeo medicines (saraswatharistam, manasamithira vadagam) together, bec. She wanted to reduce allopathy tablet intake for the long run? - any other suggestion for faster recovery (like food habits, yoga, meditation, oil bath. Etc) any insight would be greatly appreciated. Thanks in advance!
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Her age suggest that she should be evaluated for Dementia. I would also not recommend to combine Ayurvedic and Allopathic medicine. She should be evaluated properly for her depressive symptoms and treated accordingly.
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Dear lybrate-user, 60 plus years women with recent onset psychosis need many other tests to rule out dementia. Usually psychiatrists don't diagnose dementia for the first 3 months. Now that 3 months will be over soon, follow up with your psychiatrist. She/he may refer her not only to more blood tests, but also to mri brain scan and neuropsychological assessment. "like food habits, yoga, meditation, oil bath. Etc" will supplement the treatment. Faster recovery depends on the diagnosis.
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Dear madam, it looks like the psychosis (hallucinations) are responding to aliment, but some of the symptoms you mentioned are suggestive of depressive disorder. I would suggest that you bring them to the notice o the treating psychiatrist. Psychosis can occur as part of a major depressive episode too and sometimes, it takes a few visits to get a clear picture. If she has no health issues like diabetes, hypertension, then no other tests would be required to evaluate the mental condition. I would advise not to take allopathy and ayurvedic medicines together. Since there is some improvement with olimelt, it is better to continue under the guidance of your psychiatrist till the condition fully resolves.
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