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Mental Health (Expert Forum)
Assessment for Lania
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.
Assessment for Lania
by Patricia Gurria, Aug 23, 1999 12:00AM
,My daughter 21 years old had been diagnoses with a moderate spastic cuadriparesis cerebral palsy since she was 3 years old.
but no one gave us the awarenes about the cognitive impairment until she was 17.
She developed a depression and a psychiatric tratment started with Risperdal ( Risperidona). She lost a lot of functions so the drug was stoped. She developed a mild neuroleptic syndrome. She started with akatisia, then she developed a psychosis stage that disappeared 7 months later.
I want to know what is a mydriasis toxic psychosis? and what are the symptoms.
What conection exists between anxiety ( panic) and psychosis?
If dopamin receptors are blocked this can produce anxiety?
The confucion Lania seams to have in her speach comes from the damage in her perception ,this is not psychosis. Why if an antipsychosis drug is administered, it causes psychosis?
What is a Mental Disorder ?
What is a cognitive disorder?
Cognitive disorder can cause anxiety?
but no one gave us the awarenes about the cognitive impairment until she was 17.
She developed a depression and a psychiatric tratment started with Risperdal ( Risperidona). She lost a lot of functions so the drug was stoped. She developed a mild neuroleptic syndrome. She started with akatisia, then she developed a psychosis stage that disappeared 7 months later.
I want to know what is a mydriasis toxic psychosis? and what are the symptoms.
What conection exists between anxiety ( panic) and psychosis?
If dopamin receptors are blocked this can produce anxiety?
The confucion Lania seams to have in her speach comes from the damage in her perception ,this is not psychosis. Why if an antipsychosis drug is administered, it causes psychosis?
What is a Mental Disorder ?
What is a cognitive disorder?
Cognitive disorder can cause anxiety?
Doctor's Answer
by HFHS MD-JM, Aug 26, 1999 12:00AM
Patricia,
You have several questions regarding your daughters condition-cerbral palsy with related depression and cognitive impairment. It also appears that she also experienced some side effects from Risperdal-akathisia.
I can not diagnose or discuss your daughters case without a more comprehensive history but, recommend that you discuss these issues further with your daughters psychiatrist.
A mental disorder is a clinically significant behavior/psychological syndrome(ie depression, anxiety, etc) associated with distress or disability. It is not an expected response to a particular event or limited to relations between a person and society.
A cognitive disorder is characterized by an impairment in memory, concentration or language (ie cognition). Examples include dementia, delirium, and amnestic disorders. Cognitive disorders can be associated with anxiety and often is in earlier stages of the illness.
I defer the rest of your questions to your daughters psychiatrist/physician as I believe it is important for you to have further clarification on your daughters condition and diagnosis. Keep in mind that this information is intended for educational purposes only.
Sincerely,
HFHS MD-JM
Keywords: Menatl disorder, cognitive disorder
You have several questions regarding your daughters condition-cerbral palsy with related depression and cognitive impairment. It also appears that she also experienced some side effects from Risperdal-akathisia.
I can not diagnose or discuss your daughters case without a more comprehensive history but, recommend that you discuss these issues further with your daughters psychiatrist.
A mental disorder is a clinically significant behavior/psychological syndrome(ie depression, anxiety, etc) associated with distress or disability. It is not an expected response to a particular event or limited to relations between a person and society.
A cognitive disorder is characterized by an impairment in memory, concentration or language (ie cognition). Examples include dementia, delirium, and amnestic disorders. Cognitive disorders can be associated with anxiety and often is in earlier stages of the illness.
I defer the rest of your questions to your daughters psychiatrist/physician as I believe it is important for you to have further clarification on your daughters condition and diagnosis. Keep in mind that this information is intended for educational purposes only.
Sincerely,
HFHS MD-JM
Keywords: Menatl disorder, cognitive disorder
Hope this answers your questions!
I know every answer has a cost, but the real intention is to have a comunication with some one who is impartial, and an other very important matter is that your neuro-psychiatric knowledges are 50 years ahead of ours.
Lania´s history is to long. Some of here conditions are clear to me but others are not. I can not discuss these issues with my daughter´s psychiatrist because he simple doesn´t
know the answers.
He does not know what is a mydriasis toxic psychosis.
Do you know what it is?